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Ambulatory BP monitoring

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78 papers 0 to 25 followers Articles related to ABPM
By Michael Kelly Assistant Professor
https://www.readbyqxmd.com/read/29735633/atrial-fibrillation-detection-during-24-hour-ambulatory-blood-pressure-monitoring-comparison-with-24-hour-electrocardiography
#1
Anastasios Kollias, Antonios Destounis, Petros Kalogeropoulos, Konstantinos G Kyriakoulis, Angeliki Ntineri, George S Stergiou
This study assessed the diagnostic accuracy of a novel 24-hour ambulatory blood pressure (ABP) monitor (Microlife WatchBP O3 Afib) with implemented algorithm for automated atrial fibrillation (AF) detection during each ABP measurement. One hundred subjects (mean age 70.6±8.2 [SD] years; men 53%; hypertensives 85%; 17 with permanent AF; 4 paroxysmal AF; and 79 non-AF) had simultaneous 24-hour ABP monitoring and 24-hour Holter monitoring. Among a total of 6410 valid ABP readings, 1091 (17%) were taken in ECG AF rhythm...
May 7, 2018: Hypertension
https://www.readbyqxmd.com/read/29669232/relationship-between-clinic-and-ambulatory-blood-pressure-measurements-and-mortality
#2
MULTICENTER STUDY
José R Banegas, Luis M Ruilope, Alejandro de la Sierra, Ernest Vinyoles, Manuel Gorostidi, Juan J de la Cruz, Gema Ruiz-Hurtado, Julián Segura, Fernando Rodríguez-Artalejo, Bryan Williams
BACKGROUND: Evidence for the influence of ambulatory blood pressure on prognosis derives mainly from population-based studies and a few relatively small clinical investigations. This study examined the associations of blood pressure measured in the clinic (clinic blood pressure) and 24-hour ambulatory blood pressure with all-cause and cardiovascular mortality in a large cohort of patients in primary care. METHODS: We analyzed data from a registry-based, multicenter, national cohort that included 63,910 adults recruited from 2004 through 2014 in Spain...
April 19, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29627767/attended-and-unattended-automated-office-blood-pressure-measurements-have-better-agreement-with-ambulatory-monitoring-than-conventional-office-readings
#3
Emmanuel A Andreadis, Charalampia V Geladari, Epameinondas T Angelopoulos, Florentia S Savva, Anna I Georgantoni, Vasilios Papademetriou
BACKGROUND: Automated office blood pressure (AOBP) measurement is superior to conventional office blood pressure (OBP) because it eliminates the "white coat effect" and shows a strong association with ambulatory blood pressure. METHODS AND RESULTS: We conducted a cross-sectional study in 146 participants with office hypertension, and we compared AOBP readings, taken with or without the presence of study personnel, before and after the conventional office readings to determine whether their variation in blood pressure showed a difference in blood pressure values...
April 7, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29548934/effects-on-repetitive-24-hour-ambulatory-blood-pressure-in-subjects-with-type-ii-diabetes-randomized-to-liraglutide-or-glimepiride-treatment-both-in-combination-with-metformin-a-randomized-open-parallel-group-study
#4
Johan Jendle, Xin Fang, Yang Cao, Leif Bojö, Bo K Nilsson, Fredric Hedberg, Irene Santos-Pardo, Thomas Nyström
In this post hoc study, we aimed to investigate liraglutide treatment on repetitive 24-hour blood pressure (BP) in patients with type II diabetes. Sixty-two individuals with type II diabetes (45 males) were randomized to 1.8 mg liraglutide once daily or 4 mg glimepiride together with 1 g metformin twice daily. Ambulatory 24-hour systolic and diastolic blood pressure (sBP/dBP) was repetitively measured at baseline, 2 weeks, and 18 weeks. Outcomes were evaluated as treatment change from baseline, 2 weeks, and 18 weeks...
February 16, 2018: Journal of the American Society of Hypertension: JASH
https://www.readbyqxmd.com/read/29531290/risk-of-incident-chronic-kidney-disease-is-better-reduced-by-bedtime-than-upon-awakening-ingestion-of-hypertension-medications
#5
Ramón C Hermida, Diana E Ayala, Artemio Mojón, José R Fernández
This trial investigated whether therapy with the entire daily dose of ≥1 hypertension medications at bedtime exerts a greater reduction in the risk of incident chronic kidney disease (CKD) than therapy with all medications upon awakening. We conducted a prospective, open-label, blinded endpoint trial of 2078 hypertensive patients without CKD (1017 men/1061 women, 53.6 ± 13.7 years of age) randomized to ingest all their prescribed hypertension medications upon awakening (n = 1041) or the entire daily dose of ≥1 of those medications at bedtime (n = 1037)...
May 2018: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/29517128/noctural-dipping-status-and-left-ventricular-hypertrophy-a-cardiac-magnetic-resonance-imaging-study
#6
Jonathan C L Rodrigues, Antonio Matteo Amadu, Amardeep Ghosh Dastidar, Iwan Harries, Amy E Burchell, Laura E K Ratcliffe, Emma C Hart, Mark C K Hamilton, Julian F R Paton, Angus K Nightingale, Nathan E Manghat
We investigate the impact of dipper status on cardiac structure with cardiovascular magnetic resonance (CMR). Ambulatory blood pressure monitoring and 1.5T CMR were performed in 99 tertiary hypertension clinic patients. Subgroup analysis by extreme dipper (n = 9), dipper (n = 39), non-dipper (n = 35) and reverse dipper (n = 16) status was performed, matched in age, gender and BMI. Left ventricular (LV) mass was significantly higher for extreme dippers than dippers after correction for covariates (100 ± 6 g/m2 vs 79 ± 3 g/m2 , P = ...
April 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29423914/hypertension-new-perspective-on-its-definition-and-clinical-management-by-bedtime-therapy-substantially-reduces-cardiovascular-disease-risk
#7
REVIEW
Ramón C Hermida, Diana E Ayala, José R Fernández, Artemio Mojón, Michael H Smolensky
Diagnosis of hypertension-elevated blood pressure (BP) associated with increased cardiovascular disease (CVD) risk-and its management for decades have been based primarily on single time-of-day office BP measurements (OBPM) assumed representative of systolic (SBP) and diastolic BP (DBP) during the entire 24-hours span. Around-the-clock ambulatory blood pressure monitoring (ABPM), however, reveals BP undergoes 24-hours patterning characterized in normotensives and uncomplicated hypertensives by striking morning-time rise, 2 daytime peaks-one ~2-3 hours after awakening and the other early evening, small midafternoon nadir and 10-20% decline (BP dipping) in the asleep BP mean relative to the wake-time BP mean...
May 2018: European Journal of Clinical Investigation
https://www.readbyqxmd.com/read/29404785/implementing-abpm-into-clinical-practice
#8
Alan L Hinderliter, Raven A Voora, Anthony J Viera
PURPOSE OF REVIEW: To review the data supporting the use of ambulatory blood pressure monitoring (ABPM), and to provide practical guidance for practitioners who are establishing an ambulatory monitoring service. RECENT FINDINGS: ABPM results more accurately reflect the risk of cardiovascular events than do office measurements of blood pressure. Moreover, many patients with high blood pressure in the office have normal blood pressure on ABPM-a pattern known as white coat hypertension-and have a prognosis similar to individuals who are normotensive in both settings...
February 5, 2018: Current Hypertension Reports
https://www.readbyqxmd.com/read/29390325/evaluation-of-tolerance-to-ambulatory-blood-pressure-monitoring-analysis-of-dipping-profile-in-a-large-cohort-of-hypertensive-patients
#9
Gino Iannucci, Luigi Petramala, Giuseppe La Torre, Barbara Barbaro, Clara Balsano, Pietro Giacomo Curatulo, Francesco Amadei, Marino Paroli, Antonio Concistrè, Claudio Letizia
Ambulatory blood pressure monitoring (ABPM) is a helpful tool to comprehensively identify and diagnose arterial hypertension. Moreover, it allows to better identify alterations in the circadian BP profile, as the nocturnal "nondipping" status, characterized by a lack of the physiological 10% night BP reduction and associated with a greater risk of target organ damage. However, ABPM has some limitations such as restricted availability, discomfort, particularly at night, cost implications, and reproducibility...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29370468/association-of-ambulatory-blood-pressure-variability-with-coronary-artery-calcium
#10
Bailey DeBarmore, Feng-Chang Lin, Laura A Tuttle, Emily Olsson, Alan Hinderliter, Jeffrey L Klein, Anthony J Viera
Blood pressure (BP) variability is associated with progression to clinical atherosclerosis. The evidence is inconclusive if BP variability predicts cardiovascular outcomes in low-risk populations. The aim of this study was to analyze the association of 24-hour BP variability with coronary artery calcium (CAC) among a group of individuals without coronary artery disease. The Masked Hypertension Study targeted patients with borderline high BP (120-149 mm Hg systolic and/or 80-95 mm Hg diastolic). Ambulatory blood pressure monitoring (ABPM) was performed at two time-points, 8 days apart...
February 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29384243/ambulatory-blood-pressure-in-the-dash-diet-trial-effects-of-race-and-albuminuria
#11
Crystal C Tyson, Huiman Barnhart, Shelly Sapp, Victor Poon, Pao-Hwa Lin, Laura P Svetkey
We evaluated whether low-grade albuminuria or black race modulates ambulatory blood pressure (BP) or nocturnal BP response to the DASH diet. Among 202 adults enrolled in the DASH multicenter trial who were fed the DASH or control diet for 8 weeks, reductions in 24-hour daytime and nighttime SBP and DBP were significantly larger for DASH compared to control. Median changes in nocturnal BP dipping were not significant. Compared to urine albumin excretion of <7 mg/d, ≥7 mg/d was associated with larger significant median reductions in 24-hour SBP (-7...
February 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29370477/prevalence-and-clinical-outcomes-of-white-coat-and-masked-hypertension-analysis-of-a-large-ambulatory-blood-pressure-database
#12
Giuliano Tocci, Vivianne Presta, Ilaria Figliuzzi, Nadia Attalla El Halabieh, Allegra Battistoni, Roberta Coluccia, Michela D'Agostino, Andrea Ferrucci, Massimo Volpe
The aim of this study was to analyze prevalence and clinical outcomes of the following clinical conditions: normotension (NT; clinic BP < 140/90 mm Hg; 24-hour BP < 130/80 mm Hg), white-coat hypertension (WCHT; clinic BP ≥ 140 and/or ≥90 mm Hg; 24-hour BP < 130/80 mm Hg), masked hypertension (MHT; clinic BP < 140/90 mm Hg; 24-hour BP ≥ 130 and/or ≥80 mm Hg), and sustained hypertension (SHT; clinic BP ≥ 140 and/or ≥90 mm Hg; 24-hour BP ≥ 130 and/or ≥80 mm Hg) in a large cohort of adult untreated individuals...
February 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29334262/a-multicentre-study-on-unattended-automated-office-blood-pressure-measurement-in-treated-hypertensive-patients
#13
Jan Filipovský, Jitka Seidlerová, Jiří Ceral, Petra Vysočanová, Jiří Špác, Miroslav Souček, Ivan Řiháček, Markéta Mateřánková, Petr König, Hana Rosolová
AIMS: Unattended automated office blood pressure (uAutoOBP) may eliminate white-coat effect. In the present study, we studied its relationships to attended office blood pressure (BP) and ambulatory BP monitoring (ABPM). MATERIAL AND METHODS: Stable treated hypertensive subjects were examined in four Czech academic hypertension centres. uAutoOBP was measured with the BP Tru device; attended BP was measured six times: three times with auscultatory method (AuscOBP) by the physician followed optionally by three oscillometric measurements (OscOBP)...
January 15, 2018: Blood Pressure
https://www.readbyqxmd.com/read/29316213/comparative-effects-of-valsartan-plus-either-cilnidipine-or-hydrochlorothiazide-on-home-morning-blood-pressure-surge-evaluated-by-information-and-communication-technology-based-nocturnal-home-blood-pressure-monitoring
#14
Takeshi Fujiwara, Naoko Tomitani, Hiroshi Kanegae, Kazuomi Kario
The authors tested the hypothesis that a valsartan/cilnidipine combination would suppress the home morning blood pressure (BP) surge (HMBPS) more effectively than a valsartan/hydrochlorothiazide combination in patients with morning hypertension, defined as systolic BP (SBP) ≥135 mm Hg or diastolic BP ≥85 mm Hg assessed by a self-measuring information and communication technology-based home BP monitoring device more than three times before either combination's administration. This was an 8-week prospective, multicenter, randomized, open-label clinical trial...
January 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29126128/identification-of-the-optimal-protocol-for-automated-office-blood-pressure-measurement-among-patients-with-treated-hypertension
#15
Myles N Moore, Martin G Schultz, Mark R Nelson, J Andrew Black, Nathan B Dwyer, Ella Hoban, Matthew D Jose, Wojciech Kosmala, Monika Przewlocka-Kosmala, Jowita Zachwyc, Petr Otahal, Dean S Picone, Philip Roberts-Thomson, Panagiota Veloudi, James E Sharman
BACKGROUND: Automated office blood pressure (AOBP) involving repeated, unobserved blood pressure (BP) readings during one clinic visit is recommended for in-office diagnosis and assessment of hypertension. However, the optimal AOBP protocol to determine BP control in the least amount of time with the fewest BP readings is yet to be determined and was the aim of this study. METHODS: One hundred and eighty-nine patients (mean age 62.8 ± 12.1 years; 50.3% female) with treated hypertension referred to specialist clinics at 2 sites underwent AOBP in a quiet room alone...
February 9, 2018: American Journal of Hypertension
https://www.readbyqxmd.com/read/29106031/comparison-of-morning-vs-bedtime-administration-of-the-combination-of-valsartan-amlodipine-on-nocturnal-brachial-and-central-blood-pressure-in-patients-with-hypertension
#16
Takeshi Fujiwara, Satoshi Hoshide, Yuichiro Yano, Hiroshi Kanegae, Kazuomi Kario
The aim of this study was to compare the effect of morning and bedtime administration of valsartan/amlodipine combination therapy (80/5 mg) on nocturnal brachial and central blood pressure (BP) measured by ambulatory BP monitoring in patients with hypertension. This was a 16-week prospective, multicenter, randomized, open-label, crossover, noninferiority clinical trial. Patients underwent 24-hour ambulatory BP monitoring at randomization, at switching, and at the end of the study. Twenty-three patients (mean age, 68...
December 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29070829/hemoglobin-a1c-and-c-reactive-protein-are-independently-associated-with-blunted-nocturnal-blood-pressure-dipping-in-obesity-related-prediabetes
#17
Abbi D Lane-Cordova, Graziela Z Kalil, Christopher J Wagner, Amy L Sindler, Jess G Fiedorowicz, Tiwaloluwa Ajibewa, William G Haynes, Gary L Pierce
Blunted nocturnal dipping in blood pressure (BP) is associated with increased cardiovascular disease (CVD) risk in middle-aged/older adults. The prevalence of blunted nocturnal BP dipping is higher in persons with obesity and diabetes, conditions that are also associated with elevated aortic stiffness and inflammation. Therefore, we hypothesized that elevated glycemia, inflammation and aortic stiffness would be inversely associated with the magnitude of nocturnal systolic BP dipping among middle-aged/older adults with obesity at high CVD risk...
January 2018: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/29051214/24-hour-blood-pressure-variability-assessed-by-average-real-variability-a-systematic-review-and-meta-analysis
#18
REVIEW
Luis J Mena, Vanessa G Felix, Jesus D Melgarejo, Gladys E Maestre
BACKGROUND: Although 24-hour blood pressure (BP) variability (BPV) is predictive of cardiovascular outcomes independent of absolute BP levels, it is not regularly assessed in clinical practice. One possible limitation to routine BPV assessment is the lack of standardized methods for accurately estimating 24-hour BPV. We conducted a systematic review to assess the predictive power of reported BPV indexes to address appropriate quantification of 24-hour BPV, including the average real variability (ARV) index...
October 19, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28865783/bedtime-blood-pressure-chronotherapy-significantly-improves-hypertension-management
#19
REVIEW
Ramón C Hermida, Diana E Ayala, José R Fernández, Artemio Mojón, Juan J Crespo, María T Ríos, Michael H Smolensky
Consistent evidence of numerous studies substantiates the asleep blood pressure (BP) mean derived from ambulatory BP monitoring (ABPM) is both an independent and a stronger predictor of cardiovascular disease (CVD) risk than are daytime clinic BP measurements or the ABPM-determined awake or 24-hour BP means. Hence, cost-effective adequate control of sleep-time BP is of marked clinical relevance. Ingestion time, according to circadian rhythms, of hypertension medications of 6 different classes and their combinations significantly improves BP control, particularly sleep-time BP, and reduces adverse effects...
October 2017: Heart Failure Clinics
https://www.readbyqxmd.com/read/28942607/abnormal-blood-pressure-dipping-in-diabetic-kidney-disease-a-black-race-nightmare
#20
Konstantinos Stavropoulos, Konstantinos P Imprialos, Michael Doumas
No abstract text is available yet for this article.
December 2017: Journal of Clinical Hypertension
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