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@article{1521898, author = {Seidlerová, Jitka and Ceral, Jiří and Mateřánková, Markéta and König, Petr and Řiháček, Ivan and Vysočanová, Petra and Souček, Miroslav and Filipovský, Jan}, article_location = {ABINGDON}, article_number = {1}, doi = {http://dx.doi.org/10.1080/08037051.2018.1540260}, keywords = {Ambulatory blood pressure monitoring; attended office blood pressure; BPTru device; blood pressure measurement; unattended automated blood pressure}, language = {eng}, issn = {0803-7051}, journal = {BLOOD PRESSURE}, title = {Long-term relationship between unattended automated blood pressure and auscultatory BP measurements in hypertensive patients}, url = {http://dx.doi.org/10.1080/08037051.2018.1540260}, volume = {28}, year = {2019} }
TY - JOUR ID - 1521898 AU - Seidlerová, Jitka - Ceral, Jiří - Mateřánková, Markéta - König, Petr - Řiháček, Ivan - Vysočanová, Petra - Souček, Miroslav - Filipovský, Jan PY - 2019 TI - Long-term relationship between unattended automated blood pressure and auscultatory BP measurements in hypertensive patients JF - BLOOD PRESSURE VL - 28 IS - 1 SP - 34-39 EP - 34-39 PB - TAYLOR & FRANCIS LTD SN - 08037051 KW - Ambulatory blood pressure monitoring KW - attended office blood pressure KW - BPTru device KW - blood pressure measurement KW - unattended automated blood pressure UR - http://dx.doi.org/10.1080/08037051.2018.1540260 L2 - http://dx.doi.org/10.1080/08037051.2018.1540260 N2 - 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. ER -
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. \textit{BLOOD PRESSURE}. ABINGDON: TAYLOR \&{} FRANCIS LTD, 2019, roč.~28, č.~1, s.~34-39. ISSN~0803-7051. Dostupné z: https://dx.doi.org/10.1080/08037051.2018.1540260.
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