J 2016

Hypertension types defined by clinic and ambulatory blood pressure in 14143 patients referred to hypertension clinics worldwide. Data from the ARTEMIS study

OMBONI, Stefano; Dagnovar ARISTIZABAL; Alejandro De la SIERRA; Eamon DOLAN; Geoffrey HEAD et al.

Základní údaje

Originální název

Hypertension types defined by clinic and ambulatory blood pressure in 14143 patients referred to hypertension clinics worldwide. Data from the ARTEMIS study

Autoři

OMBONI, Stefano; Dagnovar ARISTIZABAL; Alejandro De la SIERRA; Eamon DOLAN; Geoffrey HEAD; Thomas KAHAN; Ilkka KANTOLA; Kazuomi KARIO; Kalina KAWECKA-JASZCZ; Leoné MALAN; Krzysztof NARKIEWICZ; José A. OCTAVIO; Takayoshi OHKUBO; Paolo PALATINI; Jarmila SIEGELOVÁ; Eglé SILVA; George STERGIOU; Yuqing ZHANG; Giuseppe MANCIA a Gianfranco PARATI

Vydání

Journal of Hypertension, Philadelphia, Lippincott Williams and Wilkins, 2016, 0263-6352

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 4.085

Kód RIV

RIV/00216224:14110/16:00091586

Organizační jednotka

Lékařská fakulta

UT WoS

000385536600014

EID Scopus

2-s2.0-84981531505

Klíčová slova anglicky

ambulatory blood pressure; clinic blood pressure; hypertension; masked hypertension; sustained hypertension; white-coat hypertension

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 14. 11. 2016 13:22, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Objective:The Ambulatory blood pressure Registry TEleMonitoring of hypertension and cardiovascular rISk project was designed to set up an international registry including clinic blood pressure (CBP) and ambulatory blood pressure (ABP) measurements in patients attending hypertension clinics in all five continents, aiming to assess different daily life hypertension types.Methods:Cross-sectional ABP, CBP and demographic data, medical history and cardiovascular risk profile were provided from existing databases by hypertension clinics. Hypertension types were evaluated considering CBP (140/90mmHg) and 24-h ABP (130/80mmHg).Results:Overall, 14143 patients from 27 countries across all five continents were analyzed (Europe 73%, Africa 3%, America 9%, Asia 14% and Australia 2%). Mean age was 5714 years, men 51%, treated for hypertension 46%, cardiovascular disease 14%, people with diabetes 14%, dyslipidemia 33% and smokers 19%. The prevalence of hypertension was higher by CBP than by ABP monitoring (72 vs. 60%, P<0.0001). Sustained hypertension (elevated CBP and ABP) was detected in 49% of patients. White-coat hypertension (WCH, elevated CBP with normal ABP) was more common than masked hypertension (elevated ABP with normal CBP) (23 vs. 10%; P<0.0001). Sustained hypertension was more common in Europe and America and in elderly, men, obese patients with cardiovascular comorbidities. WCH was less common in Australia, America and Africa, and more common in elderly, obese women. Masked hypertension was more common in Asia and in men with diabetes. Smoking was a determinant for sustained hypertension and masked hypertension.Conclusion:Our analysis showed an unbalanced distribution of WCH and masked hypertension patterns among different continents, suggesting an interplay of genetic and environmental factors, and likely also different healthcare administrative and practice patterns.