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Ambulatory blood pressure monitoring

Pantelis A Sarafidis, Francesca Mallamaci, Charalampos Loutradis, Robert Ekart, Claudia Torino, Antonios Karpetas, Vasileios Raptis, Athanasios Bikos, Aikaterini Papagianni, Olga Balafa, Konstantinos Siamopoulos, Giovanni Pisani, Massimo Morosetti, Antonio Del Giudice, Fillipo Aucella, Luca Di Lullo, Rocco Tripepi, Giovanni Tripepi, Kitty Jager, Friedo Dekker, Gerard London, Carmine Zoccali
Background: Population-specific consensus documents recommend that the diagnosis of hypertension in haemodialysis patients be based on 48-h ambulatory blood pressure (ABP) monitoring. However, until now there is just one study in the USA on the prevalence of hypertension in haemodialysis patients by 44-h recordings. Since there is a knowledge gap on the problem in European countries, we reassessed the problem in the European Cardiovascular and Renal Medicine working group Registry of the European Renal Association-European Dialysis and Transplant Association...
July 10, 2018: Nephrology, Dialysis, Transplantation
Paolo Palatini, Francesca Saladini, Lucio Mos, Claudio Fania, Adriano Mazzer, Edoardo Casiglia
OBJECTIVE: The clinical significance of isolated systolic hypertension (ISH) in youth is controversial. One main confounding factor is the strong white-coat effect often observed in ISH patients. The aim of this study was to investigate the risk of hypertension needing pharmacological treatment in ISH identified with ambulatory 24-h blood pressure (24-h BP). METHODS: We examined 1206, 18-45-year-old participants from the Hypertension and Ambulatory Recording VEnetia STudy...
July 12, 2018: Journal of Hypertension
Eoin O'Brien, William B White, Gianfranco Parati, Eamon Dolan
In clinical practice, ambulatory blood pressure monitoring (ABPM) tends to be used solely for diagnosing hypertension, especially to identify white-coat and masked hypertension. However, ABPM can provide additional information to guide the management and drug treatment of hypertension. In this brief review, the general principles governing the use of ABPM in clinical practice, such as the devices and software, recording requirements, the thresholds for the day, night and 24-hour periods and how often to repeat ABPM are summarized...
July 2018: Journal of Clinical Hypertension
George S Stergiou, Gianfranco Parati, Richard J McManus, Geoffrey A Head, Martin G Myers, Paul K Whelton
In the last 2 decades, several scientific societies have published specific guidelines for blood pressure (BP) measurement, providing detailed recommendations for office, home, and ambulatory BP monitoring. These documents typically provided strong support for using out-of-office BP monitoring (ambulatory and home). More recently, several organizations recommended out-of-office BP evaluation as a primary method for diagnosing hypertension and for treatment titration, with office BP regarded as a screening method...
July 2018: Journal of Clinical Hypertension
M Inmaculada Poveda García, M Dolores Del Pino Y Pino, Raquel Alarcón Rodriguez, Cristian Rodelo-Haad, Tesifón Parrón Carreño
INTRODUCTION: We aimed to assess the effectiveness of ambulatory blood pressure monitoring (ABPM) and subclinical target organ damage parameters for diagnosis of resistant hypertension (RH). METHODS: We assessed demographic and anthropometric variables, the incidence of cardiovascular events and subclinical target organ damage (n=112). We also studied the relationship between these variables and the ABPM results. RESULTS: Of the 112 patients referred from primary care with a diagnosis of RH, 69 (61...
July 9, 2018: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Hunaina Shahab, Hamza Sohail Khan, Aysha Almas, Mayera Tufail, Khawar Abbas Kazmi, Aamir Hameed Khan
OBJECTIVE: Our previous study showed that post-clinic blood pressure (BP) taken 15 min after a physician-patient encounter was the lowest reading in a routine clinic. We aimed to validate this reading with 24 h Ambulatory Blood Pressure Monitoring (ABPM) readings. A cross-sectional study was conducted in the cardiology clinics at the Aga Khan University, Pakistan. Hypertensive patients aged ≥ 18 years, or those referred for the diagnosis of hypertension were included. RESULTS: Of 150 participants, 49% were males...
July 11, 2018: BMC Research Notes
Pamela L Lutsey, Lin Y Chen, Anne Eaton, Melanie Jaeb, Kyle D Rudser, James D Neaton, Alvaro Alonso
Low magnesium may increase the risk of atrial fibrillation. We conducted a double-blind pilot randomized trial to assess adherence to oral magnesium supplementation (400 mg of magnesium oxide daily) and a matching placebo, estimate the effect on circulating magnesium concentrations, and evaluate the feasibility of using an ambulatory heart rhythm monitoring device (ZioPatch) for assessing premature atrial contractions. A total of 59 participants were randomized; 73% were women, and the mean age was 62 years...
July 10, 2018: Nutrients
Silvio Borrelli, Carlo Garofalo, Francesca Mallamaci, Giovanni Tripepi, Giovanna Stanzione, Michele Provenzano, Giuseppe Conte, Luca De Nicola, Carmine Zoccali, Roberto Minutolo
OBJECTIVE: In chronic kidney disease (CKD), few cross-sectional studies evidenced an association between short-term BP variability (BPV) derived from ambulatory blood pressure (ABP) monitoring and renal damage. However, no study has evaluated the association of short-term BPV with the risk of CKD progression. METHODS: We performed a cohort study to assess the correlates and the predictive value for incident renal outcomes of short-term BPV in hypertensive patients with CKD stage G1-5...
July 10, 2018: Journal of Hypertension
Ricardo Cordeiro, Walace Monteiro, Felipe Cunha, Linda S Pescatello, Paulo Farinatti
Cordeiro, R, Monteiro, W, Cunha, F, Pescatello, LS, and Farinatti, P. Influence of acute concurrent exercise performed in public fitness facilities on ambulatory blood pressure among older adults in Rio de Janeiro city. J Strength Cond Res XX(X): 000-000, 2018-The project "Third-Age Academies'" (TAAs) is a public policy providing supervised physical activities to over 40,000 seniors at open-access facilities (squares etc.) in Rio de Janeiro, Brazil. We investigated whether TAA concurrent exercise circuit induced postexercise hypotension (PEH) in individuals older than 60 years...
July 9, 2018: Journal of Strength and Conditioning Research
Brenda Mendizábal, Elaine M Urbina, Richard Becker, Stephen R Daniels, Bonita E Falkner, Gilad Hamdani, Coral D Hanevold, Stephen R Hooper, Julie R Ingelfinger, Marc Lande, Lisa J Martin, Kevin Meyers, Mark Mitsnefes, Bernard Rosner, Joshua A Samuels, Joseph T Flynn
Although hypertension is identifiable in children and adolescents, there are many knowledge gaps on how to best define and manage high blood pressure in the young. SHIP-AHOY (Study of High Blood Pressure in Pediatrics: Adult Hypertension Onset in Youth) is being conducted to address these knowledge gaps. Five hundred adolescents will be recruited and will undergo ambulatory blood pressure monitoring, echocardiographic, vascular, and cognitive assessments, as well as epigenetic studies to identify mechanisms that underlie the development of hypertensive target organ damage...
July 9, 2018: Hypertension
Marijana Tadic, Cesare Cuspidi, Branislava Ivanovic, Biljana Pencic, Guido Grassi, Vera Celic
The importance of right ventricular (RV) structure and function in cardiovascular and total morbidity and mortality has been confirmed previously. The purpose of this study was to evaluate the influence of gender on RV structure and function in untreated hypertensive patients. This cross-sectional study included 243 subjects who underwent 24-hour ambulatory blood pressure (BP) monitoring and comprehensive echocardiographic examination including strain evaluation. There was no difference in RV diameter between hypertensive and normotensive women and men...
July 9, 2018: Journal of Clinical Hypertension
Paolo Balietti, Francesco Spannella, Federico Giulietti, Giulia Rosettani, Beatrice Bernardi, Guido Cocci, Anna R Bonfigli, Riccardo Sarzani
Blood pressure (BP) changes and risk factors associated with pulse pressure (PP) increase in elderly people have rarely been studied using ambulatory blood pressure monitoring (ABPM). The aim is to evaluate 10-year ambulatory blood pressure (ABP) changes in older hypertensives, focusing on PP and its associations with mortality. An observational study was conducted on 119 consecutive older treated hypertensives evaluated at baseline (T0) and after 10 years (T1). Treatment adherence was carefully assessed. The authors considered clinical parameters at T1 only in survivors (n = 87)...
July 7, 2018: Journal of Clinical Hypertension
Stefanie Häckel, Friederike Stein, Gunter Wolf, Günter Stein, Martin Busch
INTRODUCTION:  The diagnosis and therapy of arterial hypertension is a continuous challenge in general practice. The aim of this study is to analyze the nature and effectiveness of blood pressure control in patients with known arterial hypertension in a primary care practice using office- (OBPM) and ambulatory (ABPM) blood pressure measurement. METHODS:  283 patients (90 % of all regularly treated patients having hypertension) were retrospectively examined for the achievement of the target blood pressure values in ABPM and OBPM in the past 1 to 2 years...
July 2018: Deutsche Medizinische Wochenschrift
Cesare Cuspidi, Marijana Tadic, Giuseppe Mancia, Guido Grassi
The clinical prognostic importance of white coat hypertension (WCH), that is, the clinical condition characterized by an increase of office but a normal ambulatory or home blood pressure (BP) is since a long time matter of considerable debate. WCH accounts for a consistent portion of hypertensive patients (up to 30-40%), particularly when hypertension is mild or age is more advanced. Although scanty and inconsistent information is available on the response of office and out-office BP to antihypertensive treatment and the cardiovascular (CV) protection provided by treatment, an increasing body of evidence focusing on the association of WCH with CV risk factors, subclinical cardiac and extra-cardiac organ damage and, more importantly, with CV events indicates that the risk entailed by this condition is intermediate between true normotension and sustained hypertension...
July 2018: Korean Circulation Journal
Cesare Cuspidi, Rita Facchetti, Michele Bombelli, Carla Sala, Marijana Tadic, Guido Grassi, Giuseppe Mancia
AIM: In the Pressioni Arteriose Monitorate e Loro Associazioni (PAMELA) study, clinical and metabolic variables as well as office, home and ambulatory blood pressure (BP) values were simultaneously measured at baseline and after a 10-year follow-up. The study design allowed us to assess the value of selective and combined elevation of different BP phenotypes in predicting new-onset metabolic syndrome (MetS). METHODS: The present analysis included 1182 participants without MetS at baseline, as defined by the APT III criteria...
June 29, 2018: Journal of Hypertension
Martin Gritter, Liffert Vogt, Stanley M H Yeung, Rosa D Wouda, Christian R B Ramakers, Martin H de Borst, Joris I Rotmans, Ewout J Hoorn
BACKGROUND/AIMS: Dietary potassium (K+) has beneficial effects on blood pressure and cardiovascular (CV) outcomes. Recently, several epidemiological studies have revealed an association between urinary K+ excretion (as proxy for dietary intake) and better renal outcomes in subjects with chronic kidney disease (CKD). To address causality, we designed the "K+ in CKD" study. METHODS: The K+ in CKD study is a multicenter, randomized, double blind, placebo-controlled clinical trial aiming to include 399 patients with hypertension, CKD stage 3b or 4 (estimated glomerular filtration rate [eGFR] 15-44 mL/min/1...
June 29, 2018: Nephron
Jun-Chao Xie, Ying-Ying Lin, Xiao-Hui Liu, Yi-Chen Zhao, Xiao-Ye Ma, Jia Yu, Xue-Yuan Liu, Yan-Xin Zhao
BACKGROUND: Considerable researches suggest that high level of homocysteine (Hcy) is associated with the risk of ischemic stroke. Ambulatory blood pressure monitoring (ABPM) parameters have also been confirmed associated with cardio-cerebrovascular events. However, the relationship between Hcy and ABPM parameters remains unclear in patients with acute ischemic stroke. In this study, we aim to investigate the association between Hcy level and ABPM parameters in patients with acute ischemic stroke...
June 27, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
David A Jaques, Hajo Müller, Chantal Martinez, Sophie De Seigneux, Pierre-Yves Martin, Belen Ponte, Patrick Saudan
BACKGROUND: Few studies have assessed the role of 24-h ambulatory blood pressure monitoring (ABPM) in adults with nondialysis chronic kidney disease (CKD). We examined the potential determinants of left ventricular hypertrophy (LVH) and mass index (LVMI) in this population. PARTICIPANTS AND METHODS: We carried out a cross-sectional study on 69 stage 3b-5 CKD adults who had ABPM and transthoracic echocardiography performed simultaneously. Hypertension (HT) was defined as 24 h blood pressure (BP) of at least 130/80 mmHg...
June 28, 2018: Blood Pressure Monitoring
Géraldine Petit, Elena Berra, Coralie M G Georges, Arnaud Capron, Qi-Fang Huang, Marilucy Lopez-Sublet, Franco Rabbia, Jan A Staessen, Pierre Wallemacq, Philippe de Timary, Alexandre Persu
PURPOSE: Patients with apparent treatment-resistant hypertension (a-TRH) are often poorly adherent to drug treatment and have an unusual personal history and psychological profile. The aim of this study was to identify predictors of drug adherence and drug resistance in a cohort of patients with aTRH, with emphasis on psychological characteristics. METHODS: All patients with confirmed aTRH on standardized antihypertensive treatment were eligible. Drug adherence was assessed by drug dosages in urine using Liquid Chromatography coupled with tandem Mass Spectrometry (LC-MS/MS)...
June 28, 2018: Blood Pressure
Jing Shi, Yue Yuan, Xianzhu Deng, Yujiao Pan, Meijiao He, Guangzhong Liu, Danghui Sun, Jiayu Wang, Wennan Wang, Yue Li
PURPOSE: β-Blocker use has been controversial for a long time in the management of hypertensive patients with obstructive sleep apnea (OSA). The aim of present study was to compare the effects of metoprolol on BP lowering with amlodipine in hypertensive OSA patients. METHODS: Hypertensive subjects with OSA were randomly assigned to metoprolol and amlodipine groups, receiving 12 weeks of oral either metoprolol (47.5 mg once daily) or amlodipine (5 mg once daily) treatment...
June 27, 2018: Sleep & Breathing, Schlaf & Atmung
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