Document Detail


Predictive factors for masked hypertension within a population of controlled hypertensives.
MedLine Citation:
PMID:  17082717     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Prevalence of masked hypertension (MH) is far from negligible reaching 40% in some studies. The SHEAF study (Self measurement of blood pressure at Home in the Elderly: Assessment and Follow-Up) and others clearly showed that masked hypertension (MH) as detected by home blood pressure measurement (HBPM) is associated with poor cardiovascular prognosis. OBJECTIVE: Systematic HBPM to detect MH is not yet routine. The aim of this work is to better define the clinical profile of masked hypertensives within a population with controlled office blood pressure (BP) and the factors associated with a higher prevalence of MH. MATERIALS AND METHODS: BP was measured at the clinic by the doctor and at home by the patient himself. Risk factors for MH were analysed in a cohort of 1150 treated hypertensive patients over the age of 60 (mean age 70 +/- 6.5, 48.9% men) with controlled office BP. (SBP < 140 mmHg and DBP < 90 mmHg). RESULTS: 463 patients (40%) were masked hypertensives (SBP > or = 135 mmHg or DBP > or = 85 mmHg at home). Three parameters were associated with MH (odds ratio OR): office SBP (OR = 1.110), male gender (OR = 2.214) and age (OR = 1.031). Decision trees showed a 130 mmHg SBP was an efficient threshold to propose HBPM with a higher probability to detect MH. Subsequent variables were male gender and age over 70 in males. CONCLUSION: To detect masked hypertension, it would be logical to first of all select patients whose office SBP is between 130 and 140 mmHg.
Authors:
Jean-Michel Mallion; Pierre Clerson; Guillaume Bobrie; Nathalie Genes; Bernard Vaisse; Gilles Chatellier
Related Documents :
10780127 - Ambulatory cardiovascular activity in vietnam combat veterans with and without posttrau...
11403787 - 'respiratory' oscillations of cardiovascular parameters during voluntary apnea.
15526497 - Pulse pressure and inflammatory markers in apparently healthy premenopausal women.
11172227 - The effect of biofeedback in hypertension.
2563237 - Anti-inflammatory actions of enprofylline, a modified xanthine, in the canine forelimb.
7900507 - Father's heart beat responds to the birth of his child.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of hypertension     Volume:  24     ISSN:  0263-6352     ISO Abbreviation:  J. Hypertens.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-03     Completed Date:  2007-10-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  2365-70     Citation Subset:  IM    
Affiliation:
Service de Cardiologie et hypertension artérielle, CHU, Grenoble, Roubaix, HEGP, Paris, France. jmmallion@chu-grenoble.fr
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Aged
Child
Female
Humans
Hypertension / epidemiology*
Male
Risk Factors
Comments/Corrections
Comment In:
J Hypertens. 2007 Jul;25(7):1511-2; author reply 1512-3   [PMID:  17563576 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Prevalence of the white-coat effect at multiple visits before and during treatment.
Next Document:  Aortic stiffness is associated with atherosclerosis of the coronary arteries in older adults: the Ro...