Threshold for diagnosing hypertension by automated office blood
pressure using random sample population data

J 2016

Threshold for diagnosing hypertension by automated office blood pressure using random sample population data

WOHLFAHRT, Peter; Renata CIFKOVÁ; Narine MOVSISYAN; Šárka KUNZOVÁ; Jiří LEŠOVSKÝ et al.

Základní údaje

Originální název

Threshold for diagnosing hypertension by automated office blood pressure using random sample population data

Autoři

WOHLFAHRT, Peter; Renata CIFKOVÁ; Narine MOVSISYAN; Šárka KUNZOVÁ; Jiří LEŠOVSKÝ; Martin HOMOLKA; Vladimír SOŠKA; Hana BAUEROVÁ; Francisco LOPEZ-JIMENEZ a Ondřej SOCHOR

Vydání

Journal of Hypertension, Philadelphia, William and Wilkins, 2016, 0263-6352

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 4.085

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/16:00093336

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

automated office blood pressure measurement; blood pressure; masked hypertension; mercury sphygmomanometer; white coat hypertension

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 1. 2. 2017 13:25, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Objective:Manual office blood pressure (BP) is still recommended for diagnosing hypertension. However, its predictive value is decreased by errors in measurement technique and the white-coat effect. The errors can be eliminated by automated office BP (AOBP) measurement taking multiple readings with the participant resting quietly alone. Therefore, use of AOBP in clinical practice requires a threshold value for hypertension diagnosis. The aim of the present study was to determine an AOBP threshold corresponding to the 140/90mmHg manual office BP using data from a large random population sample.Methods:In 2145 participants (mean age 47.311.3 years) randomly selected from a Brno population aged 25-64 years, BP was measured using manual mercury and automated office sphygmomanometers.Results:Manual SBP (mean difference 6.39 +/- 9.76mmHg) and DBP (mean difference 2.50 +/- 6.54mmHg) were higher than the automated BP. According to polynomial regression, automated systole of 131.06 (95% confidence interval 130.43-131.70) and diastole of 85.43 (95% confidence interval 85.03-85.82) corresponded to the manual BP of 140/90mmHg. Using this cut-off, the white-coat hypertension was present in 24% of participants with elevated manual BP, whereas 10% had masked hypertension and 11% masked uncontrolled hypertension. In individuals with masked uncontrolled hypertension, only AOBP was associated with the urinary albumin-creatinine ratio, whereas there was no association with manual BP.Conclusion:AOBP of 131/85mmHg corresponds to the manual BP of 140/90mmHg. This value may be used as a threshold for diagnosing hypertension using AOBP. However, outcome-driven studies are required to confirm this threshold.

Citovat

WOHLFAHRT, Peter; Renata CIFKOVÁ; Narine MOVSISYAN; Šárka KUNZOVÁ; Jiří LEŠOVSKÝ; Martin HOMOLKA; Vladimír SOŠKA; Hana BAUEROVÁ; Francisco LOPEZ-JIMENEZ a Ondřej SOCHOR. Threshold for diagnosing hypertension by automated office blood pressure using random sample population data. Journal of Hypertension. Philadelphia: William and Wilkins, 2016, roč. 34, č. 11, s. 2180-2186. ISSN 0263-6352. Dostupné z: https://doi.org/10.1097/HJH.0000000000001076.

@article{1371055,
   author = {Wohlfahrt, Peter and Cifková, Renata and Movsisyan, Narine and Kunzová, Šárka and Lešovský, Jiří and Homolka, Martin and Soška, Vladimír and Bauerová, Hana and LopezandJimenez, Francisco and Sochor, Ondřej},
   article_location = {Philadelphia},
   article_number = {11},
   doi = {https://doi.org/10.1097/HJH.0000000000001076},
   keywords = {automated office blood pressure measurement; blood pressure; masked hypertension; mercury sphygmomanometer; white coat hypertension},
   language = {eng},
   issn = {0263-6352},
   journal = {Journal of Hypertension},
   title = {Threshold for diagnosing hypertension by automated office blood pressure using random sample population data},
   volume = {34},
   year = {2016}
}

TY  - JOUR
ID  - 1371055
AU  - Wohlfahrt, Peter - Cifková, Renata - Movsisyan, Narine - Kunzová, Šárka - Lešovský, Jiří - Homolka, Martin - Soška, Vladimír - Bauerová, Hana - Lopez-Jimenez, Francisco - Sochor, Ondřej
PY  - 2016
TI  - Threshold for diagnosing hypertension by automated office blood pressure using random sample population data
JF  - Journal of Hypertension
VL  - 34
IS  - 11
SP  - 2180-2186
EP  - 2180-2186
PB  - William and Wilkins
SN  - 02636352
KW  - automated office blood pressure measurement
KW  - blood pressure
KW  - masked hypertension
KW  - mercury sphygmomanometer
KW  - white coat hypertension
N2  - Objective:Manual office blood pressure (BP) is still recommended for diagnosing hypertension. However, its predictive value is decreased by errors in measurement technique and the white-coat effect. The errors can be eliminated by automated office BP (AOBP) measurement taking multiple readings with the participant resting quietly alone. Therefore, use of AOBP in clinical practice requires a threshold value for hypertension diagnosis. The aim of the present study was to determine an AOBP threshold corresponding to the 140/90mmHg manual office BP using data from a large random population sample.Methods:In 2145 participants (mean age 47.311.3 years) randomly selected from a Brno population aged 25-64 years, BP was measured using manual mercury and automated office sphygmomanometers.Results:Manual SBP (mean difference 6.39 +/- 9.76mmHg) and DBP (mean difference 2.50 +/- 6.54mmHg) were higher than the automated BP. According to polynomial regression, automated systole of 131.06 (95% confidence interval 130.43-131.70) and diastole of 85.43 (95% confidence interval 85.03-85.82) corresponded to the manual BP of 140/90mmHg. Using this cut-off, the white-coat hypertension was present in 24% of participants with elevated manual BP, whereas 10% had masked hypertension and 11% masked uncontrolled hypertension. In individuals with masked uncontrolled hypertension, only AOBP was associated with the urinary albumin-creatinine ratio, whereas there was no association with manual BP.Conclusion:AOBP of 131/85mmHg corresponds to the manual BP of 140/90mmHg. This value may be used as a threshold for diagnosing hypertension using AOBP. However, outcome-driven studies are required to confirm this threshold.
ER  -

WOHLFAHRT, Peter; Renata CIFKOVÁ; Narine MOVSISYAN; Šárka KUNZOVÁ; Jiří LEŠOVSKÝ; Martin HOMOLKA; Vladimír SOŠKA; Hana BAUEROVÁ; Francisco LOPEZ-JIMENEZ a Ondřej SOCHOR. Threshold for diagnosing hypertension by automated office blood pressure using random sample population data. \textit{Journal of Hypertension}. Philadelphia: William and Wilkins, 2016, roč.~34, č.~11, s.~2180-2186. ISSN~0263-6352. Dostupné z: https://doi.org/10.1097/HJH.0000000000001076.

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