Isolated ambulatory hypertension is common in outpatients referred to a hypertension centre

Journal of Human Hypertension
A UngarG Masotti

Abstract

The present investigation was aimed at determining the prevalence and the blood pressure (BP) profile of isolated ambulatory hypertension, defined as an elevated ambulatory BP with normal office blood pressure, in a series of 1488 consecutive outpatients referred for routine clinical evaluation of suspected or established arterial hypertension. All patients underwent both office BP (OBP) measurement by a physician and 24-h ambulatory blood pressure monitoring (ABPM). Using OBP values (cutoff for diagnosis of hypertension >/=140/90 mmHg) and daytime ABPM (cutoff for diagnosis of hypertension >/=135/85 mmHg), patients were classified into eight subgroups. In the whole series we found that, independent of treatment status, the prevalence of isolated ambulatory hypertension exceeded 10%. More importantly, 45.3% of individuals who presented with normal OBP values, showed elevated BP at ABPM. Night-time BP, 24-h pulse pressure, and BP variability were significantly higher in isolated ambulatory hypertensives than in normotensive or in white-coat hypertensive individuals. Therefore, isolated ambulatory hypertension is characterized by a blood pressure profile that is similar to that observed in sustained hypertension. These findings s...Continue Reading

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Citations

Mar 13, 2009·Current Hypertension Reports·Iddo Z Ben-Dov, Michael Bursztyn
Aug 10, 2010·Current Hypertension Reports·Gbenga OgedegbeJoseph E Ravenell
Nov 5, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Sung-Ji ParkUNKNOWN Korean Hypertension Research Network
Jun 6, 2013·Clinical and Experimental Hypertension : CHE·Hakan AkilliMehmet Yazıcı
Jan 23, 2015·Blood Pressure·Cesare CuspidiGiuseppe Mancia
Jun 28, 2008·American Journal of Hypertension·Willem J VerberkPeter W de Leeuw
May 30, 2009·American Journal of Hypertension·Thomas K MakrisChristodoulos Stefanadis
Mar 26, 2005·Hypertension·Eoin O'Brien
Nov 1, 2006·Hypertension·José R BanegasUNKNOWN Spanish Society of Hypertension Ambulatory Blood Pressure Monitoring Registry Investigators
Aug 16, 2011·Journal of Hypertension·Marjo-Riitta A HänninenAntti M Jula
Aug 14, 2008·Journal of Hypertension·Guillaume BobriePierre-François Plouin
Nov 5, 2005·Diabetes/metabolism Research and Reviews·Edoardo MannucciAndrea Ungar
May 29, 2020·Journal of Human Hypertension·Margaret ConstantiMark Glover
Apr 28, 2021·JAMA : the Journal of the American Medical Association·Janelle M Guirguis-BlakeMeghan Soulsby Weyrich
Oct 13, 2015·Annals of Internal Medicine·Albert L Siu, UNKNOWN U.S. Preventive Services Task Force

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