Blood Pressure最新文献

{"title":"Methodological insights and correlations of short-term BP variability indices.","authors":"Sandra C Fuchs, Guilherme S Procianoy, Marcelo B Lucca, Leonardo K Valter, Arthur L Tavares, Beatriz P Camilo, Letícia R P Silveira, Juliano A Jorge, Fabio T Cichelero, Flavio D Fuchs","doi":"10.1080/08037051.2025.2607840","DOIUrl":"10.1080/08037051.2025.2607840","url":null,"abstract":"<p><strong>Background: </strong>Blood Pressure Variability (BPV) is an independent risk factor for cardiovascular events. Short-term indices of BPV, such as standard deviation (SD), coefficient of variation (CV), average real variability (ARV), and Time Rate Index (TRI) are calculated using blood pressure (BP) measurements from 24-hour ambulatory blood pressure monitoring (ABPM). Although these indices have distinct units and amplitudes, their relationships have not been thoroughly investigated. This study aims to explore the correlation between the SD, CV, ARV, and TRI indices of short-term BPV.</p><p><strong>Methods: </strong>Data were collected during the baseline evaluation of hypertensive participants with obstructive sleep apnoea in a randomised controlled trial. Systolic BPV indices were measured using 24-hour systolic ABPM. Pearson correlation (<i>r</i>) and intraclass correlation (ICC) for consistency were calculated among the BPV indices.</p><p><strong>Results: </strong>Sixty-five participants aged ≥40 years were evaluated. SD, CV, and ARV showed high linear correlations, and their ICCs indicated moderate consistency between SD and CV, and between CV and ARV. In contrast, TRI exhibited weak correlations and no ICC consistency with the other indices.</p><p><strong>Conclusions: </strong>The strong linear correlations and moderate-to-high ICC consistency among SD, CV, and ARV suggest these indices may be used interchangeably in studies of short-term BPV and cardio-vascular outcomes. TRI, however, reflects a distinct construct and should be evaluated separately when assessing its prognostic value.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2607840"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145793118","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}

{"title":"The effect of blood flow training restriction on endothelial function and arterial stiffness: a systematic review and meta-analysis.","authors":"Feixiang Chen, Lequn Kang, Lu Peng Zhou, Tianyuan Li, Yi Tian","doi":"10.1080/08037051.2026.2653309","DOIUrl":"10.1080/08037051.2026.2653309","url":null,"abstract":"<p><strong>Background: </strong>Blood flow restriction training (BFRT) is used to enhance low-load exercise, but vascular effects remain uncertain. We compared BFRT with matched non-BFRT exercise on endothelial function, arterial stiffness, and vascular structure.</p><p><strong>Methods: </strong>This PRISMA 2020 review was preregistered (PROSPERO CRD420251118357). PubMed, Web of Science, Cochrane Library, and Chinese National Knowledge Infrastructure were searched on 2 October 2025, with systematic snowballing. Randomised parallel-group, crossover, or within-subject controlled trials were pooled using random-effects models (three-level or conventional) to estimate Hedges' g; subgroup/meta-regression examined moderators; RoB2, PEDro, and GRADE assessed study quality.</p><p><strong>Results: </strong>Thirty-five trials (<i>n</i> = 764) were included. Overall, BFRT showed no advantage for flow-mediated dilation (FMD; <i>k</i> = 30; <i>g =</i> -0.10) or pulse wave velocity (PWV; <i>k</i> = 32; <i>g =</i> -0.04); pooled effects were also non-significant for blood flow, AIx, CAVI, arterial diameter, and ankle-brachial index. Effects depended on protocol: resistance BFRT improved FMD (<i>g =</i> 0.56), whereas handgrip (<i>g =</i> -0.85) and some interval/aerobic BFRT reduced FMD; interventions <4 weeks decreased FMD (<i>g =</i> -0.69). Low-load BFRT reduced PWV versus high-load resistance training (<i>g =</i> -0.76). Age positively moderated FMD responses; certainty ranged from very low to moderate.</p><p><strong>Conclusions: </strong>Evidence does not support a generalised vascular benefit of BFRT. Low-load resistance BFR may be most favourable, while small-muscle and moderate-to-high-intensity protocols warrant caution. Larger trials, especially in women and clinical populations, are needed.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2653309"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970233","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}

{"title":"Weight loss and antihypertensive de-escalation in type 2 diabetes: accounting for concurrent withdrawal of cardiometabolic agents.","authors":"Shankar Biswas, Yashasvi Srivastava, Maliha Sahreen Hossain","doi":"10.1080/08037051.2026.2688620","DOIUrl":"10.1080/08037051.2026.2688620","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2688620"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216280","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}

{"title":"Validating the accuracy of Omron HEM-790XT1 electronic blood pressure monitor in the general population according to AAMI/ESH/ISO (ISO 81060-2:2018 + AMD1:2020).","authors":"Minghui Gong, Yang Yu, Yingying Chen, Jing Li, Jiayu Su, Yannan Huang, Kai Zhong, Jing Zhang, Yuta Teruyama, Ying Zhang, Yinong Jiang, Wei Song","doi":"10.1080/08037051.2026.2682038","DOIUrl":"10.1080/08037051.2026.2682038","url":null,"abstract":"<p><strong>Background: </strong>Validation of the accuracy of the Omron HEM-790XT1 automatic oscillometric upper-arm blood pressure (BP) monitor in the general adults according to the international AAMI/ESH/ISO (ISO 81060-2:2018 + AMD1:2020) standard.</p><p><strong>Methods: </strong>Eligible adult participants meeting the protocol-specific criteria for age, gender, BP range and arm circumference distribution were recruited. The BP was measured by two trained observers using the same-arm sequential method. The test device measured BP during the inflation phase and was compared with readings from a standard mercury sphygmomanometer. The test device was used with its standard cuff, validated for an arm circumference range of 22-32 cm.</p><p><strong>Results: </strong>A total of 85 participants were included in the final analysis after excluding 2 participants. The average age was 35 ± 13.7 years, with males accounting for 35.29% and females for 64.71%. According to Criterion 1 (all individual paired readings), the mean difference ± standard deviation (SD) between the test and reference device was -1.09 ± 4.94 mmHg for systolic blood pressure (SBP) and -2.49 ± 4.97 mmHg for diastolic blood pressure (DBP), meeting the requirement of ≤5 ± 8 mmHg. According to Criterion 2 (average per participant), the mean difference ± SD between the test and reference device was -1.09 ± 3.81 mmHg for SBP and -2.49 ± 4.12 mmHg for DBP. Both the SDs for SBP and DBP were below the derived thresholds of 6.86 and 6.47 mmHg, respectively. The Omron HEM-790XT1 automatic oscillometric BP monitor demonstrated satisfactory consistency with the mercury sphygmomanometer in both SBP and DBP measurements.</p><p><strong>Conclusions: </strong>The Omron HEM-790XT1 automatic oscillometric upper-arm BP monitor satisfied all validation criteria of the AAMI/ESH/ISO (ISO 81060-2:2018 + AMD1:2020) standard and can be recommended for accurate BP measurement in adults within the validated arm circumference range.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2682038"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148136553","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}

{"title":"Measurement of blood pressure in European Society of Hypertension Excellence Centres: a survey by the Young Investigators Group of the European Society of Hypertension.","authors":"Costantino Mancusi, Petra Sinigoj, Christina Antza, Andrej Belančić, Justina Motiejunaite, Heini Sánez Tähtisalo, Diana Ferrao, Paolo Palatini","doi":"10.1080/08037051.2026.2646368","DOIUrl":"10.1080/08037051.2026.2646368","url":null,"abstract":"<p><strong>Background: </strong>Office blood pressure (BP) measurement is the cornerstone of hypertension diagnosis and risk stratification. Inaccurate BP readings can lead to significant misclassification, often overestimating BP and prompting unnecessary lifelong treatment. The Young Investigators Group of the European Society of Hypertension (YIG-ESH) conducted a structured, comprehensive survey among ESH Excellence Centres with the primary objective of providing an updated overview of BP measurement practices in routine clinical care.</p><p><strong>Methods: </strong>A 17-item survey was created to assess the different modalities, devices and techniques currently used for office BP measurement (OBPM) across ESH excellence centres. The survey was spread <i>via</i> email for 8 weeks (from December 2024 to February 2025).</p><p><strong>Results: </strong>The survey was sent out to 216 recipients and 96 responses have been collected (response rate 44%) from 29 different countries. Automated electronic devices were used routinely in almost all outpatient facilities (96.7%), while manual auscultatory devices were used in 33.3% of the healthcare facilities. Among manual auscultatory devices, aneroid devices were used by the majority of the participants (73.6%) and mercury sphygmomanometers by 28.8%. BP was measured in seated (91.7%), standing (43.8%) and supine position (32.3%). Most of the respondents performed three (68.8%) or two (22.9%) BP measurements per outpatient. Home BP monitoring was routinely advised by 98.9% of the respondents providing precise instructions on how to perform the required home BP measurements.</p><p><strong>Conclusion: </strong>Our survey reveals considerable discrepancies in BP measurement, even within highly specialised settings such as the ESH Excellence Centres, with substantial non-adherence to recommended guidelines.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2646368"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484503","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}

{"title":"Association of air pollutant levels and blood pressure variability in patients with essential hypertension: a distributed lag analysis study.","authors":"Jie Liu, Fei Wang, Yatian Liu, Xinrui Li, Dan Li, Jing Wang, Shunying Hu, Longmei Tang","doi":"10.1080/08037051.2026.2705619","DOIUrl":"10.1080/08037051.2026.2705619","url":null,"abstract":"<p><strong>Background: </strong>Studies on the effect of atmospheric pollutant levels on blood pressure variability (BPV) are limited. However, the effects of atmospheric pollutant levels on blood pressure variability (BPV) in hypertensive patients remain unknown. People who are exposed to air pollutants in the short term have elevated blood pressure. The objective of this study was to explore the effects of air pollutant levels on BPV in patients with essential hypertension.</p><p><strong>Methods: </strong>A total of 1,658 patients diagnosed with essential hypertension were included. We collected BPV indicators from the patients and pollutant data, including particulate matter 2.5 (PM_2.5), particulate matter 10 (PM₁₀), sulphur dioxide (SO₂), carbon monoxide (CO), nitrogen dioxide (NO₂), and ozone 8-h mean (O₃-8 h). We used the daily averages of PM_2.5 and PM₁₀, CO, NO₂, SO₂ from monitoring stations near the patients' homes. We constructed a distributed lag model for the median regression of the distribution, to explore the lag effect and correlation between air pollution components and BPV in patients with essential hypertension.</p><p><strong>Results: </strong>For every 10-μg/m³ increase in PM_2.5, the maximum lag effect on dSBPSD (day time systolic blood pressure standard deviation) and dSBPCV (daytime systolic blood pressure coefficient of variation) was observed at lag 0, while that on dDBPCV (daytime diastolic blood pressure coefficient of variation) was observed at lag 4, with increments of 1.08 (95% CI: 0.15, 2.02), 0.80 (95% CI: 0.11, 1.50), and 0.53 (95% CI: 0.04, 1.02), respectively. For every 10-μg/m³ increase in PM₁₀, the maximum lag effect on nDBPSD (night-time diastolic blood pressure standard deviation) and nDBPCV (night-time diastolic blood pressure coefficient of variation) was observed at lag 5, with increments of 0.57 (95% CI: 0.16, 0.99) and 1.00 (95% CI: 0.19, 1.8), respectively. For every 10-μg/m³ increase in SO₂, the maximum lag effect on dSBPSD and dSBPCV were observed at lag 0, with increments of 4.35 (95% CI: 1.21, 7.48) and 3.54 (95% CI: 0.87, 6.21), respectively. For every 1-g/m³ increase in CO, the maximum lag effect on dSBPCV was observed at lag 0, with increments of 1.21 (95% CI: 0.25, 2.18) .</p><p><strong>Conclusions: </strong>We observed a lag effect on BPV in patients with essential hypertension following short-term exposure to PM_2.5, PM₁₀, SO₂ and CO.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2705619"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547712","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}

{"title":"Ambient exposure, in-hospital blood pressure: methodological challenges in linking air pollution to blood pressure variability.","authors":"Güney Sarıoğlu","doi":"10.1080/08037051.2026.2719048","DOIUrl":"10.1080/08037051.2026.2719048","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2719048"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759032","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}

{"title":"OSAS.MAP10 and all-cause mortality risk in hypertensive patients: a retrospective cohort analysis of NHANES.","authors":"Xuerong Shen, Pan Huang, Yuzeng Luo, Qiang Xie","doi":"10.1080/08037051.2026.2721754","DOIUrl":"10.1080/08037051.2026.2721754","url":null,"abstract":"<p><strong>Background and research question: </strong>Hypertension and obstructive sleep apnoea (OSA) commonly coexist in older adults. OSAS.MAP10 is a symptom-based screening score estimating OSA risk, not a polysomnographic severity measure. We examined its association with all-cause mortality, and explored nonlinear patterns among hypertensive adults.</p><p><strong>Methods: </strong>We analysed 6930 hypertensive adults from NHANES 2005-2008 and 2015-2018. The primary outcome was all-cause mortality; cardiovascular and cancer mortality were secondary outcomes. We used survey-weighted Cox models and restricted cubic splines adjusting for age, sex, race and ethnicity, BMI, education, family poverty income ratio, smoking status, diabetes, baseline cardiovascular disease, current antihypertensive medication use, and survey period. In adults aged ≥60 years, the age-stratified model without continuous age was primary, and additional continuous-age adjustment was evaluated as a sensitivity analysis.</p><p><strong>Results: </strong>Among 6930 hypertensive adults, 1199 deaths occurred. In the complete-case analysis of participants aged ≥60 years (<i>n</i> = 3982; 1006 deaths), the OSAS.MAP10-mortality association was nonlinear (P for nonlinearity <0.001). In the age-stratified model without continuous age, each 1-point increase at or above 6.19 was associated with higher mortality (HR 1.21; 95% CI 1.02-1.44; <i>p</i> = 0.029). After age additional adjustment , the association was attenuated (HR 0.96; 95% CI 0.83-1.12; <i>p</i> = 0.643). Cardiovascular mortality showed no significant nonlinearity.</p><p><strong>Conclusions: </strong>Higher OSAS.MAP10 scores showed a nonlinear association with all-cause mortality among hypertensive adults aged ≥60 years. The increase above approximately 6.2 was observed only without continuous age adjustment and was attenuated thereafter. This inflection point is hypothesis-generating and requires validation in an independent cohort.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2721754"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988030","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}

{"title":"Empowering the next generation: the young Investigators Group of the European Society of Hypertension.","authors":"Andrej Belančić, Christina Antza, Petra Sinigoj, Janis Casper, Justina Motiejunaite, Diana Ferrao","doi":"10.1080/08037051.2025.2605790","DOIUrl":"10.1080/08037051.2025.2605790","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2605790"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762124","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}

{"title":"Multidimensional strategies for hypertension in prediabetes: a commentary on Motivational Interviewing, Health Policy Triangle and Ecological Systems Theory.","authors":"Muchammad Syuhada', Mashur Hasan Bisri, Dyah Mustika Kusuma Winahyu, Kurniawan Wahyu Pratama","doi":"10.1080/08037051.2026.2705624","DOIUrl":"10.1080/08037051.2026.2705624","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2705624"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468811","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}