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 and Jan FILIPOVSKÝ. Long-term relationship between unattended automated blood pressure and auscultatory BP measurements in hypertensive patients. BLOOD PRESSURE. ABINGDON: TAYLOR & FRANCIS LTD, 2019, vol. 28, No 1, p. 34-39. ISSN 0803-7051. Available from: https://dx.doi.org/10.1080/08037051.2018.1540260.

Basic information

Original name

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

Authors

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

Edition

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

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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

References:

URL

Impact factor

Impact factor: 2.169

RIV identification code

RIV/00216224:14110/19:00109470

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1080/08037051.2018.1540260

UT WoS

000457702600005

Keywords in English

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

Tags

14110116, rivok

Tags

International impact, Reviewed

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Abstract

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.