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Ambulatory BP monitoring

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47 papers 0 to 25 followers Articles related to ABPM
By Michael Kelly Assistant Professor
https://www.readbyqxmd.com/read/28493376/evaluation-of-the-angiotensin-ii-receptor-blocker-azilsartan-medoxomil-in-african-american-patients-with-hypertension
#1
Wallace Johnson, William B White, Domenic Sica, George L Bakris, Michael A Weber, Alison Handley, Alfonso Perez, Charlie Cao, Stuart Kupfer, Elijah B Saunders
The efficacy and safety of azilsartan medoxomil (AZL-M) were evaluated in African-American patients with hypertension in a 6-week, double-blind, randomized, placebo-controlled trial, for which the primary end point was change from baseline in 24-hour mean systolic blood pressure (BP). There were 413 patients, with a mean age of 52 years, 57% women, and baseline 24-hour BP of 146/91 mm Hg. Treatment differences in 24-hour systolic BP between AZL-M 40 mg and placebo (-5.0 mm Hg; 95% confidence interval, -8...
May 11, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28493378/blood-pressure-control-and-cardiovascular-risk-in-hypertensive-patients-with-type-2-diabetes-the-german-t2target-registry
#2
Thomas Mengden, Uwe Ligges, Johanna Mielke, Peter Bramlage, Andrea Korzinek, Walter Sehnert
Blood pressure control in patients with type 2 diabetes and hypertension is poor. It is unclear how effectively general practitioners assess and treat such patients. T2Target included hypertensive patients with type 2 diabetes mellitus who had undergone ambulatory blood pressure monitoring within the past 3 months. Recordings were analyzed by the general practitioner and an independent center and the conclusions were compared. Nighttime hypertension was reported less frequently by the general practitioner in comparison with central assessment (43...
May 11, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28422891/relationship-and-associated-mechanisms-between-ambulatory-blood-pressure-and-clinic-blood-pressure-with-prevalent-cardiovascular-disease-in-diabetic-hypertensive-patients
#3
Zirui Hao, Guiping Li, Yue Sun, Yan Liu
The present study was to compare the association between ambulatory blood pressure (ABP) and clinic BP (CBP) with prevalent cardiovascular diseases (CVD); and the underlying mechanism would also be investigated concurrently.Diabetic hypertensive patients were enrolled and divided into 2 groups based on presence of CVD. Twenty-four hour-ABP monitoring was performed and between-group differences were evaluated and logistic regression analysis was conducted.A total of 568 diabetic hypertensive patients were enrolled, and the mean age was 60...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28387058/impact-of-empagliflozin-on-blood-pressure-in-dipper-and-non-dipper-patients-with-type-2-diabetes-mellitus-and-hypertension
#4
Robert Chilton, Ilkka Tikkanen, Uwe Hehnke, Hans J Woerle, Odd Erik Johansen
In the EMPA-REG BP® trial, empagliflozin significantly reduced systolic and diastolic blood pressure (SBP and DBP) versus placebo at week 12 in patients with type 2 diabetes mellitus (T2DM) and hypertension. In a post-hoc analysis, we assessed the effect of empagliflozin on SBP and DBP using 24-hour ambulatory BP monitoring in patients categorized as dippers (sleep-time mean SBP ≤90% of awake-time mean; n = 417) or non-dippers (sleep-time mean SBP >90% of awake-time mean; n = 350). In dippers, adjusted mean (SE) changes from baseline in mean 24-hour SBP (mmHg) at week 12 were -0...
April 6, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/28360059/the-chronotherapy-of-hypertension-or-the-benefit-of-taking-blood-pressure-tablets-at-bedtime
#5
Gervase Vernon
No abstract text is available yet for this article.
April 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28338503/efficacy-and-safety-of-crystalline-valsartan-sacubitril-lcz696-compared-to-placebo-and-combinations-of-free-valsartan-and-sacubitril-in-patients-with-systolic-hypertension-the-ratio-study
#6
Joseph L Izzo, Dion H Zappe, Yan Jia, Kudsia Hafeez, Jack Zhang
We compared the systolic blood pressure-lowering efficacy and safety of crystalline valsartan/sacubitril (LCZ696, an angiotensin receptor blocker-neprilysin inhibitor) 400 mg daily against valsartan (320 mg once daily) alone or co-administered with placebo or increasing doses of free sacubitril (50, 100, 200, or 400 mg once daily) in order to identify the optimal antihypertensive combination dose. This multicenter, double-blinded, 7-arm parallel-group study recruited patients with mild-to-moderate systolic hypertension (office systolic BP 150-179 mmHg)...
March 23, 2017: Journal of Cardiovascular Pharmacology
https://www.readbyqxmd.com/read/28246017/magnitude-of-hypotension-based-on-office-and-ambulatory-blood-pressure-monitoring-results-from-a-cohort-of-5066-treated-hypertensive-patients-aged-80%C3%A2-years-and-older
#7
Juan A Divisón-Garrote, Luis M Ruilope, Alejandro de la Sierra, Juan J de la Cruz, Ernest Vinyoles, Manuel Gorostidi, Carlos Escobar-Cervantes, Sonsoles M Velilla-Zancada, Julián Segura, José R Banegas
BACKGROUND AND OBJECTIVE: Elderly patients can be particularly susceptible to the adverse effects of excessive blood pressure (BP) lowering by antihypertensive treatment. The identification of hypotension is thus especially important. Ambulatory BP monitoring (ABPM) is a more accurate technique than office for classifying BP status. This study examined the prevalence of hypotension and associated demographic and clinical factors among very old treated hypertensive patients undergoing ABPM...
May 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28188315/how-in-office-and-ambulatory-bp-monitoring-compare-a-systematic-review-and-meta-analysis
#8
Sergio Reino-Gonzalez, Salvador Pita-Fernández, Teresa Seoane-Pillado, Beatriz López-Calviño, Sonia Pértega Díaz
Isolated office BP measurement is insufficient to confirm or rule out poorly controlled hypertension, and it increases the likelihood of under- or overestimating BP control.
January 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28164170/ambulatory-blood-pressure-in-chronic-kidney-disease-ready-for-prime-time
#9
Manuel T Velasquez, Srinivasan Beddhu, Ehsan Nobakht, Mahboob Rahman, Dominic S Raj
Hypertension is common in patients with chronic kidney disease (CKD) and is the most important modifiable risk factor for CKD progression and adverse cardiovascular events in these patients. Diagnosis and successful management of hypertension are critically dependent on accurate blood pressure (BP) measurement. This is most relevant to CKD patients, in whom BP control is difficult to achieve and in whom early antihypertensive treatment is imperative to prevent kidney and cardiovascular complications. Accumulated data indicate that ambulatory blood pressure monitoring (ABPM) is better in detecting hypertension than office BP measurement...
July 2016: KI Reports
https://www.readbyqxmd.com/read/28159431/cost-effectiveness-of-ambulatory-blood-pressure-monitoring-in-the-management-of-hypertension
#10
Diogo Costa, Ricardo Peixoto Lima
INTRODUCTION AND OBJECTIVES: The prevalence of hypertension in Portugal is between 29.1% and 42.2%. International studies show that 13% of individuals have masked hypertension and 13% of diagnoses based on office blood pressure measurements are in fact white coat hypertension. More sensitive and specific blood pressure measuring methods could avoid costs associated with misdiagnosis. The aim of this study was to review the cost-effectiveness of ambulatory blood pressure monitoring (ABPM) compared to other methods in the management of hypertension...
February 2017: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/28160382/association-between-nondipper-pulse-rate-and-measures-of-cardiac-overload-the-j-hop-study
#11
Yusuke Oba, Tomoyuki Kabutoya, Satoshi Hoshide, Kazuo Eguchi, Kazuomi Kario
This study aimed to investigate the relationship between nondipper pulse rate (PR) and hypertensive target organ damage. Ambulatory blood pressure monitoring was conducted in 940 high-risk Japanese patients enrolled in the Japan Morning Surge Home Blood Pressure Study. Nondipper PR was defined as (awake PR-sleep PR)/awake PR <0.1. The authors measured the patients' brain natriuretic peptide (BNP) and left ventricular mass index (LVMI). The nondipper PR group (n=213) had a significantly higher prevalence of high BNP (≥35 pg/mL, 39...
February 3, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28129251/effects-of-the-glucagon-like-peptide-1-receptor-agonist-liraglutide-on-24-h-ambulatory-blood-pressure-in-patients-with-type-2-diabetes-and-stable-coronary-artery-disease-a-randomized-double-blind-placebo-controlled-crossover-study
#12
Preman Kumarathurai, Christian Anholm, Andreas Fabricius-Bjerre, Olav W Nielsen, Ole Kristiansen, Sten Madsbad, Steen B Haugaard, Ahmad Sajadieh
OBJECTIVE: The glucagon-like peptide-1 receptor agonist liraglutide has been shown to reduce blood pressure (BP) in clinical trials using office BP measurements. However, the effects of liraglutide on 24-h BP and on the diurnal variation in BP have not been explored sufficiently. METHODS: Forty-one patients with type 2 diabetes and stable coronary artery disease were randomized to receive liraglutide or placebo to a backbone therapy of metformin in this double-blind, placebo-controlled 12 along with 12 weeks crossover study...
January 27, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28093466/effects-of-sacubitril-valsartan-versus-olmesartan-on-central-hemodynamics-in-the-elderly-with-systolic-hypertension-the-parameter-study
#13
Bryan Williams, John R Cockcroft, Kazuomi Kario, Dion H Zappe, Patrick C Brunel, Qian Wang, Weinong Guo
Effective treatment of systolic hypertension in elderly patients remains a major therapeutic challenge. A multicenter, double-blind, randomized controlled trial with sacubitril/valsartan (LCZ696), a first-in-class angiotensin receptor neprilysin inhibitor, was conducted to determine its effects versus olmesartan (angiotensin receptor blocker) on central aortic pressures, in elderly patients (aged ≥60 years) with systolic hypertension and pulse pressure >60 mm Hg, indicative of arterial stiffness. Patients (n=454; mean age, 67...
March 2017: Hypertension
https://www.readbyqxmd.com/read/28028191/clinic-versus-daytime-ambulatory-blood-pressure-difference-in-hypertensive-patients-the-impact-of-age-and-clinic-blood-pressure
#14
José R Banegas, Luis M Ruilope, Alejandro de la Sierra, Ernest Vinyoles, Manuel Gorostidi, Juan J de la Cruz, Julián Segura, Anna Oliveras, Nieves Martell, Juan García-Puig, Bryan Williams
Clinic blood pressure (BP) is usually higher than daytime ambulatory BP in hypertensive patients, but some recent studies have challenged this view, suggesting that this relationship is strongly influenced by age. We used the Spanish ambulatory BP monitoring cohort to examine differences between clinic and daytime BP by age among 104 639 adult hypertensive patients (office systolic/diastolic BP ≥140/90 mm Hg or treated) in usual primary-care practice, across the wide age spectrum. To assess the impact of age, cardiovascular variables, and clinic BP on the clinic-daytime BP differences, we built multivariable regression models of the average BP differences, white-coat hypertension (high clinic BP and normal daytime BP), and masked hypertension (normal clinic BP and high daytime BP)...
February 2017: Hypertension
https://www.readbyqxmd.com/read/27991714/how-should-ambulatory-blood-pressure-measurement-be-used-in-general-practice
#15
Eamon Dolan, Eoin O'Brien
No abstract text is available yet for this article.
December 19, 2016: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/27974526/chronotherapy-for-hypertension-in-obstructive-sleep-apnoea-chosa-a-randomised-double-blind-placebo-controlled-crossover-trial
#16
Yasmina Serinel, Brendon J Yee, Ronald R Grunstein, Keith H Wong, Peter A Cistulli, Hisatomi Arima, Craig L Phillips
BACKGROUND: Obstructive sleep apnoea (OSA) is an important cause of secondary hypertension. Nocturnal hypertension is particularly prevalent in OSA and is a strong predictor of cardiovascular mortality. Studies in patients with essential hypertension have suggested that nocturnal administration of antihypertensives improves nocturnal blood pressure (BP) without elevating daytime BP. We evaluated the efficacy of this technique in patients with OSA with stage I/II hypertension, both before and after the addition of CPAP...
December 14, 2016: Thorax
https://www.readbyqxmd.com/read/27936949/comparison-of-valsartan-and-amlodipine-on-ambulatory-blood-pressure-variability-in-hypertensive-patients
#17
RANDOMIZED CONTROLLED TRIAL
Kazuo Eguchi, Yuki Imaizumi, Toshiki Kaihara, Satoshi Hoshide, Kazuomi Kario
We tested the hypothesis that calcium channel blockers (CCBs: amlodipine group, n = 38)) are superior to angiotensin receptor blockers (ARBs: valsartan group, n = 38) against ambulatory blood pressure variability (BPV) in untreated Japanese hypertensive patients. Both drugs significantly reduced ambulatory systolic and diastolic BP values. With regard to BPV, standard deviation (SD) in SBP did not change with the administration of either drug, but the ARB significantly increased SD in awake DBP (12 ± 4-14 ± 4 mmHg)...
2016: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/27936941/comparison-of-direct-renin-inhibitor-and-angiotensin-ii-receptor-blocker-on-clinic-and-ambulatory-blood-pressure-profiles-in-hypertension-with-chronic-kidney-disease
#18
RANDOMIZED CONTROLLED TRIAL
Kazushi Uneda, Kouichi Tamura, Hiromichi Wakui, Kengo Azushima, Sona Haku, Ryu Kobayashi, Kohji Ohki, Kotaro Haruhara, Sho Kinguchi, Masato Ohsawa, Tetsuya Fujikawa, Satoshi Umemura
We compared the therapeutic effects of aliskiren (direct renin inhibitor (DRI) group) with angiotensin II (Ang II) type 1 receptor blockers (ARBs) (ARB group) on clinic blood pressure (BP) and ambulatory BP in 36 hypertensive chronic kidney disease (CKD) patients. The baseline clinic BP levels and the after-treatment/baseline (A/B) ratios of clinic BP levels, estimated after 24-week treatment period, were similar in DRI group (n = 18) and ARB group (n = 18). With respect to the effects on ambulatory BP, the A/B ratios of the daytime and nighttime systolic BP in DRI group were significantly higher than those in ARB group...
2016: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/27936339/evaluation-of-a-short-home-blood-pressure-measurement-in-an-outpatient-population-of-hypertensives
#19
Silvia Di Monaco, Franco Rabbia, Michele Covella, Chiara Fulcheri, Elena Berra, Marco Pappaccogli, Elisa Perlo, Chiara Bertello, Franco Veglio
Current guidelines suggest the use of home blood pressure monitoring (HBPM) as a method complementary to ambulatory blood pressure monitoring (ABPM) for the identification of arterial hypertension. A cross-sectional study was conducted to evaluate the accuracy of a short HBPM schedule compared with ABPM, and to evaluate to what extent HBPM can replace ABPM. A total of 310 patients who performed ABPM in our hypertension clinic were enrolled between November 2011 and June 2015. They performed a 4-day HBPM schedule, with two readings in the morning and two readings at night...
2016: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/27899498/association-of-visit-to-visit-variability-of-systolic-blood-pressure-with-cardiovascular-disease-and-mortality-in-primary-care-chinese-patients-with-type-2-diabetes-a-retrospective-population-based-cohort-study
#20
Eric Yuk Fai Wan, Colman Siu Cheung Fung, Esther Yee Tak Yu, Daniel Yee Tak Fong, Julie Yun Chen, Cindy Lo Kuen Lam
OBJECTIVE: This study aimed to evaluate the impact of visit-to-visit variability (VVV) of systolic blood pressure (SBP) on cardiovascular disease (CVD) and mortality among primary care Chinese patients with type 2 diabetes mellitus (T2DM). RESEARCH DESIGN AND METHODS: A retrospective cohort study was conducted in 124,105 Chinese adult primary care patients with T2DM and without prior diagnosed CVD from August 2008 to December 2009. The VVV of SBP was evaluated using SDs of SBP over 24 months...
February 2017: Diabetes Care
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