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

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.

Basic information

Original name

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

Authors

OMBONI, Stefano (380 Italy), Dagnovar ARISTIZABAL (170 Colombia), Alejandro De la SIERRA (724 Spain), Eamon DOLAN (372 Ireland), Geoffrey HEAD (36 Australia), Thomas KAHAN (752 Sweden), Ilkka KANTOLA (246 Finland), Kazuomi KARIO (392 Japan), Kalina KAWECKA-JASZCZ (616 Poland), Leoné MALAN (710 South Africa), Krzysztof NARKIEWICZ (616 Poland), José A. OCTAVIO (862 Bolivarian Republic of Venezuela), Takayoshi OHKUBO (392 Japan), Paolo PALATINI (380 Italy), Jarmila SIEGELOVÁ (203 Czech Republic, guarantor, belonging to the institution), Eglé SILVA (862 Bolivarian Republic of Venezuela), George STERGIOU (300 Greece), Yuqing ZHANG (156 China), Giuseppe MANCIA (380 Italy) and Gianfranco PARATI (380 Italy)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 4.085

RIV identification code

RIV/00216224:14110/16:00091586

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/HJH.0000000000001074

UT WoS

000385536600014

Keywords in English

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

Abstract

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.

Citovat

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 and Gianfranco PARATI. Hypertension types defined by clinic and ambulatory blood pressure in 14143 patients referred to hypertension clinics worldwide. Data from the ARTEMIS study. Journal of Hypertension. Philadelphia: Lippincott Williams and Wilkins, 2016, vol. 34, No 11, p. 2187-2198. ISSN 0263-6352. Available from: https://dx.doi.org/10.1097/HJH.0000000000001074.

@article{1359769,
   author = {Omboni, Stefano and Aristizabal, Dagnovar and Sierra, Alejandro De la and Dolan, Eamon and Head, Geoffrey and Kahan, Thomas and Kantola, Ilkka and Kario, Kazuomi and KaweckaandJaszcz, Kalina and Malan, Leoné and Narkiewicz, Krzysztof and Octavio, José A. and Ohkubo, Takayoshi and Palatini, Paolo and Siegelová, Jarmila and Silva, Eglé and Stergiou, George and Zhang, Yuqing and Mancia, Giuseppe and Parati, Gianfranco},
   article_location = {Philadelphia},
   article_number = {11},
   doi = {http://dx.doi.org/10.1097/HJH.0000000000001074},
   keywords = {ambulatory blood pressure; clinic blood pressure; hypertension; masked hypertension; sustained hypertension; white-coat hypertension},
   language = {eng},
   issn = {0263-6352},
   journal = {Journal of Hypertension},
   title = {Hypertension types defined by clinic and ambulatory blood pressure in 14143 patients referred to hypertension clinics worldwide. Data from the ARTEMIS study},
   volume = {34},
   year = {2016}
}

TY  - JOUR
ID  - 1359769
AU  - Omboni, Stefano - Aristizabal, Dagnovar - Sierra, Alejandro De la - Dolan, Eamon - Head, Geoffrey - Kahan, Thomas - Kantola, Ilkka - Kario, Kazuomi - Kawecka-Jaszcz, Kalina - Malan, Leoné - Narkiewicz, Krzysztof - Octavio, José A. - Ohkubo, Takayoshi - Palatini, Paolo - Siegelová, Jarmila - Silva, Eglé - Stergiou, George - Zhang, Yuqing - Mancia, Giuseppe - Parati, Gianfranco
PY  - 2016
TI  - Hypertension types defined by clinic and ambulatory blood pressure in 14143 patients referred to hypertension clinics worldwide. Data from the ARTEMIS study
JF  - Journal of Hypertension
VL  - 34
IS  - 11
SP  - 2187-2198
EP  - 2187-2198
PB  - Lippincott Williams and Wilkins
SN  - 02636352
KW  - ambulatory blood pressure
KW  - clinic blood pressure
KW  - hypertension
KW  - masked hypertension
KW  - sustained hypertension
KW  - white-coat hypertension
N2  - 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.
ER  -

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 and Gianfranco PARATI. Hypertension types defined by clinic and ambulatory blood pressure in 14143 patients referred to hypertension clinics worldwide. Data from the ARTEMIS study. \textit{Journal of Hypertension}. Philadelphia: Lippincott Williams and Wilkins, 2016, vol.~34, No~11, p.~2187-2198. ISSN~0263-6352. Available from: https://dx.doi.org/10.1097/HJH.0000000000001074.

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