Long-term relationship between unattended automated blood pressure and auscultatory BP measurements in hypertensive patients

SEIDLEROVÁ, Jitka; Jiří CERAL; Markéta MATEŘÁNKOVÁ; Petr KÖNIG; Ivan ŘIHÁČEK; Petra VYSOČANOVÁ; Miroslav SOUČEK a Jan FILIPOVSKÝ. Long-term relationship between unattended automated blood pressure and auscultatory BP measurements in hypertensive patients. BLOOD PRESSURE. ABINGDON: TAYLOR & FRANCIS LTD, 2019, roč. 28, č. 1, s. 34-39. ISSN 0803-7051. Dostupné z: https://doi.org/10.1080/08037051.2018.1540260.

Základní údaje

Originální název

Long-term relationship between unattended automated blood pressure and auscultatory BP measurements in hypertensive patients

Autoři

SEIDLEROVÁ, Jitka; Jiří CERAL; Markéta MATEŘÁNKOVÁ; Petr KÖNIG; Ivan ŘIHÁČEK; Petra VYSOČANOVÁ; Miroslav SOUČEK a Jan FILIPOVSKÝ

Vydání

BLOOD PRESSURE, ABINGDON, TAYLOR & FRANCIS LTD, 2019, 0803-7051

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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

Odkazy

URL

Impakt faktor

Impact factor: 2.169

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/19:00109470

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1080/08037051.2018.1540260

UT WoS

000457702600005

EID Scopus

2-s2.0-85057207850

Klíčová slova anglicky

Ambulatory blood pressure monitoring; attended office blood pressure; BPTru device; blood pressure measurement; unattended automated blood pressure

Štítky

14110116, rivok

Příznaky

Mezinárodní význam, Recenzováno

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Anotace

V originále

Aims: Unattended automated office blood pressure (uAutoOBP) has attracted more attention since SPRINT trial had been published. However, its long-term relationship to attended office blood pressure (AuscOBP) is not known. Material and methods: Stable treated hypertensive subjects were examined in four Czech academic hypertension centers. All subjects attended four clinical visits three months apart. uAutoOBP was measured with the BP Tru device; AuscOBP was measured three times with auscultatory method by the physician. 24-hour ambulatory blood pressure monitoring (ABPM) was performed within one week from the second clinical visit. Results: Data on 112 subjects aged 65.6 +/- 10.8 years with mean AuscOBP 128.2 +/- 12.2/78.5 +/- 10.3 mm Hg are reported. Across the four clinical visits, the uAutoOBP was by 10.1/3.7 mm Hg lower than AuscOBP and the mean difference was similar during all four visits (P >=.061). Both uAutoOBP and AuscOBP had similar intra-individual variability during study follow-up as demonstrated by similar intraclass correlation coefficients (ICC, for systolic ICC = 0.50, for diastolic ICC = 0.72). However, the intra-individual variability of the systolic AuscOBP and uAutoOBP difference was high as demonstrated by low ICCs for absolute (ICC = 0.17 [95%CI, 0.09 - 0.25]) and low kappa coefficients for categorized differences (kappa <= 0.16). The main determinant of AuscOBP-uAutoOBP difference was AuscOBP level. The AuscOBP-uAutoOBP difference was poor tool to identify hypertension control categories defined on the basis of AuscOBP and ABPM. Conclusions: Although mean AuscOBP-uAutoOBP differences were relatively similar across the four clinical visits, intra-individual variability of this difference was high. The AuscOBP-uAutoOBP difference was poor tool to identify hypertension control categories defined on the basis of AuscOBP and ABPM. Therefore, uAutoOBP cannot be used as a replacement for ABPM.