Prevalence of Masked Hypertension in Subjects Treated with Antihypertensive Drugs as Assessed by Morning versus Evening Home Blood Pressure Measurements: the J-HOME study

Clinical and Experimental Hypertension : CHE
Taku ObaraJ-HOME Study Group

Abstract

To investigate the relationship between morning and evening home blood pressure (BP) measurements to make a diagnosis of masked hypertension, we collected information on the characteristics of 3,303 essential hypertensive outpatients receiving antihypertensive medication in Japan using a physician, self-administered questionnaire. All patients were asked to measure their home BP once every morning and once every evening for two weeks. Morning and evening home BP values of each patient were defined as the average of all morning and all evening home BP values, respectively. The mean BP values of all study subjects were 142.8/80.6 mmHg for office BP, 139.8/81.8 mmHg for morning home BP, 133.7/76.9 mmHg for evening home BP, and 136.8/79.3 mmHg for the average of the morning and evening home BPs. Masked hypertension was defined as an office BP < 140/90 mmHg and a home BP > or = 135/85 mmHg. The prevalence of masked hypertension diagnosed using morning home BP (23.1%) was higher than that diagnosed by evening home BP (14.7%); the prevalence was 19.0% when diagnosed using the average of the morning and evening home BPs. Among the 1,386 patients with a normal office BP, the diagnosis of masked hypertension based on morning and evening ...Continue Reading

References

Mar 12, 2003·Circulation·Kristina BjörklundHans Lithell
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Jun 7, 2006·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Hiroshi Kawabe, Ikuo Saito

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Citations

Oct 11, 2013·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Hideaki YoshidaUNKNOWN SPEED investigators
Nov 26, 2010·Clinical and Experimental Hypertension : CHE·Mehmet KayrakHasan Gok
Apr 6, 2017·Journal of Hypertension·Ji-Guang WangChen-Huan Chen
Jan 18, 2018·The Journal of Clinical Hypertension·Ji-Guang WangDingliang Zhu

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