Document Detail


Daytime, home and office blood pressures in treated hypertensive patients according to accretion of cardiovascular risk.
MedLine Citation:
PMID:  17472026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relative accuracy of office, home and ambulatory blood pressure (BP) measurements has not been established in patients with metabolic syndrome (MS+). We set out to compare BP values obtained using different measurement modalities and their relationship to MS intensity in hypertensive outpatients. Office, ambulatory and home BPs and risk profile were ascertained. MS was defined according to ATPIII criteria. The study included a cohort of 104 men and 132 women with a mean age of 51.8 +/- 14.2 years; 40.3% had metabolic syndrome (MS+). The MS+ patients had higher home SBP (150 vs 142 mmHg, p < 0.01), were treated with more drugs (3.9 vs 3.0, p < 0.001) and had a poorer BP control on home measurements (11.6 vs 24.8%, p = 0.01). However, the clinical BP control rates were overall higher, and did not differ between two groups when daytime ambulatory (34.7 vs 27%) or office (26.7 vs 22.3%) values were employed. The deviation of home measurements was associated in a dose-dependent fashion with intensity of MS. Thus, in MS+ patients, the well standardized measurement protocols and equipment should be used to assess the antihypertensive efficacy. This is especially true for patients with high body mass index.
Authors:
Jerzy Gasowski; Anna Szyndler; Angelina Dubiela; Katarzyna Smiałek; Marzena Chrostowska; Radosław Szczech; Leszek Bieniaszewski; Tomasz Grodzicki; Krzysztof Narkiewicz
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Blood pressure     Volume:  15     ISSN:  0803-7051     ISO Abbreviation:  Blood Press.     Publication Date:  2006  
Date Detail:
Created Date:  2007-05-02     Completed Date:  2007-06-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  354-61     Citation Subset:  IM    
Affiliation:
Hypertension Unit, Department of Hypertension and Diabetes, Medical University of Gdańsk, Poland. jerzy.gasowski@wp.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anthropometry
Antihypertensive Agents / therapeutic use
Blood Glucose / analysis
Blood Pressure Monitoring, Ambulatory
Cardiovascular Diseases / epidemiology*
Cholesterol / blood
Cholesterol, HDL / blood
Cholesterol, LDL / blood
Circadian Rhythm
Environment*
Female
Humans
Hyperlipidemias / epidemiology
Hypertension / drug therapy,  epidemiology,  physiopathology*,  psychology
Male
Metabolic Syndrome X / epidemiology,  physiopathology*
Middle Aged
Poland / epidemiology
Predictive Value of Tests
Residence Characteristics
Risk Factors
Smoking / epidemiology
Triglycerides / blood
Workplace
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 0/Blood Glucose; 0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Triglycerides; 57-88-5/Cholesterol

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