J 2018

A multicentre study on unattended automated office blood pressure measurement in treated hypertensive patients

FILIPOVSKÝ, Jan, Jitka SEIDLEROVÁ, Jiří CERAL, Petra VYSOČANOVÁ, Jiří ŠPÁC et. al.

Basic information

Original name

A multicentre study on unattended automated office blood pressure measurement in treated hypertensive patients

Authors

FILIPOVSKÝ, Jan (203 Czech Republic), Jitka SEIDLEROVÁ (203 Czech Republic, guarantor), Jiří CERAL (203 Czech Republic), Petra VYSOČANOVÁ (203 Czech Republic), Jiří ŠPÁC (203 Czech Republic, belonging to the institution), Miroslav SOUČEK (203 Czech Republic, belonging to the institution), Ivan ŘIHÁČEK (203 Czech Republic, belonging to the institution), Markéta MATEŘÁNKOVÁ (203 Czech Republic), Petr KÖNIG (203 Czech Republic) and Hana ROSOLOVÁ (203 Czech Republic)

Edition

Blood Pressure, London, INFORMA HEALTHCARE, 2018, 0803-7051

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.292

RIV identification code

RIV/00216224:14110/18:00103952

Organization unit

Faculty of Medicine

UT WoS

000437328100002

Keywords in English

Automated blood pressure; ambulatory blood pressure monitoring; attended blood pressure; BPTru device; blood pressure measurement

Tags

Tags

International impact, Reviewed
Změněno: 9/2/2019 19:48, Soňa Böhmová

Abstract

V originále

Aims: Unattended automated office blood pressure (uAutoOBP) may eliminate white-coat effect. In the present study, we studied its relationships to attended office blood pressure (BP) and ambulatory BP monitoring (ABPM).Material and methods: Stable treated hypertensive subjects were examined in four Czech academic hypertension centres. uAutoOBP was measured with the BP Tru device; attended BP was measured six times: three times with auscultatory method (AuscOBP) by the physician followed optionally by three oscillometric measurements (OscOBP). ABPM was performed within one week from the clinical visit.Results: Data on 172 subjects aged 63.712.4 years with AuscOBP 127.6 +/- 12.1/77.6 +/- 10.0mm Hg are reported. uAutoOBP was by 8.5 +/- 9.0/3.0 +/- 6.1mm Hg lower than AuscOBP. The AuscOBP-uAutoOBP difference increased with the AuscOBP level and it did not depend on any other factor. OscOBP differed by 8.6 +/- 8.6/1.9 +/- 5.7mm Hg from uAutoOBP. 24-hour mean BP was by 4.2 +/- 12.1/3.5 +/- 7.8mm Hg lower than AuscOBP and by 4.3 +/- 11.0/0.5 +/- 6.9mm Hg higher than uAutoOBP; the correlation coefficients of 24-hour mean BP with AuscOBP and with uAutoOBP did not differ (p for difference.13). In the lowest BP group (systolic AuscOBP<120mm Hg or diastolic AuscOBP<70mm Hg), both AuscOBP and uAutoOBP were lower than 24-hour mean BP, while in the highest BP group (systolic AuscOBP140mm Hg or diastolic AuscOBP90mm Hg), they were higher.Conclusions: Compared to uAutoOBP, attended BP measurement gives higher values, both when measured with auscultatory or oscillometric method. Inter-individual variability of AutoOBP - uAuscOBP difference, as well of uAutoOBP - ABPM difference, is large. We did not prove that uAutoOBP would be associated to 24-hour ambulatory BP more closely than attended BP.