Document Detail


Home blood pressure monitoring: how good a predictor of long-term risk?
MedLine Citation:
PMID:  21327567     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most management decisions for the diagnosis and treatment of hypertension are made using blood pressure (BP) measurements made in the clinic. However, home BP recordings may be of superior prognostic value. In this review, we show that home BP recordings are generally superior to clinic BP measurements in predicting long-term prognosis. Home BP has been shown to significantly predict important end points including all-cause mortality, progression of chronic kidney disease, and functional decline in the elderly. In addition, home BP recordings significantly and strongly predict cardiovascular events. These findings are robust, as they concur despite having been studied in disparate populations, using heterogeneous methods of clinic and home BP measurement, and with varied methods of statistical analysis. The advantages of home BP recordings are not due solely to a larger number of measurements, and they extend to the elderly, patients with chronic kidney disease, and those on hemodialysis. Because home BP recordings combine improved accuracy with the advantages of low cost and easy implementation, most patients with known or suspected hypertension should have their BP assessed and managed by means of home BP recordings.
Authors:
Samia Sheikh; Arjun D Sinha; Rajiv Agarwal
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Review    
Journal Detail:
Title:  Current hypertension reports     Volume:  13     ISSN:  1534-3111     ISO Abbreviation:  Curr. Hypertens. Rep.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-04-13     Completed Date:  2011-08-05     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  100888982     Medline TA:  Curr Hypertens Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  192-9     Citation Subset:  IM    
Affiliation:
Roudebush VA Medical Center, Indiana University School of Medicine, Indianapolis, IN, USA.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure*
Blood Pressure Monitoring, Ambulatory*
Disease Progression
Humans
Hypertension / complications,  diagnosis*,  drug therapy
Kidney Failure, Chronic / etiology*,  mortality
Prognosis
Renal Dialysis
Risk Factors
Time Factors
United States
Grant Support
ID/Acronym/Agency:
5R01-063020-07//PHS HHS; R01 DK062030-07/DK/NIDDK NIH HHS
Comments/Corrections

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