Blood Pressure Monitoring最新文献

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Improving cardiovascular autonomic function in postmenopausal women with hypertension: a pilot study of supervised versus home-based aerobic exercise. 改善绝经后高血压妇女的心血管自主功能:一项监督与家庭有氧运动的初步研究
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-04-01 Epub Date: 2025-11-11 DOI: 10.1097/MBP.0000000000000782
Cengizhan Gungor, Ezgi Akyildiz Tezcan, Önder Murat Özerbil, Abdullah Tuncez
{"title":"Improving cardiovascular autonomic function in postmenopausal women with hypertension: a pilot study of supervised versus home-based aerobic exercise.","authors":"Cengizhan Gungor, Ezgi Akyildiz Tezcan, Önder Murat Özerbil, Abdullah Tuncez","doi":"10.1097/MBP.0000000000000782","DOIUrl":"10.1097/MBP.0000000000000782","url":null,"abstract":"<p><strong>Objective: </strong>Arterial hypertension is a major global cause of cardiovascular disease, a risk heightened by postmenopausal physiological changes. Although aerobic exercise is protective, its optimal intensity, duration, and supervision for hypertensive postmenopausal women remain unclear. This study, therefore, compares a supervised intensive aerobic program with a home-based regimen, assessing their effects on key cardiac health indicators in this population.</p><p><strong>Methods: </strong>In this single-center pilot randomized controlled trial, we enrolled 31 postmenopausal women. Participants were divided into two groups: one underwent a 6-week supervised intensive aerobic exercise program, and the other followed a home-based exercise regimen. Key outcome measures included cardiorespiratory endurance, heart rate variability, and blood pressure variability. Outcome measures were evaluated at weeks 6 and 12. Intra-group and inter-group comparisons were evaluated using appropriate statistical methods.</p><p><strong>Results: </strong>After 12 weeks, the supervised exercise group showed significant improvements in VO 2 max ( P  = 0.003), metabolic equivalents (METs) ( P  = 0.002), and standard deviation of normal-to-normal intervals (SDNN) values ( P  = 0.034) at both the 6th and 12th weeks. However, the sole significant inter-group difference was a greater reduction in 24-hour SBP variability (SBP-SD) in the supervised arm (Δ -0.95 ± 1.15 vs. + 1.54 ± 0.94 mmHg; P  = 0.041), driven mainly by the week 6-12 interval ( P  = 0.004).</p><p><strong>Conclusion: </strong>Supervised intensive aerobic exercise produced clear within-group gains in VO₂ max, METs, and SDNN, and it reduced 24-hour SBP variability relative to home-based walking. Although between-group differences for the primary fitness and autonomic outcomes were not statistically significant in this pilot, the pattern suggests that a supervised, tailored program may confer additional clinical benefit and merits evaluation in a larger trial.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"53-60"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145501733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of B.Well PRO-33 oscillometric blood pressure monitor for professional office use in the general population in accordance with Amendment 2 of the Standard 81060-2:2018 by the International Organization for Standardization (ISO 81060-2:2018/AMD 2:2024). 根据国际标准化组织(ISO 81060-2:2018/AMD 2:2024)标准81060-2:2018修正案2,验证b.w well PRO-33振荡血压监测仪在普通人群中的专业办公用途。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-04-01 Epub Date: 2025-11-13 DOI: 10.1097/MBP.0000000000000785
Olga Posnenkova, Margarita Simonyan, Nataliya Akimova
{"title":"Validation of B.Well PRO-33 oscillometric blood pressure monitor for professional office use in the general population in accordance with Amendment 2 of the Standard 81060-2:2018 by the International Organization for Standardization (ISO 81060-2:2018/AMD 2:2024).","authors":"Olga Posnenkova, Margarita Simonyan, Nataliya Akimova","doi":"10.1097/MBP.0000000000000785","DOIUrl":"10.1097/MBP.0000000000000785","url":null,"abstract":"<p><p>We aimed to evaluate the accuracy of B.Well PRO-33 (B.Well, Widnau, Switzerland) oscillometric device for professional office measurement of blood pressure (BP) on the upper arm in the general population in accordance with the Amendment 2.2024-01 of the Standard 81060-2:2018 by the International Organization for Standardization (ISO 81060-2:2018/AMD 2:2024). Study participants were recruited according to the age, gender, BP, and cuff distribution requirements of the ISO 81060-2:2018/AMD 2:2024 in the general population using the sequential BP measurement method on the same arm. The test device was used with one universal cuff for arm circumferences of 22-42 cm. We chose aneroid sphygmomanometers Riester Big Ben Square Desk (Rudolf Riester, Jungingen, Germany) with small, medium and large cuffs and Welch Allyn 767 Desk (Welch Allyn, Skaneateles Falls, NY, USA) with a large adult cuff for arm circumferences of 22-37 and 38-42 cm, respectively, as control devices. We enrolled 112 study subjects, of whom 85 were analyzed. For validation criterion 1, the mean ± SD of the differences between the readings of the tested device and reference BP (systolic/diastolic; threshold ≤5 ± 8 mmHg; N  = 255) was 1.7 ± 5.4/1.8 ± 5.7 mmHg. For validation criterion 2, the SD of the mean BP difference between the tested device and reference BP readings per subject (systolic/diastolic; threshold ≤ 6.73/6.71 mmHg; N  = 85) was 4.7/4.7 mmHg. B.Well PRO-33 professional office BP monitor met the requirements of the ISO 81060-2:2018/AMD 2:2024 for the general population, and therefore can be recommended for clinical use.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"90-94"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145501765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of nocturnal hypertension with daytime blood pressure threshold and patient characteristics assessed by home blood pressure monitoring. 通过家庭血压监测评估夜间高血压与日间血压阈值和患者特征的关系。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-04-01 Epub Date: 2026-01-09 DOI: 10.1097/MBP.0000000000000790
Tomohide Sato, Satoshi Hoshide, Ryusuke Ae, Kazuomi Kario
{"title":"Association of nocturnal hypertension with daytime blood pressure threshold and patient characteristics assessed by home blood pressure monitoring.","authors":"Tomohide Sato, Satoshi Hoshide, Ryusuke Ae, Kazuomi Kario","doi":"10.1097/MBP.0000000000000790","DOIUrl":"10.1097/MBP.0000000000000790","url":null,"abstract":"<p><strong>Objectives: </strong>Nocturnal hypertension, especially with well-controlled daytime blood pressure (BP), has emerged as a significant risk factor for cardiovascular disease. This study investigated its prevalence by morning home BP cut-off values and examined associated patient characteristics using data from the Japan Morning Surge-Home Blood Pressure (J-HOP) study.</p><p><strong>Methods: </strong>This post hoc analysis included 2675 participants from the J-HOP study who had complete data on nighttime home BP, measured using validated automatic oscillometric devices. Nocturnal hypertension was defined as a nighttime systolic BP greater than or equal to 120 mmHg and diastolic BP greater than or equal to 70 mmHg.</p><p><strong>Results: </strong>Among the participants, 60.5% had nocturnal hypertension. The proportion of patients with nocturnal hypertension decreased as the cut-off value for morning home BP was lowered: 40.5, 32.1, 23.7, and 14.6% for less than 135/85 mmHg, less than 130/80 mmHg, less than 125/75 mmHg, and less than 120/70 mmHg, respectively. The prevalence of nocturnal hypertension was significantly higher in individuals with diabetes compared with those without, at morning home BP thresholds of less than 135/85 mmHg (48.1 vs. 39.3%; P = 0.03) and less than 130/80 mmHg (41.0 vs. 30.6%; P = 0.01). Individuals taking diuretics had a significantly lower prevalence of nocturnal hypertension compared with those not taking diuretics, at a morning home BP threshold of less than 135/85 mmHg (35.3 vs. 42.9%; P = 0.01).</p><p><strong>Conclusion: </strong>A considerable number of patients continued to show nocturnal hypertension even at lower morning home BP thresholds. Diabetes may contribute to nocturnal hypertension despite well-controlled morning BP, while diuretic use may help prevent it.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"78-85"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comments on 'Validation of the automated oscillometric upper-arm cuff home blood pressure monitor Microlife BP3KV1-5X (BP B6 Connect)...' 对“自动振荡式上臂袖带家用血压计Microlife BP3KV1-5X (BP B6 Connect)的验证”的评论…
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-04-01 Epub Date: 2025-02-25 DOI: 10.1097/MBP.0000000000000784
Klavs Würgler Hansen
{"title":"Comments on 'Validation of the automated oscillometric upper-arm cuff home blood pressure monitor Microlife BP3KV1-5X (BP B6 Connect)...'","authors":"Klavs Würgler Hansen","doi":"10.1097/MBP.0000000000000784","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000784","url":null,"abstract":"","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"31 2","pages":"101"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147289091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Child weight status and high blood pressure from 6 to 12 years of age: results from the PREDI cohort study. 6至12岁儿童体重状况与高血压:PREDI队列研究结果
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-04-01 Epub Date: 2025-11-21 DOI: 10.1097/MBP.0000000000000786
Aline Krein Moletta, Cecilia Burigo Corrêa, Silmara S B S Mastroeni, Marco F Mastroeni
{"title":"Child weight status and high blood pressure from 6 to 12 years of age: results from the PREDI cohort study.","authors":"Aline Krein Moletta, Cecilia Burigo Corrêa, Silmara S B S Mastroeni, Marco F Mastroeni","doi":"10.1097/MBP.0000000000000786","DOIUrl":"10.1097/MBP.0000000000000786","url":null,"abstract":"<p><strong>Aim: </strong>To examine the effect of excess body weight on the blood pressure (BP) of children aged 6-12 years.</p><p><strong>Methods: </strong>This was a prospective longitudinal study conducted with 187 children at the participants' home in southern Brazil. BP was measured using the auscultatory method. Generalized linear mixed models, including fixed and random effects and adjusted for important covariates, were used to estimate the relative risk (RR) of excess body weight on the incidence of high BP in children throughout the three follow-ups of the study (at ages 6, 9, and 12 years).</p><p><strong>Results: </strong>The prevalence of high BP increased from 25.0 to 66.7% in children with excess body weight from 6 to 12 years of age. For every 1 kg/m 2 increase in the child's BMI, there was an 8% increase (RR = 1.08, 95% confidence interval: 1.00-1.16, P  = 0.042) in the risk of the child having high BP from 6 to 12 years of age, even after adjusting for prepregnancy BMI.</p><p><strong>Conclusion: </strong>Excessive BMI in children increased the risk of high BP in Brazilian children from 6 to 12 years of age. Special attention must be paid to children under 12 years of age with excess body weight to mitigate the onset of cardiovascular diseases throughout life.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"61-70"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of the automated oscillometric upper-arm cuff home blood pressure monitor Microlife BP3KT1-4X (BP B3 Comfort PC) in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization Universal Standard (ISO 81060-2:2018). 根据医疗器械进步协会/欧洲高血压学会/国际标准化组织通用标准(ISO 81060-2:2018),在普通人群中验证自动摆动上臂袖带家用血压监测仪Microlife BP3KT1-4X (BP B3 Comfort PC)。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-02-01 Epub Date: 2025-09-26 DOI: 10.1097/MBP.0000000000000773
Dimitrios Mariglis, Ariadni Menti, Vasileios Ntousopoulos, Petroula Lempidaki, Konstantina-Rozalia Bakalakou, Aikaterini Komnianou, Konstantinos G Kyriakoulis, Anastasios Kollias, George S Stergiou
{"title":"Validation of the automated oscillometric upper-arm cuff home blood pressure monitor Microlife BP3KT1-4X (BP B3 Comfort PC) in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization Universal Standard (ISO 81060-2:2018).","authors":"Dimitrios Mariglis, Ariadni Menti, Vasileios Ntousopoulos, Petroula Lempidaki, Konstantina-Rozalia Bakalakou, Aikaterini Komnianou, Konstantinos G Kyriakoulis, Anastasios Kollias, George S Stergiou","doi":"10.1097/MBP.0000000000000773","DOIUrl":"10.1097/MBP.0000000000000773","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the accuracy of the automated oscillometric upper-arm cuff blood pressure (BP) device Microlife BP3KT1-4X (BP B3 Comfort PC) for home use in a general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard (ISO 81060-2:2018) and its amendments (1:2020 and 2:2024).</p><p><strong>Methods: </strong>Participants were recruited to fulfill the age, sex, BP, and arm distribution criteria of the AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018) and its amendments (1:2020 and 2:2024) in a general population using the same arm sequential measurement method. A single wide-range cuff of the test device was used for arm circumference 22-42 cm.</p><p><strong>Results: </strong>A total of 122 individuals were recruited, and 85 were analyzed [mean age 54.5 ± 15.7 (SD) years, 34 men (40%), arm circumference 31.6 ± 5.4 cm, range 22.8-41.8 cm]. For validation criterion 1, the mean difference ± SD between the test device and reference BP readings ( N  = 255) was -0.1 ± 7.5/-2.3 ± 5.3 mmHg (systolic/diastolic; threshold ≤5 ± 8 mmHg). For criterion 2, the SD of the averaged BP differences between the test device and reference BP per individual ( N  = 85) was 6.36/4.71 mmHg (systolic/diastolic; threshold ≤6.95/6.55 mmHg).</p><p><strong>Conclusion: </strong>The automated oscillometric home BP monitor Microlife BP3KT1-4X (BP B3 Comfort PC) fulfilled all the requirements of the AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018) and its amendments (1:2020 and 2:2024) in a general population and therefore can be recommended for self-monitoring of BP at home.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"39-42"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Errors and negative outcomes in home blood pressure monitoring by hypertensive individuals: a scoping review. 高血压患者家庭血压监测中的错误和负面结果:范围综述。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-02-01 Epub Date: 2025-11-03 DOI: 10.1097/MBP.0000000000000778
Francisco M L Cavalcante, Odézio D Brito, Ana C S Estácio, Ana R S O Kumakura, Anne F L Chaves, Nelson M Galindo Neto, Lívia M Barros
{"title":"Errors and negative outcomes in home blood pressure monitoring by hypertensive individuals: a scoping review.","authors":"Francisco M L Cavalcante, Odézio D Brito, Ana C S Estácio, Ana R S O Kumakura, Anne F L Chaves, Nelson M Galindo Neto, Lívia M Barros","doi":"10.1097/MBP.0000000000000778","DOIUrl":"10.1097/MBP.0000000000000778","url":null,"abstract":"<p><p>Home blood pressure monitoring (HBPM) is a valuable tool in the diagnosis and management of hypertension; however, patients often perform inaccurate measurements because of inadequate technique, which may lead to adverse health outcomes. This scoping review aimed to map the errors and negative outcomes associated with HBPM in individuals with hypertension. This scoping review was conducted in accordance with the Joanna Briggs Institute methodology. Fifteen databases were searched from April to May 2025. The review included primary studies, literature reviews, theses, and dissertations that addressed errors and negative outcomes of HBPM. Independent researchers assessed eligibility and performed data extraction. The data were analyzed descriptively. The search yielded 18 391 studies, 14 of which met the inclusion criteria. In total, 35 distinct HBPM errors were identified. The most prevalent errors reported were failure to follow the recommended number or schedule for daily blood pressure (BP) measurements (57.14%), failure to support the back during measurement (35.71%), inadequate interval between meals or coffee consumption and BP measurement (35.71%), talking during measurement (35.71%) and failure to record the measured BP values (35.71%). The most frequently cited negative outcomes were anxiety, uncontrolled hypertension, self-medication, and an increased number of unplanned emergency room visits (40.0% each). This review highlights that many patients with hypertension perform HBPM inaccurately, committing errors that can be mitigated with professional guidance during consultations. Therefore, healthcare professionals and services must dedicate efforts to properly train and empower patients in the correct execution of this procedure.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"6-13"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between the direction of the blood pressure discrepancy and vascular aging in a large-scale screening population. 在大规模筛查人群中血压差异方向与血管老化之间的关系。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-02-01 Epub Date: 2025-09-12 DOI: 10.1097/MBP.0000000000000772
Masahito Katahira, Shu Imai, Satoko Ono, Shigeaki Moriura
{"title":"Association between the direction of the blood pressure discrepancy and vascular aging in a large-scale screening population.","authors":"Masahito Katahira, Shu Imai, Satoko Ono, Shigeaki Moriura","doi":"10.1097/MBP.0000000000000772","DOIUrl":"10.1097/MBP.0000000000000772","url":null,"abstract":"<p><strong>Objective: </strong>Recent guidelines recommend measuring blood pressure (BP) multiple times and averaging the results. The direction of the discrepancy between the first and second readings varies. This study aimed to examine whether directionality is associated with vascular aging indicators.</p><p><strong>Methods: </strong>43 807 participants who underwent health checkups were first stratified by average systolic BP (SBP < 120, 120-129, 130-139, or ≥140 mmHg) and diastolic BP (DBP < 80, 80-89, or ≥90 mmHg). They were then categorized into three groups based on the absolute difference between the first and second BP readings (ΔBP): ΔBP < 5 mmHg (group A), 5-9 mmHg (group B), and greater than or equal to 10 mmHg (group C). Clinical parameters and vascular aging markers were compared between groups.</p><p><strong>Results: </strong>In participants with SBP less than 130 mmHg or DBP less than 80 mmHg, the first BP reading tended to be lower than the second. In contrast, among those with SBP greater than or equal to 130 mmHg or DBP greater than or equal to 90 mmHg, the first reading was often higher. Group C showed a significantly higher prevalence of hypertension, obesity, diabetes, and dyslipidemia, along with increased brachial-ankle pulse wave velocity and maximum carotid intima-media thickness.</p><p><strong>Conclusion: </strong>The direction and magnitude of the discrepancy between the first and second BP measurements may reflect the underlying vascular aging. BP discrepancy patterns could serve as simple, noninvasive indicators of subclinical atherosclerosis.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"14-20"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combination of treatment intensity score and interankle diastolic blood pressure is associated with cardiovascular prognosis among adults with controlled hypertension who have pre-existing cardiovascular disease. 治疗强度评分和踝关节间舒张压的组合与既往心血管疾病的成人高血压控制患者的心血管预后相关。
IF 1 4区 医学
Blood Pressure Monitoring Pub Date : 2026-02-01 Epub Date: 2025-10-10 DOI: 10.1097/MBP.0000000000000775
Zhe Zhang, Zeyuan Fan, Limin Han
{"title":"Combination of treatment intensity score and interankle diastolic blood pressure is associated with cardiovascular prognosis among adults with controlled hypertension who have pre-existing cardiovascular disease.","authors":"Zhe Zhang, Zeyuan Fan, Limin Han","doi":"10.1097/MBP.0000000000000775","DOIUrl":"10.1097/MBP.0000000000000775","url":null,"abstract":"<p><strong>Background: </strong>Despite adequate blood pressure control, many hypertensive patients remain at risk of cardiocerebral events. This study investigated the relationship between antihypertensive treatment intensity score (TIS) and interankle diastolic blood pressure difference (dIAND), and their utility in risk stratification.</p><p><strong>Methods: </strong>We analyzed 368 patients with well-controlled hypertension (24-hour ambulatory blood pressure monitoring ≤ 130/80 mmHg), and pre-existing cardiovascular disease. Patients were stratified by median TIS (0.625) into low (TIS1) and high (TIS2) intensity groups. dIAND was calculated as the absolute difference in diastolic pressure between ankles. Patients were followed for 3 years for adverse cardiocerebral events.</p><p><strong>Results: </strong>During follow-up (median 36 months), 73 major events were documented. The high TIS group exhibited significantly higher event rates (25.8 vs. 14.6%, log-rank P = 0.021), and remained an independent predictor after multivariable adjustment [adjusted hazard ratio: 1.92, 95% confidence interval (CI): 1.07-3.45, P  = 0.027]. A modest correlation was observed between TIS and dIAND ( r  = 0.26, P  < 0.001). Patients with dIAND ≥15 mmHg had higher event rates (35.0 vs. 18.0%; P  = 0.015); this association was attenuated in multivariable models. Notably, the combination of high TIS and elevated dIAND identified a subgroup with a 3.22-fold increased risk (adjusted hazard ratio: 3.22, 95% CI: 1.51-6.85, P  = 0.002) compared with the reference group (TIS ≤ 0.625 and dIAND < 15 mmHg).</p><p><strong>Conclusion: </strong>TIS independently predicts cardiocerebral risk and correlates with dIAND. The combined assessment may refine risk stratification in controlled hypertension, offering a practical approach to identify high-risk patients requiring intensified management.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"21-28"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of the BTL ambulatory blood pressure monitoring NG ambulatory blood pressure monitoring device according to the Universal Standard International Organization for Standardization 81060-2:2018. 根据国际标准化组织81060-2:2018通用标准对BTL动态血压监测NG动态血压监测装置进行验证。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2026-02-01 Epub Date: 2025-10-09 DOI: 10.1097/MBP.0000000000000776
Jan David, Xenie Budinska, Sarka Peskova, Radka Adamkova
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