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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 and 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, vol.~28, No~1, p.~34-39. ISSN~0803-7051. Available from: https://dx.doi.org/10.1080/08037051.2018.1540260.
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