Blood Pressure Monitoring最新文献

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Effects of chlorthalidone plus amiloride compared with amlodipine on short-term blood pressure variability in individuals with hypertension and obstructive sleep apnea: a randomized controlled trial. 氯噻酮加阿米洛利与氨氯地平对高血压和阻塞性睡眠呼吸暂停患者短期血压变异性的影响:一项随机对照试验。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-07-12 DOI: 10.1097/MBP.0000000000000663
Marcelo B Lucca, Juliano A Jorge, Fabio T Cichelero, Denis Martinez, Rogério B Borges, Vania N Hirakata, Flavio D Fuchs, Sandra C Fuchs
{"title":"Effects of chlorthalidone plus amiloride compared with amlodipine on short-term blood pressure variability in individuals with hypertension and obstructive sleep apnea: a randomized controlled trial.","authors":"Marcelo B Lucca,&nbsp;Juliano A Jorge,&nbsp;Fabio T Cichelero,&nbsp;Denis Martinez,&nbsp;Rogério B Borges,&nbsp;Vania N Hirakata,&nbsp;Flavio D Fuchs,&nbsp;Sandra C Fuchs","doi":"10.1097/MBP.0000000000000663","DOIUrl":"10.1097/MBP.0000000000000663","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of chlortalidone plus amiloride and amlodipine on blood pressure (BP) variability in patients with hypertension and obstructive sleep apnea syndrome (OSA).</p><p><strong>Methods: </strong>A randomized, controlled, double-blind trial enrolled men and women aged 40 years or older with a diagnosis of OSA (apnea-hypopnea index 10-40 apneas/h of sleep) confirmed by overnight laboratory polysomnography and systolic BP 140-159 mmHg or diastolic BP 90-99 mmHg. Participants were randomized to receive chlortalidone 25 mg plus amiloride 5 mg daily or amlodipine 10 mg daily for 8 weeks. BP variability was calculated from 24-hour ambulatory BP monitoring at baseline and follow-up using the following indices: SD, coefficient of variation, average real variability (ARV), time-rate index, and variability independent of the mean (VIM).</p><p><strong>Results: </strong>The study included 65 patients, with 33 assigned to the chlortalidone plus amiloride group and 32 to the amlodipine group. Participants in both groups had similar baseline characteristics. Short-term BP variability decreased within groups for SD and ARV indexes for 24-hour systolic BP and daytime systolic BP, but statistically significant time*group interactions were found for sleep systolic SD and VIM, with greater reduction in patients treated with amlodipine.</p><p><strong>Conclusion: </strong>In brief, our study has shown that the use of chlorthalidone in combination with amiloride and amlodipine produces comparable effects on short-term BP variability in patients with hypertension and OSA. Therefore, our findings suggest that BP variability may not be a significant factor when choosing between these medications for the treatment of hypertension and OSA.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"289-294"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9831934","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
Screening for orthostatic hypotension in the geriatric population in a real-world primary care setting reduces prescribed antihypertensive medications. 在现实的初级保健环境中筛查老年人群中的直立性低血压可以减少处方的降压药物。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-08-24 DOI: 10.1097/MBP.0000000000000673
Matthew G Kaye, James Rutowski, Hamza Aftab, Rohan Pandey, Raheel Khan, Mohamad A Kalot, Renata Anand, Susan P Graham
{"title":"Screening for orthostatic hypotension in the geriatric population in a real-world primary care setting reduces prescribed antihypertensive medications.","authors":"Matthew G Kaye,&nbsp;James Rutowski,&nbsp;Hamza Aftab,&nbsp;Rohan Pandey,&nbsp;Raheel Khan,&nbsp;Mohamad A Kalot,&nbsp;Renata Anand,&nbsp;Susan P Graham","doi":"10.1097/MBP.0000000000000673","DOIUrl":"10.1097/MBP.0000000000000673","url":null,"abstract":"<p><strong>Background: </strong>To determine if outpatient screening for orthostatic hypotension (OH) in the geriatric population results in fewer prescribed antihypertensive medications and if a relationship exists between OH and specific pharmacologic classes of antihypertensive medications.</p><p><strong>Materials and methods: </strong>Patients ≥ 65 years were screened for OH, defined as a decrease in systolic blood pressure (SBP) ≥ 20 mm Hg or a decrease in diastolic blood pressure (DBP) ≥ 10 mm Hg after standing for 3 minutes. Sitting blood pressure (BP) was measured after patients had been seated quietly in an exam room. Patients then stood for approximately 3 minutes at which time standing BP was recorded.</p><p><strong>Results: </strong>OH prevalence was 18%. Standing DBP was significantly different between the two groups (70 mmHg ± 18, 80 mmHg ± 13, P  = 0.007). Compared to patients without OH, patients with OH were more likely to have been previously prescribed beta-blockers (56% vs. 32%, P  = 0.056) and potassium-sparing diuretics (11% vs. 1%, P  = 0.026). Physicians discontinued an antihypertensive medication more often in patients who screened positive for OH than in to those who did not (17% vs. 4%, P  = 0.037). Calcium channel blockers were the most frequently discontinued class of medication.</p><p><strong>Conclusion: </strong>Asymptomatic OH is prevalent in geriatric patients. Screening for OH may lead to de-escalation of antihypertensive regimen and a reduction in polypharmacy. Positive screening for OH was associated with de-prescribing of antihypertensive medications. Prior use of beta-blockers and potassium-sparing diuretics was most largely associated with OH.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"338-342"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10146036","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 direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements in elderly patients undergoing transcatheter aortic valve replacement. 接受经导管主动脉瓣置换术的老年患者的直接动脉内压和ClearSight指套动脉压测量结果的比较。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-09-20 DOI: 10.1097/MBP.0000000000000666
Musashi Yahagi, Momoko Sasaki
{"title":"Comparison of direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements in elderly patients undergoing transcatheter aortic valve replacement.","authors":"Musashi Yahagi,&nbsp;Momoko Sasaki","doi":"10.1097/MBP.0000000000000666","DOIUrl":"10.1097/MBP.0000000000000666","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the agreement between direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements in elderly patients undergoing transcatheter aortic valve replacement (TAVR).</p><p><strong>Methods: </strong>A prospective observational study was conducted at Hitachi General Hospital, Japan, involving 30 patients aged 65 years and older who underwent TAVR under general anesthesia. Intra-arterial pressure and finger cuff arterial pressure measurements were recorded for 30 min after valve deployment. Bland-Altman analysis, four-quadrant plot analysis, and error grid analysis were used to assess the concordance between the two methods. Multiple regression analysis was performed to explore potential confounding factors affecting the agreement.</p><p><strong>Results: </strong>The bias and precision of ClearSight measurements were -4.88 ± 15.46 (mmHg) for SBP, 4.73 ± 8.95 (mmHg) for mean, and 9.53 ± 9.01 (mmHg) for DBP. The Bland-Altman analysis demonstrated acceptable agreement between intra-arterial pressure and finger cuff arterial pressure measurements. The four-quadrant plot analysis showed good trend-tracking ability, and the error grid analysis revealed that most of the observed values fell into the no-risk category. The mean BP match ratio and SBP match ratio were influenced by several factors such as age, BSA, ejection fraction, valve size, and gender.</p><p><strong>Conclusion: </strong>The ClearSight finger cuff arterial pressure measurement showed good agreement with direct intra-arterial pressure in elderly patients undergoing TAVR. However, factors such as age, BSA, ejection fraction, valve size, and gender may influence the agreement between the two methods.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"309-315"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54227540","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
Factors related to medication adherence in patients with hypertension in Iran: a systematic review study. 伊朗高血压患者药物依从性的相关因素:一项系统回顾性研究。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-10-01 Epub Date: 2023-08-11 DOI: 10.1097/MBP.0000000000000665
Golara Maleki, Rohollah Norian, Babak Moeini, Majid Barati, Shahnaz Maleki, Maryam Afshari
{"title":"Factors related to medication adherence in patients with hypertension in Iran: a systematic review study.","authors":"Golara Maleki,&nbsp;Rohollah Norian,&nbsp;Babak Moeini,&nbsp;Majid Barati,&nbsp;Shahnaz Maleki,&nbsp;Maryam Afshari","doi":"10.1097/MBP.0000000000000665","DOIUrl":"10.1097/MBP.0000000000000665","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to review the available studies of the factors in Iranian hypertensive patients' adherence to drug treatment.</p><p><strong>Methods: </strong>Four Persian databases and seven English databases were searched. The articles, which were published from 2000 to 2022 in Persian and English and examined the adherence to drug treatment in the Iranian population of adults with high blood pressure, were reviewed. Based on the primary examination, 31 of the initial 1062 articles met the inclusion criteria and were included in the analysis. The evidence, which was provided by the examined articles, was summarized and discussed using the 5-dimensional framework of adherence to long-term treatments, which was developed by WHO.</p><p><strong>Results: </strong>The factors that significantly correlated with adherence to drug treatment in the examined studies were: (1) factors that were related to the health team or the health system: patients' satisfaction with their doctor-patient relationship; (2) factors that were related to the conditions: the number of concomitant diseases, high quality of life and the implementation of effective interventions; (3) factors which were related to the treatment: long duration of illness, short intervals between the visits, duration of treatment, lower numbers of drugs, and the patient's blood pressure control; and (4) factors that were related to the patient: self-efficacy, health literacy, social support, locus of control, illness perception, beliefs, attitude, knowledge, and cues to action.</p><p><strong>Conclusion: </strong>It is possible to draw definite conclusions about the factors which affect adherence to drug treatment in patients with high blood pressure because most of the relevant studies have been cross-sectional. Therefore, in the future, valuable results can be obtained by conducting more studies that preferably use objective instruments for assessing adherence to drug treatment.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"28 5","pages":"221-235"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10196465","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
Proceedings of the 2023 IDACO/IDHOCO/IDCARS/ UPRIGHT-HTM Osaka Consortium Meeting. 2023年IDACO/IDHOCO/IDCARS/ straight - htm大阪联盟会议纪要。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-09-01 DOI: 10.1097/MBP.0000000000000675
{"title":"Proceedings of the 2023 IDACO/IDHOCO/IDCARS/ UPRIGHT-HTM Osaka Consortium Meeting.","authors":"","doi":"10.1097/MBP.0000000000000675","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000675","url":null,"abstract":"","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"28 Suppl 1","pages":"e1-e6"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10189168","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 relationship between vitamin D and short-term blood pressure variability. 维生素D与短期血压变异性的关系。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-08-01 Epub Date: 2023-06-07 DOI: 10.1097/MBP.0000000000000652
Amir Baniasad, Abnoos Mokhtari Ardekan, Mohammad Javad Najafzadeh, Fatemeh Mousavi Mehdiabadi
{"title":"The relationship between vitamin D and short-term blood pressure variability.","authors":"Amir Baniasad,&nbsp;Abnoos Mokhtari Ardekan,&nbsp;Mohammad Javad Najafzadeh,&nbsp;Fatemeh Mousavi Mehdiabadi","doi":"10.1097/MBP.0000000000000652","DOIUrl":"10.1097/MBP.0000000000000652","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the relationships between serum levels of 25-hydroxyvitamin D (25(OH)D) and short-term blood pressure variability (BPV) in newly diagnosed hypertensive patients.</p><p><strong>Methods: </strong>One hundred newly diagnosed patients with stage one essential hypertension were included and divided into two groups, the deficient and non-deficient groups, according to their 25(OH)D level. The blood pressure was recorded automatically by a portable ambulatory blood pressure monitor for 24 h.</p><p><strong>Results: </strong>In the present study, there was no significant relationship between vitamin D levels and short-term BPV or other parameters derived from ambulatory blood pressure monitoring (ABPM) (P > 0.05). Age (r = 0.260, P = 0.009), serum phosphorus (r = 0.271, P = 0.007), and cholesterol levels (r = 0.310, P = 0.011) were positively correlated with 25(OH)D levels, while glomerular filtration rate (r = -0.232, P = 0.021) negatively correlated with vitamin D levels. There was no crude or adjusted relationship between the levels of 25(OH)D and any parameters of ABPM in multiple linear regression analysis.</p><p><strong>Conclusion: </strong>Although the relationship between vitamin D levels and cardiovascular diseases has been confirmed, vitamin D deficiency does not cause an increase in cardiovascular risk by influencing the short-term BPV or other parameters derived from ABPM.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"28 4","pages":"193-198"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857279","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 dynamic explosive resistance exercise with elastic bands on pulse pressure in hypertensive older adults: a randomized crossover study. 弹性带动态抗爆炸运动对老年高血压患者脉压的影响:一项随机交叉研究。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-08-01 Epub Date: 2023-06-08 DOI: 10.1097/MBP.0000000000000650
Bruno Bavaresco Gambassi, Izadora Nobre, Jozimar Prazeres, Maycon Henrique de Melo, Roberto Bianco, Tânia Maria Novais, Paula de Lourdes Oliveira, Thiago Antonio Souza, Maria Jacqueline Ribeiro, Paulo Adriano Schwingel
{"title":"Impact of dynamic explosive resistance exercise with elastic bands on pulse pressure in hypertensive older adults: a randomized crossover study.","authors":"Bruno Bavaresco Gambassi,&nbsp;Izadora Nobre,&nbsp;Jozimar Prazeres,&nbsp;Maycon Henrique de Melo,&nbsp;Roberto Bianco,&nbsp;Tânia Maria Novais,&nbsp;Paula de Lourdes Oliveira,&nbsp;Thiago Antonio Souza,&nbsp;Maria Jacqueline Ribeiro,&nbsp;Paulo Adriano Schwingel","doi":"10.1097/MBP.0000000000000650","DOIUrl":"10.1097/MBP.0000000000000650","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the acute responses of pulse pressure (PP), SBP, and DBP to dynamic explosive resistance exercise (DERE) with elastic resistance bands in hypertensive older adults.</p><p><strong>Methods: </strong>Eighteen hypertensive older adults were randomly assigned to participate in DERE and control sessions. PP, SBP, and DBP were measured before (baseline) and after each session (immediately, 10, and 20 min after the session). The DERE protocol has five sets of two consecutive exercises.</p><p><strong>Results: </strong>There was an important clinical decrease in PP (Δ = -7.8 mmHg; dz = 0.7) and in DBP (Δ = -6.3 mmHg; dz = 0.6) favoring the exercise session post-20 min in the intersession comparison. DERE also promoted lowering levels in SBP (140.3 ± 16.0 vs. 126.2 ± 14.3 mmHg; Δ = -14.1 mmHg; P  = 0.04) with a large effect size ( dz = 0.9) post-20 min when compared to the control session.</p><p><strong>Conclusion: </strong>Our findings indicate that DERE with elastic resistance bands improved SBP in hypertensive older adults. In addition, our results support the hypothesis that DERE can an important clinical decrease in PP and DBP. According to this, professionals may have additional exercise training possibilities with elastic resistance bands when prescribing resistance exercises for systemic arterial hypertension treatment in this population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"28 4","pages":"208-214"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9790717","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: 2
Validation of the AViTA BPM636 upper arm blood pressure monitor in adults and pregnant women according to the ANSI/AAMI/ISO 81060-2:2013. 根据ANSI/AAMI/ISO 81060-2:2013对成人和孕妇的AViTA BPM636上臂血压监测仪进行验证。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-08-01 Epub Date: 2023-04-05 DOI: 10.1097/MBP.0000000000000648
Chien-Nan Lee, Cho-Kai Wu, I-Chih Huang
{"title":"Validation of the AViTA BPM636 upper arm blood pressure monitor in adults and pregnant women according to the ANSI/AAMI/ISO 81060-2:2013.","authors":"Chien-Nan Lee,&nbsp;Cho-Kai Wu,&nbsp;I-Chih Huang","doi":"10.1097/MBP.0000000000000648","DOIUrl":"10.1097/MBP.0000000000000648","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the accuracy of the AViTA oscillometric upper arm home blood pressure (BP) monitor in adult and pregnant populations according to the American National Standards Institute/Association for the Advancement of Medical Instrumentation/ International Organization for Standardization (ANSI/AAMI/ISO) Universal Standard (ISO 81060-2:2013).</p><p><strong>Methods: </strong>BP measurements on the upper arm were performed on 85 adult subjects and 46 pregnant subjects. The AViTA BPM636 and a standard mercury reference sphygmomanometer were applied and followed the same arm sequential BP measurement method. The universal cuff of the test device was used for arm circumference of 22-42 cm.</p><p><strong>Results: </strong>For validation criterion 1, the mean ± SD of the differences between the test device and reference BP readings was 1.1 ± 5.49/2.9 ± 5.17 mmHg (systolic/diastolic) for adults; and -2.2 ± 5.93/1.5 ± 4.92 mmHg (systolic/diastolic) for pregnant women. For criterion 2, the SD of the averaged BP differences between the test device and reference BP per adult subject was 4.45/4.20 mmHg (systolic/diastolic) and per pregnant women was 4.66/3.96.</p><p><strong>Conclusion: </strong>The AViTA BPM636 had passed the criteria of the ANSI/AAMI/ISO 81060-2:2013 protocol and can be recommended for home BP measurements in adults and pregnant populations.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"28 4","pages":"215-220"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167246","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
Ambulatory daytime blood pressure versus tonometric blood pressure measurements in the laboratory: effect of posture. 实验室中日间动态血压与眼压测量的对比:体位的影响。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-08-01 Epub Date: 2023-06-08 DOI: 10.1097/MBP.0000000000000651
Emmi Värri, Lauri Suojanen, Jenni K Koskela, Manoj K Choudhary, Antti Tikkakoski, Mika Kähönen, Pasi I Nevalainen, Jukka Mustonen, Ilkka Pörsti
{"title":"Ambulatory daytime blood pressure versus tonometric blood pressure measurements in the laboratory: effect of posture.","authors":"Emmi Värri,&nbsp;Lauri Suojanen,&nbsp;Jenni K Koskela,&nbsp;Manoj K Choudhary,&nbsp;Antti Tikkakoski,&nbsp;Mika Kähönen,&nbsp;Pasi I Nevalainen,&nbsp;Jukka Mustonen,&nbsp;Ilkka Pörsti","doi":"10.1097/MBP.0000000000000651","DOIUrl":"10.1097/MBP.0000000000000651","url":null,"abstract":"<p><strong>Objective: </strong>To compare blood pressure (BP) in tonometric radial artery recordings during passive head-up tilt with ambulatory recordings and evaluate possible laboratory cutoff values for hypertension.</p><p><strong>Methods: </strong>Laboratory BP and ambulatory BP were recorded in normotensive (n = 69), unmedicated hypertensive (n = 190), and medicated hypertensive (n = 151) subjects.</p><p><strong>Results: </strong>Mean age was 50.2 years, BMI 27.7 kg/m 2 , ambulatory daytime BP 139/87 mmHg, and 276 were male (65%). As supine-to-upright changes in SBP ranged from -52 to +30 mmHg, and in DBP from -21 to +32 mmHg, the mean values of BP supine and upright measurements were compared with ambulatory BP. The mean(supine+upright) systolic laboratory BP was corresponding to ambulatory level (difference +1 mmHg), while mean(supine+upright) DBP was 4 mmHg lower ( P  < 0.05) than ambulatory value. Correlograms indicated that laboratory 136/82 mmHg corresponded to ambulatory 135/85 mmHg. When compared with ambulatory 135/85 mmHg, the sensitivity and specificity of laboratory 136/82 mmHg to define hypertension were 71.5% and 77.3% for SBP, and 71.7% and 72.8%, for DBP, respectively. The laboratory cutoff 136/82 mmHg classified 311/410 subjects similarly to ambulatory BP as normotensive or hypertensive, 68 were hypertensive only in ambulatory, while 31 were hypertensive only in laboratory measurements.</p><p><strong>Conclusion: </strong>BP responses to upright posture were variable. When compared with ambulatory BP, mean(supine+upright) laboratory cutoff 136/82 mmHg classified 76% of subjects similarly as normotensive or hypertensive. In the remaining 24% the discordant results may be attributed to white-coat or masked hypertension, or higher physical activity during out-of-office recordings.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"28 4","pages":"199-207"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10155977","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
The evidence of effectiveness of isometric resistance training on the management of hypertension in adults: an umbrella review. 等长阻力训练治疗成人高血压有效性的证据:一项总括性综述。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2023-08-01 Epub Date: 2023-06-13 DOI: 10.1097/MBP.0000000000000655
Abbey Wehrmann, Esther J Tian, Elizabeth Liz Tyack, Saravana Kumar
{"title":"The evidence of effectiveness of isometric resistance training on the management of hypertension in adults: an umbrella review.","authors":"Abbey Wehrmann, Esther J Tian, Elizabeth Liz Tyack, Saravana Kumar","doi":"10.1097/MBP.0000000000000655","DOIUrl":"10.1097/MBP.0000000000000655","url":null,"abstract":"<p><p>Hypertension is the leading risk factor for cardiovascular disease yet also one of the most readily preventable causes of death. Isometric resistance training (IRT) has gained increasing popularity in recent times as a viable nonpharmacological management option for hypertension. Whilst there have been several reviews on this topic, with varying findings, this umbrella review aimed to summarize the current evidence underpinning the effectiveness of IRT for hypertension. Quantitative systematic reviews and meta-analyses published in English were considered for inclusion. Commercially produced and grey literature was searched between December 2021 and January 2022. Methodological quality of included reviews was determined using the AMSTAR 2 critical appraisal tool. Customized data extraction tools were developed for this review and data were synthesized using the National Health and Medical Research Council FORM Framework. Twelve reviews published between 2011 and 2021 of varying methodological quality were identified. Isometric handgrip exercise training with four sets of 2-min contractions and 1 min rest period between each set was the most utilized intervention, undertaken three times per week for at least 8 weeks. Collectively, there is consistent evidence to indicate IRT has positive impacts on SBP and DBP as well as mean arterial pressure. These positive impacts were reported for normotensive as well as hypertensive individuals. Given IRT is a readily available, easy-to-use intervention with minimal financial cost, it could be considered a viable treatment option for people with, and at risk of, hypertension.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"28 4","pages":"171-184"},"PeriodicalIF":1.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10173831","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
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