Target Blood Pressure Values in Ambulatory Blood Pressure Monitoring

被引：3

作者：

Lewandowska, Katarzyna ^{[1
]}

Wasiliew, Stanislaw ^{[1
]}

Kukfisz, Agata ^{[1
]}

Hofman, Michal ^{[1
]}

Wozniak, Patrycja ^{[1
]}

Radziemski, Artur ^{[1
]}

Stryczynski, Lukasz ^{[1
]}

Lipski, Dawid ^{[1
]}

Tykarski, Andrzej ^{[1
]}

Uruski, Pawel ^{[1
]}

机构：

[1] Poznan Univ Med Sci, Dept Hypertensiol Angiol & Internal Med, Dluga 1-2, PL-61848 Poznan, Poland

来源：

HIGH BLOOD PRESSURE & CARDIOVASCULAR PREVENTION | 2023年 / 30卷 / 01期

关键词：

24-h ambulatory blood pressure monitoring; Office blood pressure monitoring; Blood pressure monitoring; Arterial hypertension; LONG-TERM RISK; WHITE-COAT; HYPERTENSION; MANAGEMENT; HOME; GUIDELINE; SOCIETY; OFFICE;

D O I：

10.1007/s40292-022-00552-3

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Introduction 2018 ESC/ESH guidelines have recommended 24-h ambulatory blood pressure monitoring to assess hypotensive therapy in many circumstances. Recommended target blood pressure in office blood pressure measurements is between 120/70 and 130/80 mmHg. Such targets for 24-h ambulatory blood pressure monitoring lacks. Aim We aimed to define target values of blood pressure in 24-h ambulatory blood pressure monitoring in hypertensive patients. Methods Office blood pressure measurements and 24-h ambulatory blood pressure monitoring data were collected from 1313 hypertensive patients and sorted following increasing systolic (SBP)/diastolic (DBP) blood pressure in office blood pressure measurements. The corresponding 24-h ambulatory blood pressure monitoring to office blood pressure measurements values were calculated. Results Values 130/80 mmHg in office blood pressure measurements correspond in 24-h ambulatory blood pressure monitoring: night-time SBP/DBP mean: 113.74/66.95 mmHg; daytime SBP/DBP mean: 135.02/81.78 mmHg and 24-h SBP/DBP mean: 130.24/78.73 mmHg. Values 120/70 mmHg in office blood pressure measurements correspond in 24-h ambulatory blood pressure monitoring: night-time SBP/DBP mean: 109.50/63.43 mmHg; daytime SBP/DBP mean: 131.01/78.47 mmHg and 24-h SBP/DBP mean: 126.36/75.31 mmHg. Conclusions The proposed blood pressure target values in 24-h ambulatory blood pressure monitoring complement the therapeutic target indicated in the ESC/ESH recommendations and improves 24-h ambulatory blood pressure monitoring usefulness in clinical practice.

引用

页码：29 / 36

页数：8

共 38 条

[1] High prevalence of masked uncontrolled hypertension in people with treated hypertension [J].

Banegas, Jose R. ;

Ruilope, Luis M. ;

de la Sierra, Alejandro ;

de la Cruz, Juan J. ;

Gorostidi, Manuel ;

Segura, Julian ;

Martell, Nieves ;

Garcia-Puig, Juan ;

Deanfield, John ;

Williams, Bryan .

EUROPEAN HEART JOURNAL, 2014, 35 (46) :3304-3312

[2] Achieved blood pressure and cardiovascular outcomes in high-risk patients: results from ONTARGET and TRANSCEND trials [J].

Boehm, Michael ;

Schumacher, Helmut ;

Teo, Koon K. ;

Lonn, Eva M. ;

Mahfoud, Felix ;

Mann, Johannes F. E. ;

Mancia, Giuseppe ;

Redon, Josep ;

Schmieder, Roland E. ;

Sliwa, Karen ;

Weber, Michael A. ;

Williams, Bryan ;

Yusuf, Salim .

LANCET, 2017, 389 (10085) :2226-2237

[3] Real-World Hypertension Prevalence, Awareness, Treatment, and Control in Adult Diabetic Individuals: An Italian Nationwide Epidemiological Survey [J].

De Feo, Martina ;

Del Pinto, Rita ;

Pagliacci, Silvia ;

Grassi, Davide ;

Ferri, Claudio .

HIGH BLOOD PRESSURE & CARDIOVASCULAR PREVENTION, 2021, 28 (03) :301-307

[4] Effect of Intensive Versus Standard Clinic-Based Hypertension Management on Ambulatory Blood Pressure: Results From the SPRINT (Systolic Blood Pressure Intervention Trial) Ambulatory Blood Pressure Study [J].

Drawz, Paul E. ;

Pajewski, Nicholas M. ;

Bates, Jeffrey T. ;

Bello, Natalie A. ;

Cushman, William C. ;

Dwyer, Jamie P. ;

Fine, Lawrence J. ;

Goff, David C., Jr. ;

Haley, William E. ;

Krousel-Wood, Marie ;

McWilliams, Andrew ;

Rifkin, Dena E. ;

Slinin, Yelena ;

Taylor, Addison ;

Townsend, Raymond ;

Wall, Barry ;

Wright, Jackson T. ;

Rahman, Mahboob .

HYPERTENSION, 2017, 69 (01) :42-50

[5] Guideline for the diagnosis and management of hypertension in adults-2016 [J].

Gabb, Genevieve M. ;

Mangoni, Arduino ;

Anderson, Craig S. ;

Cowley, Diane ;

Dowden, John S. ;

Golledge, Jonathan ;

Hankey, Graeme J. ;

Howes, Faline S. ;

Leckie, Les ;

Perkovic, Vlado ;

Schlaich, Markus ;

Zwar, Nicholas A. ;

Medley, Tanya L. ;

Arnolda, Leonard .

MEDICAL JOURNAL OF AUSTRALIA, 2016, 205 (02) :85-87

[6] Effects of Intensive Versus Standard Office-Based Hypertension Treatment Strategy on White-Coat Effect and Masked Uncontrolled Hypertension From the SPRINT ABPM Ancillary Study [J].

Ghazi, Lama ;

Cohen, Laura P. ;

Muntner, Paul ;

Shimbo, Daichi ;

Drawz, Paul E. .

HYPERTENSION, 2020, 76 (04) :1090-1096

[7] Prognostic superiority of daytime ambulatory over conventional blood pressure in four populations:: a meta-analysis of 7030 individuals [J].

Hansen, Tine W. ;

Kikuya, Masahiro ;

Thijs, Lutgarde ;

Bjorklund-Bodegard, Kristina ;

Kuznetsova, Tatiana ;

Ohkubo, Takayoshi ;

Richart, Tom ;

Torp-Pedersen, Christian ;

Lind, Lars ;

Jeppesen, Jorgen ;

Ibsen, Hans ;

Imai, Yutaka ;

Staessen, Jan A. .

JOURNAL OF HYPERTENSION, 2007, 25 (08) :1554-1564

[8] Definition of ambulatory blood pressure targets for diagnosis and treatment of hypertension in relation to clinic blood pressure: prospective cohort study [J].

Head, Geoffrey A. ;

Mihailidou, Anastasia S. ;

Duggan, Karen A. ;

Beilin, Lawrence J. ;

Berry, Narelle ;

Brown, Mark A. ;

Bune, Alex J. ;

Cowley, Diane ;

Chalmers, John P. ;

Howe, Peter R. C. ;

Hodgson, Jonathan ;

Ludbrook, John ;

Mangoni, Arduino A. ;

McGrath, Barry P. ;

Nelson, Mark R. ;

Sharman, James E. ;

Stowasser, Michael .

BMJ-BRITISH MEDICAL JOURNAL, 2010, 340 :849

[9] MICROALBUMINURIA IN 411 UNTREATED INDIVIDUALS WITH ESTABLISHED HYPERTENSION, WHITE COAT HYPERTENSION, AND NORMOTENSION [J].

HOEGHOLM, A ;

BANG, LE ;

KRISTENSEN, KS ;

NIELSEN, JW ;

HOLM, J .

HYPERTENSION, 1994, 24 (01) :101-105

[10] Silent and clinically overt stroke in older Japanese subjects with white-coat and sustained hypertension [J].

Kario, K ;

Shimada, K ;

Schwartz, JE ;

Matsuo, T ;

Hoshide, S ;

Pickering, TC .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 38 (01) :238-245

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