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guidelines for ambulatory blood pressure monitoring

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https://www.readbyqxmd.com/read/27873228/hypertension-in-chronic-kidney-disease
#1
Seyed Mehrdad Hamrahian, Bonita Falkner
Hypertension, a global public health problem, is currently the leading factor in the global burden of disease. It is the major modifiable risk factor for heart disease, stroke and kidney failure. Chronic kidney disease (CKD) is both a common cause of hypertension and CKD is also a complication of uncontrolled hypertension. The interaction between hypertension and CKD is complex and increases the risk of adverse cardiovascular and cerebrovascular outcomes. This is particularly significant in the setting of resistant hypertension commonly seen in patient with CKD...
November 22, 2016: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/27810041/the-cardiovascular-risk-of-white-coat%C3%A2-hypertension
#2
Stanley S Franklin, Lutgarde Thijs, Kei Asayama, Yan Li, Tine W Hansen, José Boggia, Lotte Jacobs, Zhenyu Zhang, Masahiro Kikuya, Kristina Björklund-Bodegård, Takayoshi Ohkubo, Wen-Yi Yang, Jørgen Jeppesen, Eamon Dolan, Tatiana Kuznetsova, Katarzyna Stolarz-Skrzypek, Valérie Tikhonoff, Sofia Malyutina, Edoardo Casiglia, Yuri Nikitin, Lars Lind, Edgardo Sandoya, Kalina Kawecka-Jaszcz, Jan Filipovský, Yutaka Imai, Ji-Guang Wang, Eoin O'Brien, Jan A Staessen
BACKGROUND: The role of white-coat hypertension (WCH) and the white-coat-effect (WCE) in development of cardiovascular disease (CVD) risk remains poorly understood. OBJECTIVES: Using data from the population-based, 11-cohort IDACO (International Database on Ambulatory Blood Pressure Monitoring in Relation to Cardiovascular Outcomes), this study compared daytime ambulatory blood pressure monitoring with conventional blood pressure measurements in 653 untreated subjects with WCH and 653 normotensive control subjects...
November 8, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27754132/os-26-01-classification-of-arterial-hypertension-using-a-computational-model-based-on-artificial-modular-neural-networks
#3
Patricia Melin, German Prado-Arechiga, Martha Pulido, Ivette Miramontes
OBJECTIVE: The development of an artificial modular neural network (MNN) method for diagnosing and classification of arterial Hypertension based on the level of the blood pressure (BP) of a patient is presented. The main goal is to diagnose the degree of hypertension based on the BP values using MNN applying response integration via a gating network approach. DESIGN AND METHOD: This study was performed with 28 patients to classify the BP levels, based on the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC) Guidelines of Hypertension...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753958/os-09-02-prevalence-and-determinants-of-exaggerated-morning-surge-and-morning-hypertension-in-chinese-the-china-ambulatory-and-home-blood-pressure-registry-abpr
#4
Qian-Hui Guo, Yuan-Yuan Kang, Jie Song, Qi Chen, Chang-Yuan Liu, Shao-Kun Xu, Yi-Bang Cheng, Yan Li, Ji-Guang Wang
OBJECTIVE: Prognosis of exaggerated morning surge (MS) of blood pressure (BP) remains controversial, possibly due to the ethnic difference in the size of MS. Compared to MS, evidence on morning hypertension (MH) is more consistent. With the use of a national BP registry database, we studied the size of MS and the prevalence and determinants of exaggerated MS and MH in Chinese. DESIGN AND METHOD: In the 3547 patients (mean age, 56.8 years; women, 49.1%; hypertension, 79...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753860/me-01-2-assessment-and-treatment-of-morning-hypertension-update
#5
Kazuomi Kario
The essential benefit of the management of hypertension is derived from the blood pressure (BP) lowering per se, indicating the importance of BP throughout 24 hours. Recent guidelines stressed the importance of home BP for the diagnosis and management of hypertension. It is well-known that cardiovascular events occur more frequently in the morning BP levels have been shown to increase during the period from night to early morning. Clinical research using ambulatory BP monitoring (ABPM) or home BP monitoring has clarified that morning BP and BP surge are more closely related to the cardiovascular risk than office BP (Kario et al...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27703288/blood-pressure-control-in-hypertensive-patients-cardiovascular-risk-profile-and-the-prevalence-of-masked-uncontrolled-hypertension-much
#6
Nabil Naser, Alen Dzubur, Azra Durak, Mehmed Kulic, Nura Naser
INTRODUCTION: The term masked hypertension (MH) should be used for untreated individuals who have normal office blood pressure but elevated ambulatory blood pressure. For treated patients, this condition should be termed masked uncontrolled hypertension (MUCH). RESEARCH OBJECTIVES: Masked uncontrolled hypertension (MUCH) has gone unrecognized because few studies have used 24-h ABPM to determine the prevalence of suboptimal BP control in seemingly well-treated patients, and there are few such studies in large cohorts of treated patients attending usual clinical practice...
July 27, 2016: Medical Archives
https://www.readbyqxmd.com/read/27677895/integrating-out-of-office-blood-pressure-in-the-diagnosis-and-management-of-hypertension
#7
REVIEW
Jordana B Cohen, Debbie L Cohen
Guidelines for the diagnosis and monitoring of hypertension were historically based on in-office blood pressure measurements. However, the US Preventive Services Task Force recently expanded their recommendations on screening for hypertension to include out-of-office blood pressure measurements to confirm the diagnosis of hypertension. Out-of-office blood pressure monitoring modalities, including ambulatory blood pressure monitoring and home blood pressure monitoring, are important tools in distinguishing between normotension, masked hypertension, white-coat hypertension, and sustained (including uncontrolled or drug-resistant) hypertension...
November 2016: Current Cardiology Reports
https://www.readbyqxmd.com/read/27643355/os-09-02-prevalence-and-determinants-of-exaggerated-morning-surge-and-morning-hypertension-in-chinese-the-china-ambulatory-and-home-blood-pressure-registry-abpr
#8
Qian-Hui Guo, Yuan-Yuan Kang, Jie Song, Qi Chen, Chang-Yuan Liu, Shao-Kun Xu, Yi-Bang Cheng, Yan Li, Ji-Guang Wang
OBJECTIVE: Prognosis of exaggerated morning surge (MS) of blood pressure (BP) remains controversial, possibly due to the ethnic difference in the size of MS. Compared to MS, evidence on morning hypertension (MH) is more consistent. With the use of a national BP registry database, we studied the size of MS and the prevalence and determinants of exaggerated MS and MH in Chinese. DESIGN AND METHOD: In the 3547 patients (mean age, 56.8 years; women, 49.1%; hypertension, 79...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643097/me-01-2-assessment-and-treatment-of-morning-hypertension-update
#9
Kazuomi Kario
The essential benefit of the management of hypertension is derived from the blood pressure (BP) lowering per se, indicating the importance of BP throughout 24 hours. Recent guidelines stressed the importance of home BP for the diagnosis and management of hypertension. It is well-known that cardiovascular events occur more frequently in the morning BP levels have been shown to increase during the period from night to early morning. Clinical research using ambulatory BP monitoring (ABPM) or home BP monitoring has clarified that morning BP and BP surge are more closely related to the cardiovascular risk than office BP (Kario et al...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643059/os-26-01-classification-of-arterial-hypertension-using-a-computational-model-based-on-artificial-modular-neural-networks
#10
Patricia Melin, German Prado-Arechiga, Martha Pulido, Ivette Miramontes
OBJECTIVE: The development of an artificial modular neural network (MNN) method for diagnosing and classification of arterial Hypertension based on the level of the blood pressure (BP) of a patient is presented. The main goal is to diagnose the degree of hypertension based on the BP values using MNN applying response integration via a gating network approach. DESIGN AND METHOD: This study was performed with 28 patients to classify the BP levels, based on the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC) Guidelines of Hypertension...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27631608/renal-denervation-in-a-real-life-setting-a-gradual-decrease-in-home-blood-pressure
#11
Martine M A Beeftink, Wilko Spiering, Michiel L Bots, Willemien L Verloop, Rosa L De Jager, Margreet F Sanders, Evert-Jan Vonken, Peter J Blankestijn, Michiel Voskuil
OBJECTIVES: To investigate the blood pressure dynamics after renal denervation through monthly home blood pressure measurements throughout the first 12 months. METHODS: A cohort of 70 patients performed highly standardized monthly home blood pressure monitoring during the first year after denervation according to the European Society of Hypertension guidelines. At baseline and 12 months follow-up, office and ambulatory blood pressure as well as routine physical and laboratory assessment was performed...
2016: PloS One
https://www.readbyqxmd.com/read/27615192/ambulatory-blood-pressure-monitoring-for-the-effective-management-of-antihypertensive-drug-treatment
#12
Eoin O'Brien, Eamon Dolan
PURPOSE: This purpose of this article is to review the current recommendations for ambulatory blood pressure measurement (ABPM) and the use of ABPM in assessing treatment. METHODS: We review current international guidelines and undertake a critical review of evidence supporting the clinical use of ABPM in effectively managing antihypertensive drug treatment. FINDINGS: Current guidelines emphasize the diagnostic superiority of ABPM, mainly from the ability of the technique to identify sustained hypertension by allowing for the exclusion of white-coat hypertension and by demonstrating the presence of masked hypertension...
September 8, 2016: Clinical Therapeutics
https://www.readbyqxmd.com/read/27536127/predictors-of-high-central-blood-pressure-in-young-with-isolated-systolic-hypertension
#13
G D Radchenko, O O Torbas, Yu M Sirenko
OBJECTIVE: According to the European Society of Cardiology/European Society of Hypertension 2013 guidelines, evaluation of aortic blood pressure (BP) is needed in young with isolated systolic hypertension (ISH), but using special devices is not common, especially in Ukraine, where only a few centers have these devices. The purpose of our study was to identify the simple clinical predictors for differentiation (with or without elevated aortic systolic BP [SBP]) of the young with ISH without the need for further extensive work-up...
2016: Vascular Health and Risk Management
https://www.readbyqxmd.com/read/27508769/-op-6a-06-vascular-phenotypes-by-assessing-peripheral-and-central-blood-pressure-in-obese-youth
#14
E Lurbe, M I Torro, J Alvarez-Pitti, P Redon, J Redon
OBJECTIVE: To identify vascular phenotypes across BP conditions in overweight and obese youths, by assessing office (oBP) and central BP (cBP), and pulse pressure amplification. Whether or not 24-hour ambulatory BP monitoring and pulse wave velocity (PWV) add insight to the issue has also been examined. DESIGN AND METHOD: White youths of both sexes with overweight or obesity and of European origin, ranging from 8 to 18 years of age, were included. Office BP, cBP, PWV, and 24-hour ABPM were measured...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27508628/-op-2b-09-patients-with-advanced-kidney-disease-and-nephroangiosclerosis-might-not-benefit-of-strict-blood-pressure-control
#15
S Vettoretti, L Caldiroli, V Azzini, R Meazza, A Villarini, M Marcucci, C Alfieri, P Messa
OBJECTIVE: Blood pressure (BP) targets in chronic kidney disease (CKD) may differ in accordance with the etiology of CKD. We investigated if BP targets recommended by 2013 ESH guidelines for CKD patients are equally effective in subjects with nephroangiosclerosis (NAS+) respect to those with other nephropathies (NAS-). DESIGN AND METHOD: We analyzed 148 hypertensive patients with CKD (stages 3b-4), NAS+ (n = 66) and NAS- (n = 82). We collected at two visits: anamnesis, BP, blood and 24 h urinary samples...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27490952/significance-of-masked-and-nocturnal-hypertension-in-normotensive-women-coursing-a-high-risk-pregnancy
#16
Martin R Salazar, Walter G Espeche, Betty C Leiva Sisnieguez, Eduardo Balbín, Carlos E Leiva Sisnieguez, Rodolfo N Stavile, Carlos E March, Florencia Grassi, Claudia Santillan, Susana Cor, Horacio A Carbajal
OBJECTIVE: The aim was to evaluate the prevalence of nocturnal and masked hypertension and the prognostic values of these blood pressure (BP) abnormalities in normotensive women coursing a high-risk pregnancy. METHODS: The study was performed in pregnant women with 20 or more weeks of gestation coursing a high-risk pregnancy, sent to a specialized hypertension department to perform a prospective defined protocol of BP evaluation. Women with office BP at least 140/90 mmHg were excluded...
November 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27456450/guideline-for-the-diagnosis-and-management-of-hypertension-in-adults-2016
#17
Genevieve M Gabb, Arduino A Mangoni, Craig S Anderson, Diane Cowley, John S Dowden, Jonathan Golledge, Graeme J Hankey, Faline S Howes, Les Leckie, Vlado Perkovic, Markus Schlaich, Nicholas A Zwar, Tanya L Medley, Leonard Arnolda
The National Heart Foundation of Australia has updated the Guide to management of hypertension 2008: assessing and managing raised blood pressure in adults (updated December 2010). Main recommendations For patients at low absolute cardiovascular disease risk with persistent blood pressure (BP) ≥ 160/100 mmHg, start antihypertensive therapy. The decision to treat at lower BP levels should consider absolute cardiovascular disease risk and/or evidence of end-organ damage, together with accurate BP assessment...
July 18, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27405770/diagnosis-epidemiology-and-management-of-hypertension-in-children
#18
REVIEW
Goutham Rao
National guidelines for the diagnosis and management of hypertension in children have been available for nearly 40 years. Unfortunately, knowledge and recognition of the problem by clinicians remain poor. Prevalence estimates are highly variable because of differing standards, populations, and blood pressure (BP) measurement techniques. Estimates in the United States range from 0.3% to 4.5%. Risk factors for primary hypertension include overweight and obesity, male sex, older age, high sodium intake, and African American or Latino ancestry...
August 2016: Pediatrics
https://www.readbyqxmd.com/read/27372531/modern-management-and-diagnosis-of-hypertension-in-the-united-kingdom-home-care-and-self-care
#19
REVIEW
James P Sheppard, Claire L Schwartz, Katherine L Tucker, Richard J McManus
BACKGROUND: The effective diagnosis and management of hypertension is one of the most important parts of cardiovascular prevention internationally and this is no different in the United Kingdom. Approximately 14% of the UK population currently receive treatment for hypertension. Recent UK guidelines from the National Institute of Health and Care Excellence have placed greater emphasis on the utilization of out-of-office measurement of blood pressure to more accurately diagnose hypertension...
March 2016: Annals of Global Health
https://www.readbyqxmd.com/read/27358088/vascular-health-assessment-of-the-hypertensive-patients-vasotens-registry-study-protocol-of-an-international-web-based-telemonitoring-registry-for-ambulatory-blood-pressure-and-arterial-stiffness
#20
Stefano Omboni, Igor N Posokhov, Gianfranco Parati, Alberto Avolio, Anatoly N Rogoza, Yulia V Kotovskaya, Giuseppe Mulè, Maria Lorenza Muiesan, Iana A Orlova, Elena A Grigoricheva, Ernesto Cardona Muñoz, Parounak H Zelveian, Telmo Pereira, João Manuel Peixoto Maldonado
BACKGROUND: Hypertension guidelines recommend ambulatory blood pressure (ABP), central aortic pressure (CAP), and pulse wave velocity (PWV) as parameters for estimating blood pressure (BP) control and vascular impairment. Recent advances in technology have enabled devices to combine non-invasive estimation of these parameters over the 24-hour ABP monitoring. However, currently there is limited evidence on the usefulness of such an approach for routine hypertension management. OBJECTIVE: We recently launched an investigator-initiated, international, multicenter, observational, prospective study, the Vascular health Assessment Of The Hypertensive patients (VASOTENS) Registry, aimed at (1) evaluating non-invasive 24-hour ABP and arterial stiffness estimates (through 24-hour pulse wave analysis, PWA) in hypertensive subjects undergoing ambulatory blood pressure monitoring (ABPM) for clinical reasons; (2) assessing the changes in estimates following treatment; (3) weighing the impact of 24-hour PWA on target organ damage and cardiovascular prognosis; (4) assessing the relationship between arterial stiffness, BP absolute mean level and variability, and prognosis; and (5) validating the use of a 24-hour PWA electronic health (e-health) solution for hypertension screening...
2016: JMIR Research Protocols
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