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.

Základní údaje

Originální název

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

Autoři

FILIPOVSKÝ, Jan (203 Česká republika), Jitka SEIDLEROVÁ (203 Česká republika, garant), Jiří CERAL (203 Česká republika), Petra VYSOČANOVÁ (203 Česká republika), Jiří ŠPÁC (203 Česká republika, domácí), Miroslav SOUČEK (203 Česká republika, domácí), Ivan ŘIHÁČEK (203 Česká republika, domácí), Markéta MATEŘÁNKOVÁ (203 Česká republika), Petr KÖNIG (203 Česká republika) a Hana ROSOLOVÁ (203 Česká republika)

Vydání

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

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.292

Kód RIV

RIV/00216224:14110/18:00103952

Organizační jednotka

Lékařská fakulta

UT WoS

000437328100002

Klíčová slova anglicky

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

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 9. 2. 2019 19:48, Soňa Böhmová

Anotace

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.