Nocturnal hypertension in primary care patients with high office blood pressure: A regional study of the MAPAGE project.

The Journal of Clinical Hypertension
Claire ZabawaKatia Mazalovic

Abstract

Nocturnal hypertension (NH) is an independent cardiovascular risk factor. We aimed to describe the frequency of NH among primary care hypertensive patients and to analyze NH determinants. This observational, cross-sectional, multicenter study enrolled the patients of 23 general practitioners in Burgundy region, France. We included the first patient of the day with office blood pressure ≥ 140/90 mm Hg, whatever the reason for consultation. All included patients had 24-hour ambulatory blood pressure monitoring (ABPM). Nocturnal hypertension was considered nighttime mean blood pressure ≥ 120/70 mm Hg, as per current guidelines. Medical, sociodemographic, and deprivation data were collected. Nocturnal hypertensive and non-hypertensive patients were compared. The determinants of NH were identified using logistic regression models. From July 2015 to November 2018, 447 patients were analyzed. Mean office blood pressure was 158.6/91.5 mm Hg, and 255 patients (57.0%) were taking at least one antihypertensive drug. Among the 409 (91.5%) valid ABPM, 316 (77.3%) showed NH. In multivariate analyses, male sex (odds ratio [OR] = 2.20, 95% confidence interval [CI] 1.29-3.75), first office diastolic blood pressure >100 mm Hg (OR = 5.71, 95% CI ...Continue Reading

References

Mar 19, 2005·Journal of Hypertension·Eoin O'BrienUNKNOWN European Society of Hypertension Working Group on Blood Pressure Monitoring
Nov 28, 2006·Arquivos brasileiros de cardiologia·Marcos Galan MorilloSonia Perez Cendon Filha
May 29, 2007·American Journal of Hypertension·Moo-Yong RheeHae-Young Kim
Jul 24, 2008·Nature Clinical Practice. Nephrology·Michele H Mokrzycki
Jun 10, 2009·Expert Review of Cardiovascular Therapy·Rajiv Vij, Aldo J Peixoto
May 1, 2010·Blood Pressure·Dagmara HeringKrzysztof Narkiewicz
Sep 22, 2010·Chronobiology International·Ramón C HermidaJosé R Fernández
Dec 15, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Liam G GlynnTom Fahey
Jun 10, 2011·Blood Pressure·Cesare CuspidiGiuseppe Mancia
Sep 3, 2011·Journal of the American College of Cardiology·Ramón C HermidaJosé R Fernández
Jan 1, 2009·Integrated Blood Pressure Control·Oded Friedman, Alexander G Logan
Sep 26, 2013·American Journal of Hypertension·Alejandro de la SierraLuis M Ruilope
May 21, 2014·Hypertension·Teemu J NiiranenAntti M Jula
Jun 3, 2014·Journal of Hypertension·Gianfranco ParatiYuqing Zhang
Jan 28, 2015·European Journal of Public Health·Emilie LabbeJean-Jacques Moulin
Mar 15, 2015·Circulation Research·Giuseppe Mancia, Paolo Verdecchia
Apr 24, 2015·American Journal of Hypertension·Marwah AbdallaDaichi Shimbo
Dec 9, 2015·Diabetologia·Ramón C HermidaJosé R Fernández
Jan 5, 2016·Journal of Hypertension·Emmanuel A AndreadisGeorge S Stergiou
Nov 12, 2017·Parkinsonism & Related Disorders·Ryota TanakaNobutaka Hattori
Jul 27, 2018·Blood Pressure Monitoring·Katia MazalovicClaire Zabawa
Aug 31, 2018·European Heart Journal·Bryan WilliamsUNKNOWN ESC Scientific Document Group

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