Blood Pressure Monitoring最新文献_第7页

Optimal duration and number of readings for unattended automated office blood pressure measurements in patients with type 2 diabetes. 2型糖尿病患者无人值守自动办公室血压测量的最佳持续时间和读数次数

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-10-01 Epub Date: 2025-07-14 DOI: 10.1097/MBP.0000000000000764

Kasper F Struksnes, Jacob V Stidsen, Jens S Nielsen, Michael H Olsen, Thomas B Olesen

{"title":"Optimal duration and number of readings for unattended automated office blood pressure measurements in patients with type 2 diabetes.","authors":"Kasper F Struksnes, Jacob V Stidsen, Jens S Nielsen, Michael H Olsen, Thomas B Olesen","doi":"10.1097/MBP.0000000000000764","DOIUrl":"10.1097/MBP.0000000000000764","url":null,"abstract":"Objective: Unobserved automated office blood pressure (uAOBP) measurement is better correlated to daytime ambulatory blood pressure monitoring (dABPM) than traditional office blood pressure (BP) measurements. However, prolonged uAOBP duration may underestimate BP levels. We aimed to determine the duration of uAOBP that has the lowest proportion of white-coat hypertension (WCH) or masked hypertension (MH) compared with the gold-standard using dABPM in patients with type 2 diabetes (T2DM). Additionally, we examined variables associated with discrepancy between uAOBP and dABPM.Methods: A total of 135 patients with T2DM underwent dABPM as well as uAOBP. uAOBP recordings were taken in the sitting position without prior rest for 24 min at 3-min intervals. Hypertension was defined as blood pressure ≥135/85 mmHg. Multiple uAOBP measurement intervals were compared with dABPM by the proportions of patients with WCH, MH, or consistent classification.Results: Participants had a mean age of 57.7 years, 38% were female, and 66% used antihypertensive drugs. Average dABPM was 126.9/79.5 mmHg. Extension of uAOBP measurements from 3 to 24 min reduced the proportion with WCH significantly (20.7 vs. 27.4%, P = 0.012), with an identical proportion of MH (4.4 vs. 3.7%). Higher BMI, higher urine albumin-creatinine ratio, and higher education were associated with MH, while WCH was associated with older age and early retirement.Conclusion: Extending the duration of uAOBP measurements from 3 to 24 min in patients with T2DM increased the proportion of patients with consistent classification by reducing WCH without increasing MH, but clinically relevant individual differences between uAOBP measurements and dABPM remained.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"214-221"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783424","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

Impact of visit-to-visit variability in systolic blood pressure over 5 years and imperceptible atrial conduction: assessment by P-wave signal-averaged electrocardiography. 5年以上收缩压的访视变异性和难以察觉的心房传导的影响：通过p波信号平均心电图评估

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-10-01 Epub Date: 2025-05-30 DOI: 10.1097/MBP.0000000000000757

Shinichiro Tanaka, Toshiyuki Noda, Tomonori Segawa, Makoto Iwama, Hiroto Yagasaki, Takahiro Ueno, Taro Minagawa, Shinya Minatoguchi

{"title":"Impact of visit-to-visit variability in systolic blood pressure over 5 years and imperceptible atrial conduction: assessment by P-wave signal-averaged electrocardiography.","authors":"Shinichiro Tanaka, Toshiyuki Noda, Tomonori Segawa, Makoto Iwama, Hiroto Yagasaki, Takahiro Ueno, Taro Minagawa, Shinya Minatoguchi","doi":"10.1097/MBP.0000000000000757","DOIUrl":"10.1097/MBP.0000000000000757","url":null,"abstract":"Objective: Visit-to-visit variability in SBP (VVV-SBP) is associated with increased cardiac events, including atrial fibrillation (AF). P-wave signal-averaged electrocardiography (P-SAECG) detects subtle atrial conduction abnormalities such as atrial late potential (ALP). This study examined the association between VVV-SBP and atrial conduction.Methods: A total of 128 male participants (mean age: 50.8 ± 10.3 years) with normal cardiac function underwent annual blood pressure measurements over 5 years. VVV-SBP was assessed using both the SD and the coefficient of variation (CV) of SBP, calculated from five BP measurements taken annually during the 5 years prior to the P-SAECG. P-SAECG parameters included the filtered P-wave duration (FPD) and the root-mean-square voltage of the last 20 ms of the P-wave (RMS20). ALP positivity was defined as FPD > 120 ms and RMS20 < 3.5 µV.Results: ALP positivity was observed in 33 participants (25.8%). SD-SBP was higher in the ALP-positive group (9.59 ± 4.15 vs. 7.92 ± 3.66 mmHg; P = 0.031). This trend was seen in CV-SBP (ALP-positive; 0.077 ± 0.031 vs. ALP-negative; 0.064 ± 0.027; P = 0.022). ALP positivity was significantly less frequent in the lowest quartile and more frequent in the highest quartile of both SD-SBP and CV-SBP. In multivariable logistic regression analysis, higher quartiles of both SD-SBP and CV-SBP were independently associated with ALP positivity (e.g. SD-4; P = 0.014; CV-4; P = 0.009).Conclusion: Elevated VVV-SBP, assessed by SD and CV, is associated with impaired atrial conduction, highlighting its potential role as a predictor of atrial conduction abnormalities and a tool for AF risk stratification.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"197-205"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172456","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

Developing a nomogram to identify patients at risk of orthostatic hypotension in Chinese patients. 建立一种体位性低血压风险识别图。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-10-01 Epub Date: 2025-06-26 DOI: 10.1097/MBP.0000000000000760

Suli Zheng, Min Pan, Pingping Wu, Wenqin Cai

{"title":"Developing a nomogram to identify patients at risk of orthostatic hypotension in Chinese patients.","authors":"Suli Zheng, Min Pan, Pingping Wu, Wenqin Cai","doi":"10.1097/MBP.0000000000000760","DOIUrl":"10.1097/MBP.0000000000000760","url":null,"abstract":"Objective: This study aimed to explore the factors associated with orthostatic hypotension and to develop a nomogram to predict the risk of orthostatic hypotension.Methods: Orthostatic hypotension is defined as a fall in systolic blood pressure (SBP) of at least 20 mmHg or diastolic blood pressure (DBP) of at least 10 mmHg within 3 min of standing. In this cross-sectional analysis, 1708 patients were collected from January 2016 to June 2018. These patients were divided into the orthostatic hypotension group and the non-orthostatic hypotension group. The variables were selected by least absolute shrinkage and selection operator (LASSO) regression. The characteristic variables selected in the LASSO regression were analyzed using multivariable logistic regression to construct the predictive model. The predictive model was displayed using a nomogram. The model performances were evaluated by the area under the receiver operating characteristic curve (AUC), calibration curve, and decision curve analysis.Results: The prevalence of orthostatic hypotension was 14.3% in this study. The LASSO and multivariable logistic regression analyses suggested that age, diabetes duration, seat SBP, supine SBP, and albumin were associated with orthostatic hypotension. The AUC of the nomogram was 0.796 [95% confidence interval (CI): 0.759-0.834] in the training set and 0.832 (95% CI: 0.780-0.885) in the validation set. Calibration curves were drawn and showed acceptable predictive performance, and the decision curve analysis showed that the proposed nomogram had strong clinical applicability.Conclusion: Age, diabetes duration, seat SBP, supine SBP, and albumin were associated with orthostatic hypotension. The nomogram model established by the factors provided an effective way to forecast the risk of orthostatic hypotension.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"206-213"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538036","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

Correlation between maternal serum uric acid, cystatin C, and coagulation indices during pregnancy and clinical features of early-onset pre-eclampsia and its prognostic analysis. 妊娠期孕妇血尿酸、胱抑素C、凝血指标与早发性子痫前期临床特征的相关性及预后分析

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-09-05 DOI: 10.1097/MBP.0000000000000768

Chunjie Zhang, Chunwei Zhang

{"title":"Correlation between maternal serum uric acid, cystatin C, and coagulation indices during pregnancy and clinical features of early-onset pre-eclampsia and its prognostic analysis.","authors":"Chunjie Zhang, Chunwei Zhang","doi":"10.1097/MBP.0000000000000768","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000768","url":null,"abstract":"Objective: This study investigated the relationship of maternal serum uric acid, cystatin C (CysC), and coagulation indices [international normalized ratio (INR) and fibrinogen (FIB)] during pregnancy with clinical features and prognosis of early-onset pre-eclampsia.Methods: Patients with pre-eclampsia (n = 133) were retrospectively selected, with clinical features and maternal uric acid, CysC, INR, and FIB levels collected. The relationship between clinical features and maternal uric acid, CysC, INR, and FIB was analyzed by Pearson's and Spearman's analyses. The receiver operating characteristic curve was used to analyze the discriminative power of maternal uric acid, CysC, INR, and FIB during pregnancy for the adverse maternal and infant outcomes.Results: In patients with early-onset pre-eclampsia, uric acid and CysC levels positively correlated with mean arterial pressure (MAP) at diagnosis and 24-h proteinuria quantification. FIB negatively correlated with MAP at diagnosis, while INR did not significantly correlate with MAP at diagnosis and 24-h proteinuria quantification. Severe early-onset pre-eclampsia patients and early-onset pre-eclampsia patients with adverse maternal and perinatal outcomes had elevated maternal uric acid and CysC and decreased INR and FIB expression. These four indices were independently correlated with maternal and infant prognoses and had certain discriminative power, while their combination had higher discriminative power for adverse maternal and infant outcomes, which was significantly higher than that of disease severity alone.Conclusion: The combined detection of uric acid, CysC, INR, and FIB had high discriminative power for adverse maternal and infant outcomes in patients with early-onset pre-eclampsia, significantly surpassing the discriminative power of clinical disease severity.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032636","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

The global impact of the 2020 International Society of Hypertension guidelines: a scoping review of evolution, implementation, and outcomes. 2020年国际高血压学会指南的全球影响：对演变、实施和结果的范围审查

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-29 DOI: 10.1097/MBP.0000000000000770

Dennis Miezah, Nuheila Ibrahim, Summaya A Razak, Esther Nana Kwaning

{"title":"The global impact of the 2020 International Society of Hypertension guidelines: a scoping review of evolution, implementation, and outcomes.","authors":"Dennis Miezah, Nuheila Ibrahim, Summaya A Razak, Esther Nana Kwaning","doi":"10.1097/MBP.0000000000000770","DOIUrl":"10.1097/MBP.0000000000000770","url":null,"abstract":"To examine the evolution, adoption, and impact of the 2020 International Society of Hypertension Global Hypertension Practice Guidelines (ISH-GHPG) globally. A scoping review, guided by the Conceptual Model for Nursing and Health Policy, was conducted using four databases: PubMed, CINAHL, APA PsycINFO, and Web of Science. Studies were included if they focused on individuals aged 18 years and older and addressed hypertension management, clinical practice guidelines for hypertension, or related interventions. Eight studies were eligible for inclusion in the review, from which four themes were identified: multicomponent interventions, adherence to practice guidelines, screening and educational programs, and lifestyle interventions. Notably, multicomponent and lifestyle interventions, such as the Dietary Approaches to Stop Hypertension diet and weight management, demonstrated significant reductions in blood pressure. Educational campaigns were effective in enhancing awareness, while adherence to guidelines by both clinicians and patients was associated with improved hypertension management. The 2020 ISH-GHPG has achieved global recognition and adoption, enhancing hypertension management across diverse healthcare settings. However, challenges persist in ensuring consistent implementation. Future research should prioritize increasing global awareness, culturally tailoring interventions, and promoting patient self-care to optimize adherence to guidelines and improve cardiovascular outcomes.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941440","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 status of digital blood pressure monitors in Peru: a comprehensive assessment with a validation-process algorithm proposal. 秘鲁数字血压监测仪的验证状态：一个综合评估与验证过程算法提案。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-12 DOI: 10.1097/MBP.0000000000000769

Fabian A Chavez-Ecos, Sandra S Chavez-Malpartida, Alexander M Parra-Huaroto, Rodrigo Chavez-Ecos, Kiara Camacho-Caballero, Marcelo Chavez-Ecos, Miguel A Chavez-Gutarra, Henry Anchante-Hernandez, Carlos J Toro-Huamanchumo

{"title":"Validation status of digital blood pressure monitors in Peru: a comprehensive assessment with a validation-process algorithm proposal.","authors":"Fabian A Chavez-Ecos, Sandra S Chavez-Malpartida, Alexander M Parra-Huaroto, Rodrigo Chavez-Ecos, Kiara Camacho-Caballero, Marcelo Chavez-Ecos, Miguel A Chavez-Gutarra, Henry Anchante-Hernandez, Carlos J Toro-Huamanchumo","doi":"10.1097/MBP.0000000000000769","DOIUrl":"10.1097/MBP.0000000000000769","url":null,"abstract":"Background: In Latin America and the Caribbean (LAC), hypertension is the leading cause of death and disability. Accurate diagnosis requires validated blood pressure measurement devices (BPMD). This study aimed to assess the characteristics and validation status of blood pressure measuring devices available for online purchase within Peru.Methods: Between September and November 2023, we performed an electronic search of major retailers and online pharmacies. Devices were classified as validated if they were listed in databases recommended by the 2023 European Society of Hypertension (ESH) Guidelines for the Management of Arterial Hypertension or deemed equivalent by the manufacturer. Validation status was verified using a proposed algorithm.Results: We identified 13 retailers and 12 pharmacies selling BPMDs online, yielding 530 devices. Of these, 176 were assessed for validation, with 15 devices (8.5%) considered as validated and two (1.1%) as equivalent. Among validated devices, seven used the ESH 2010 protocol, and four each used the ISO 81060-2:2018 standard [adopted by the Association for the Advancement of Medical Instrumentation (AAMI) and ESH] and the ESH 2002 protocol. Six validated devices were from Omron, with two each from Andon, Beurer and Microlife. Prices ranged from 30.1 USD to 351.5 USD.Conclusion: The high prevalence of nonvalidated BPMDs available online in Peru underscores the risk of inaccurate blood pressure readings, potentially compromising patient monitoring and treatment. These findings highlight the need for BPMD education for physicians and patients, and advocate for regulatory policies mandating BPMD validation to improve hypertension management in Peru and potentially the LAC region.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941474","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

Clinical evaluation of the BP2 upper arm blood pressure monitor according to the ISO 81060-2:2018+Amd 1:2020. 根据ISO 81060-2:2018+Amd 1:2020对BP2上臂血压计进行临床评价。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-04-01 DOI: 10.1097/MBP.0000000000000751

Wan Chen, Yuhan Xiang, Zizhuo Zhu, Fujun Shang

{"title":"Clinical evaluation of the BP2 upper arm blood pressure monitor according to the ISO 81060-2:2018+Amd 1:2020.","authors":"Wan Chen, Yuhan Xiang, Zizhuo Zhu, Fujun Shang","doi":"10.1097/MBP.0000000000000751","DOIUrl":"10.1097/MBP.0000000000000751","url":null,"abstract":"Objective: To evaluate the clinical measurement accuracy of the BP2 oscillometric upper arm blood pressure monitor in the general population according to the ISO 81060-2:2018+Amd 1:2020 standard.Methods: Participants were recruited and the same arm sequential method was used for blood pressure measurement according to the ISO 81060-2:2018+Amd 1:2020. The validation results were assessed following the protocol and the Bland-Altman scatterplot was used to show the difference between the test device and reference results.Results: A total of 85 participants were included in the final analysis. For the validation criterion 1, the mean ± SD of the differences between the test device and reference readings was -2.93 ± 7.65 and -2.40 ± 6.82 mmHg for systolic and diastolic blood pressure, respectively. For criterion 2, the ±SD of the averaged differences between the test device and reference readings per participant was ±6.16 and ±5.74 mmHg for systolic and diastolic blood pressure, respectively.Conclusion: The BP2 upper arm blood pressure monitor passed all the requirements of the ISO 81060-2:2018+Amd 1:2020 standard and can be recommended for clinical use and self-measurement in the general population.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"187-190"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762799","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

Development of hypertension in individuals with high normal blood pressure is related with sympathetic drive, arterial stiffness, and exercise blood pressure. 正常高血压患者高血压的发生与交感神经驱动、动脉僵硬和运动血压有关。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-04-01 DOI: 10.1097/MBP.0000000000000750

Theodoros Kalos, Kyriakos Dimitriadis, Fotis Tatakis, Nikolaos Pyrpyris, Eleni Manta, Niki Kakouri, Christos Fragoulis, Panagiotis Tsioufis, Dimitrios Konstantinidis, Theodoros Papaioannou, Dimitrios Tousoulis, Konstantina Aggeli, Konstantinos Tsioufis

{"title":"Development of hypertension in individuals with high normal blood pressure is related with sympathetic drive, arterial stiffness, and exercise blood pressure.","authors":"Theodoros Kalos, Kyriakos Dimitriadis, Fotis Tatakis, Nikolaos Pyrpyris, Eleni Manta, Niki Kakouri, Christos Fragoulis, Panagiotis Tsioufis, Dimitrios Konstantinidis, Theodoros Papaioannou, Dimitrios Tousoulis, Konstantina Aggeli, Konstantinos Tsioufis","doi":"10.1097/MBP.0000000000000750","DOIUrl":"10.1097/MBP.0000000000000750","url":null,"abstract":"Background: High normal blood pressure (HNBP) is common in adults worldwide and is associated with a greater likelihood of developing hypertension. Thus, identifying those at risk is crucial, in order to intervene early and reduce future cardiovascular risk. This study aims to examine the role of sympathetic nervous system (SNS), aortic stiffness, and blood pressure (BP) response to exercise as predictors for development of hypertension in individuals with HNBP.Methods: One hundred individuals with HNBP were included in the study. Baseline anthropometric characteristics, BP levels, an electrocardiogram, and an echocardiogram were obtained. In order to evaluate the effect of SNS, aortic stiffness, and exercise response in the transition from the prehypertensive to hypertensive phenotype, we measured the levels of muscle sympathetic nerve activity (MSNA), pulse wave velocity (PWV), and exaggerated BP response (EBPR) to cardiopulmonary exercise, respectively.Results: At 3 years follow up, 40 patients (40%) developed hypertension. Baseline characteristics were similar between the two groups. Those who developed hypertension had sympathetic overactivation, as indicated by the higher mean values of MSNA (35 ± 4.4 vs 28 ± 3.8 bursts per minute; P = 0.003), increased aortic stiffness, and PWV (8.2 ± 0.7 vs 7.2 ± 0.5 m/s; P < 0.001), as well as an EBPR to exercise ( P < 0.001).Conclusion: Increased values of MSNA, PWV, and EBPR were found to be statistically related with hypertension development in HNBP phenotypes. These markers could be of great clinical use in identifying prehypertensives at high risk for developing hypertension.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"161-168"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762860","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

Assessment of the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function. 保留右心室功能的毛细血管前肺动脉高压患者低血压发生率的评估。

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-02-24 DOI: 10.1097/MBP.0000000000000747

Vedat Hekimsoy, Ergün Bariş Kaya

{"title":"Assessment of the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function.","authors":"Vedat Hekimsoy, Ergün Bariş Kaya","doi":"10.1097/MBP.0000000000000747","DOIUrl":"10.1097/MBP.0000000000000747","url":null,"abstract":"Objectives: Lower SBP is associated with worse prognosis in precapillary pulmonary hypertension patients. This study aimed to assess the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function receiving pulmonary arterial hypertension (PAH)-specific medication with 24-h ambulatory blood pressure monitoring (ABPM) and to compare the burden of hypotension between patients receiving PAH-specific monotherapy and dual combination therapy (DCT).Methods: This cross-sectional study included 44 precapillary pulmonary hypertension patients who underwent clinical assessment, echocardiography, and 24-h ABPM. Patients were grouped according to the type of treatment regimen: monotherapy or DCT. Hypotension was defined as the occurrence of at least one valid measurement of SBP < 100 mmHg.Results: Mean 24-h, daytime, and nighttime SBP were significantly lower in patients receiving DCT compared to patients receiving monotherapy ( P < 0.05 for all). Episodes with SBP < 100 mmHg during the 24-h, daytime, and nighttime periods were significantly more common in the patients receiving DCT (21.26 ± 9.33 vs 12.26 ± 3.61, 15.58 ± 8.17 vs 8.57 ± 3.60, 5.68 ± 2.63 vs 3.70 ± 2.27, respectively, P < 0.05 for all).Conclusion: Patients on DCT who had relatively advanced pulmonary vascular disease have a higher burden of hypotension. We propose that estimation of the mortality risk relying on a single office blood pressure measurement, as is the case with contemporary risk scores, may give rise to inaccurate results and the incorporation of the assessment of hypotension burden with 24-h ABPM into the risk assessment tools might improve risk stratification.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"145-152"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514578","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

Comparison of the head-up tilt test and the 10-minute NASA lean test for assessing blood pressure and heart rate responses in young individuals with postacute COVID-19 syndrome. 比较平视倾斜测试和10分钟NASA倾斜测试用于评估急性后COVID-19综合征年轻人血压和心率反应的比较

IF 1.2 4区医学

Blood Pressure Monitoring Pub Date : 2025-08-01 Epub Date: 2025-03-18 DOI: 10.1097/MBP.0000000000000749

Nontanat Sathaporn, Aomkhwan Timinkul, Watjanarat Panwong, Parkpoom Pipatbanjong, Tanyasorn Dangwisut, Phimkan Phusabsin, Kotchaporn Promjun, Sujittra Kluayhomthong

{"title":"Comparison of the head-up tilt test and the 10-minute NASA lean test for assessing blood pressure and heart rate responses in young individuals with postacute COVID-19 syndrome.","authors":"Nontanat Sathaporn, Aomkhwan Timinkul, Watjanarat Panwong, Parkpoom Pipatbanjong, Tanyasorn Dangwisut, Phimkan Phusabsin, Kotchaporn Promjun, Sujittra Kluayhomthong","doi":"10.1097/MBP.0000000000000749","DOIUrl":"10.1097/MBP.0000000000000749","url":null,"abstract":"Background: Individuals with postacute COVID-19 syndrome (PACS) typically exhibit abnormal hemodynamic responses during upright positioning, including orthostatic hypotension and postural orthostatic tachycardia syndrome. The 10-minute NASA lean test (NLT) has been suggested for this condition. However, no comparative study with the head-up tilt table test (HUTT) has been conducted. This study aimed to compare blood pressure and heart rate responses during the 10-minute duration of NLT and HUTT.Methods: Eighty young individuals (aged 22.0 ± 3.1 years) with PACS underwent both tests, with a 30-minute interval between tests. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were measured every minute, and the differences between supine and upright positions were analyzed.Results: There were no significant differences in SBP changes between HUTT and NLT (-7.8 ± 6.2 vs. -7.1 ± 7.5 mmHg) with a mean difference of -0.7 ± 9.0 mmHg. However, DBP changes were significantly lower in HUTT compared to NLT (-0.9 ± 6.4 vs. 1.5 ± 6.9 mmHg for NLT) with a mean difference of -2.4 ± 7.1 mmHg. Maximal HR was significantly lower in HUTT compared to NLT (92.0 ± 11.4 vs. 96.2 ± 10.8 bpm for NLT) with a mean difference of -4.2 ± 6.9 bpm. Additionally, HR changes were significantly lower in HUTT compared to NLT (21.5 ± 8.1 vs. 27.0 ± 9.0 bpm) with a mean difference of -5.4 ± 6.4 bpm.Conclusion: The NLT demonstrated comparability with the HUTT in detecting SBP changes. However, clinical applications should consider differences in measuring DBP and HR changes.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"153-160"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655966","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