Short-Term and Long-Term Reproducibility of Hypertension Phenotypes Obtained by Office and Ambulatory Blood Pressure Measurements.

The Journal of Clinical Hypertension
Alejandro de La SierraLuis M Ruilope

Abstract

The authors aimed to assess the reproducibility of normotension and white-coat, masked, and sustained hypertension in 839 untreated patients who underwent two separate assessments (median, 3; interquartile range, 0-13 months) by both office and ambulatory blood pressure (BP) monitoring (ABPM). The proportion of patients falling into the same category in the two assessments was: 52% normotension and 55% white-coat, 47% masked, and 82% sustained hypertension. The most frequent switch was to sustained hypertension (26% of white-coat and 33% of masked hypertension). No clinical factors predicted the change in category, except for higher office diastolic BP in patients with masked hypertension who developed sustained hypertension, compared with those who remained with masked hypertension (84±4 mm Hg vs 80±5 mm Hg; P=.006). The reproducibility of hypertension phenotypes was highly dependent on the time between assessments. The authors conclude that white-coat and masked hypertension phenotypes are only reproducible in the short-term, while they frequently shift towards sustained hypertension in the long-term.

References

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Citations

Oct 28, 2016·Current Hypertension Reports·Cesare CuspidiGiuseppe Mancia
Feb 14, 2018·Hypertension·Laura BenschopJeanine E Roeters van Lennep
Mar 29, 2019·Circulation Research·Kazuomi KarioJan A Staessen
Jun 20, 2019·The Journal of Clinical Hypertension·Jessica BarochinerDiego Giunta
Aug 2, 2018·Water Science and Technology : a Journal of the International Association on Water Pollution Research·Anna BaryłaAgnieszka Bus
Jun 26, 2020·Therapeutic Advances in Cardiovascular Disease·Gani NurediniMichael Okorie
Sep 10, 2020·Hypertension·Jordana B Cohen
Jun 19, 2019·Internal and Emergency Medicine·Adamasco CupistiL Ghiadoni
Dec 14, 2018·The Journal of Clinical Hypertension·Luis M Ruilope, Gema Ruiz-Hurtado
Feb 6, 2020·Therapeutic Advances in Chronic Disease·Hailan ZhuYuli Huang
Apr 28, 2021·JAMA : the Journal of the American Medical Association·Janelle M Guirguis-BlakeMeghan Soulsby Weyrich
Jul 31, 2021·American Journal of Preventive Cardiology·Daniel Piskorz
Jul 31, 2021·PloS One·Jie GuoUNKNOWN China Kadoorie Biobank Collaborative Group

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