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Ambulatory BP monitoring

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22 papers 0 to 25 followers Articles related to ABPM
By Michael Kelly Assistant Professor
Roberto Manfredini, Fabio Fabbian
No abstract text is available yet for this article.
September 8, 2016: Sleep Medicine Reviews
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
Grzegorz Bilo, Gianfranco Parati
No abstract text is available yet for this article.
November 2016: Journal of Hypertension
Alejandro de la Sierra, Julia Pareja, Pedro Armario, Ángela Barrera, Sergi Yun, Susana Vázquez, Laia Sans, Julio Pascual, Anna Oliveras
BACKGROUND: Sympathetic renal denervation (SRD) has been proposed as a therapeutic alternative for patients with resistant hypertension not controlled on pharmacological therapy. Two studies have suggested an effect of SRD in reducing short-term blood pressure variability (BPV). However, this has not been addressed in a randomized comparative trial. We aimed to compare the effects of spironolactone and SRD on circadian BP and BPV. METHODS: This is a post-hoc analysis of a randomized trial in 24 true resistant hypertensive patients (15 men, 9 women; mean age 64 years) comparing 50mg of spironolactone (n = 13) vs...
September 20, 2016: American Journal of Hypertension
Alfredo Costa, Daniele Bosone, Matteo Cotta Ramusino, Natascia Ghiotto, Elena Guaschino, Annalisa Zoppi, Angela D'Angelo, Roberto Fogari
PURPOSE: The aim of this study was to evaluate the relationship between orthostatic hypotension (OH), defined as a decrease in systolic blood pressure (SBP) ≥20 mmHg and/or a decrease in diastolic blood pressure (DBP) ≥10 mmHg, and 24-h ambulatory BP profile in elderly hypertensive type 2 diabetic patients. METHODS: After a 2-week antihypertensive wash-out period, 200 hypertensive well-controlled diabetic outpatients, aged 65-75 years, underwent a clinical examination, including BP measurements, ECG, 24-h ABP monitoring (ABPM), an orthostatic test, and three tests for cardiovascular autonomic function assessment [deep breathing, heart rate (HR) variability, resting HR]...
September 13, 2016: Clinical Autonomic Research: Official Journal of the Clinical Autonomic Research Society
Mark Reinhard, Per L Poulsen, Kent L Christensen
OBJECTIVE: We investigated the agreement between elevated outpatient clinic office blood pressure (OC-OBP) as measured in the daily routine in our University Hospital Cardiology Outpatient Clinic and subsequent awake ambulatory blood pressure (AABP). METHODS: In all patients referred for ambulatory blood pressure monitoring from our Cardiology Outpatient Clinic, we identified OC-OBP and changes in medication in the period from 1 January 2014 to 15 September 2015...
September 12, 2016: Blood Pressure Monitoring
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
E Dolan, E O'Brien
OBJECTIVE: Hypertension is the most common modifiable risk factor for cardiovascular disease. It is also the fastest growing reason for renal replacement therapy. Ambulatory blood pressure (ABP) has consistently been shown to be a superior predictor of cardiovascular risk to that measured in the clinic setting. There is however limited data in its use to risk stratify patients with renal dysfunction We studied the relationship between ABP and renal disease in a in a cohort of non-diabetic hypertensive patients...
September 2016: Journal of Hypertension
Stefano Omboni, Dagnovar Aristizabal, Alejandro De la Sierra, Eamon Dolan, Geoffrey Head, Thomas Kahan, Ilkka Kantola, Kazuomi Kario, Kalina Kawecka-Jaszcz, Leoné Malan, Krzysztof Narkiewicz, José A Octavio, Takayoshi Ohkubo, Paolo Palatini, Jarmila Siègelovà, Eglé Silva, George Stergiou, Yuqing Zhang, Giuseppe Mancia, Gianfranco Parati
OBJECTIVE: The Ambulatory blood pressure Registry TEleMonitoring of hypertension and cardiovascular rISk project was designed to set up an international registry including clinic blood pressure (CBP) and ambulatory blood pressure (ABP) measurements in patients attending hypertension clinics in all five continents, aiming to assess different daily life hypertension types. METHODS: Cross-sectional ABP, CBP and demographic data, medical history and cardiovascular risk profile were provided from existing databases by hypertension clinics...
November 2016: Journal of Hypertension
A de la Sierra
Clinical blood pressure measurement (BP) is an occasional and imperfect way of estimating this biological variable. Ambulatory blood pressure monitoring (ABPM) is by far the best clinical tool for measuring an individual's blood pressure. Mean values over 24h, through the daytime and at night all make it more possible to predict organic damage and the future development of the disorder. ABPM enables the detection of white-coat hypertension and masked hypertension in both the diagnosis and follow-up of treated patients...
July 26, 2016: Hipertensión y Riesgo Vascular
Doğan Erdoğan, Atilla İçli, Fatih Aksoy, Salaheddin Akçay, Habil Yücel, İbrahim Ersoy, Mehmet Özaydın
OBJECTIVE: Failure to decrease blood pressure (BP) during the night is associated with higher cardiovascular (CV) morbidity and mortality. There is strong evidence that fixed-dose combinations (FDCs) of antihypertensive agents are associated with significant improvement and non-significant adverse effects. The aim of the present study was to evaluate whether FDC affected nocturnal BP favorably in patients with uncontrolled, non-dipper hypertension (HT). METHODS: All non-dipper hypertensives were either newly diagnosed with stage 2-3 HT or had HT uncontrolled with monotherapy...
July 2016: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
Kenechukwu Mezue, Godsent Isiguzo, Chichi Madu, Geoffrey Nwuruku, Janani Rangaswami, Dainia Baugh, Ernest Madu
PURPOSE: A non-dipping pattern of nocturnal blood pressure in hypertensive patients is an established predictor of cardiovascular risk, especially in Blacks. However, data on non-dipping normotensives and cardiovascular risk in this population is sparse. In this study, we aim to determine if a non-dipping profile in a cohort of Black normotensives is associated with cardiac target organ damage. METHODS: We studied ambulatory blood pressure patterns in 43 normotensive Black patients of Caribbean origin and classified their profiles as dippers (DP) and non-dippers (NDP) based on their nocturnal blood pressure profiles...
2016: Ethnicity & Disease
Yuko Ohta, Yuhei Kawano, Shinichiro Hayashi, Yoshio Iwashima, Fumiki Yoshihara, Satoko Nakamura
We investigated the influence of cigarette smoking on the levels and circadian patterns of blood pressure (BP), heart rate (HR), and HR variability (HRV) in hypertensive patients. Sixteen hypertensive smokers (57 ± 2 years old) receiving antihypertensive treatments participated in this study. Ambulatory monitoring of BP, HR, and electrocardiograms was performed every 30 min for 24 hours on a smoking day and nonsmoking day in a randomized crossover manner. Average 24-hour BP and daytime BP were significantly higher in the smoking period than in the nonsmoking period...
2016: Clinical and Experimental Hypertension: CHE
N Hoffmann-Petersen, T Lauritzen, J N Bech, E B Pedersen
Telemonitoring of home blood pressure measurements (TBPM) is a new and promising supplement to diagnosis, control and treatment of hypertension. We wanted to compare the outcome of antihypertensive treatment based on TBPM and conventional monitoring of blood pressure. Participants were recruited from a prevalence study among citizens aged 55-64 years in the municipality of Holstebro, Denmark. The study was a randomized, controlled, unblinded 3 months' trial. In the intervention group, antihypertensive treatment was based on TBPM with transmission of the measurements and subsequent communication by telephone or e-mail...
June 23, 2016: Journal of Human Hypertension
Gagandeep Kaur, Craig L Phillips, Keith Wong, Andrew J McLachlan, Bandana Saini
Chronotherapy involves the administration of medication in coordination with the body's circadian rhythms to maximise therapeutic effectiveness and minimise/avoid adverse effects. The aim of this study is to investigate the "time of administration" recommendations on chronotherapy for commonly-prescribed medicines in Australia. This study also aimed to explore the quality of information on the timing of administration presented in drug information sources, such as consumer medicine information (CMI) and approved product information (PI)...
2016: Pharmaceutics
Andi Kristanto, Randy Adiwinata, Silvia Suminto, Benny N Kurniawan, Finna Christianty, Robert Sinto
The body circardian rhythm affects blood pressure variability at day and night, therefore blood pressure at day and night might be different. Nocturnal hypertension is defined as increase of blood pressure >120/70mmHg at night, which is caused by disturbed circadian rhythm, and associated with higher cardiovascular and cerebrovascular events also mortality in hypertensive patients. Nocturnal hypertension and declining blood pressure pattern, can only be detected by continuous examination for 24 hours, also known as ambulatory blood pressure measurement (ABPM)...
January 2016: Acta Medica Indonesiana
Hiroko Mori, Yosuke Okada, Mayuko Kawaguchi, Yoshiya Tanaka
Dapagliflozin, a selective inhibitor of sodium glucose co-transporter 2 (SGLT2), is a novel glucose-lowering agent that has pleiotropic actions on blood pressure and lipids. Its glucose-lowering effect is not mediated by insulin. We report a type 2 diabetic patient whose blood pressure pattern improved from non-dipper to dipper after treatment with dapagliflozin. The 60-year-old man was treated with 5 mg/day dapagliflozin, and the effect of treatment on his blood pressure (BP) was evaluated by ambulatory blood pressure monitoring (ABPM) before and at 8 and 14 days after the start of treatment...
June 1, 2016: Journal of UOEH
Yuanyuan Sun, Xiao Yu, Junni Liu, Nannan Zhou, Liming Chen, Yong Zhao, Xiaodong Li, Jianchun Wang, Lianqun Cui
BACKGROUND: Bedtime administration of antihypertensive drugs currently receives more at-tention, but no clear consensus has been reached on the blood pressure (BP)-lowering effect of this strategy. METHODS: We systematically searched literature for clinical trials of ingestion time of anti-hypertensive drugs evaluated by ambulatory blood pressure monitoring (ABPM) to perform a meta-analysis which aimed at determining the difference in diurnal, nocturnal, and 24-h mean of systolic BP (SBP) and diastolic BP (DBP), absolute BP reduction from baseline between bedtime administration group (experimental group) and morning (awaking) administration group (control group)...
2016: Cardiology Journal
Krishna K Patel, Laura Young, Erik H Howell, Bo Hu, Gregory Rutecki, George Thomas, Michael B Rothberg
IMPORTANCE: The prevalence and short-term outcomes of hypertensive urgency (systolic blood pressure ≥180 mm Hg and/or diastolic blood pressure ≥110 mm Hg) are unknown. Guidelines recommend achieving blood pressure control within 24 to 48 hours. However, some patients are referred to the emergency department (ED) or directly admitted to the hospital, and whether hospital management is associated with better outcomes is unknown. OBJECTIVES: To describe the prevalence of hypertensive urgency and the characteristics and short-term outcomes of these patients, and to determine whether referral to the hospital is associated with better outcomes than outpatient management...
July 1, 2016: JAMA Internal Medicine
Elbis Ahbap, Tamer Sakaci, Ekrem Kara, Tuncay Sahutoglu, Yener Koc, Taner Basturk, Mustafa Sevinc, Cuneyt Akgol, Arzu O Kayalar, Zuhal A Ucar, Feyza Bayraktar, Abdulkadir Unsal
OBJECTIVES: The goal of this study was to evaluate the relationship between serum albumin levels and 24-hour ambulatory blood pressure monitoring (24-h ABPM) recordings in non-diabetic essential hypertensive patients. METHODS: A total of 354 patients (mean [SD] age: 55.5 [14.3] years, 50% females) with essential hypertension and 24-h ABPM recordings were included. Patient 24-h nighttime and daytime ABPM values, systolic and diastolic dipping status and average nocturnal dipping were recorded...
May 2016: Clinics
2016-06-16 03:48:33
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