Nurse-recorded auscultatory blood pressure at a single visit predicts target organ changes as well as ambulatory blood pressure
| Autor: | Patrick H Dessein, Olebogeng H.I. Majane, Janice Paiker, Angela J. Woodiwiss, Richard Brooksbank, Nomonde Molebatsi, Pinhas Sareli, Elena Libhaber, Carlos D. Libhaber, Muzi J. Maseko, Gavin R. Norton |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Ambulatory blood pressure Physiology Single visit Heart Ventricles Urinary system Black People Nurses Blood Pressure Random Allocation Internal medicine Internal Medicine medicine Albuminuria Humans Pulse wave velocity business.industry Blood Pressure Determination Arteries Blood Pressure Monitoring Ambulatory Middle Aged Surgery medicine.anatomical_structure Blood pressure Auscultation Echocardiography Ventricle Hypertension Multivariate Analysis Ambulatory Cardiology Regression Analysis Female Cardiology and Cardiovascular Medicine business Target organ |
| Zdroj: | Journal of Hypertension. 27:287-297 |
| ISSN: | 0263-6352 |
| DOI: | 10.1097/hjh.0b013e328317a78f |
| Popis: | AIM To determine whether high-quality nurse-recorded auscultatory blood pressure (BP) values obtained at a single visit predict cardiovascular target organ changes as closely as ambulatory BP measurements. METHODS In a randomly selected population sample (n = 458, 21% receiving antihypertensive treatment; approximately 40% hypertensive), we compared high-quality single visit nurse-recorded auscultatory BP values to same-day 24-h ambulatory BP in their ability to predict multiple target organ changes [left ventricular mass index (LVMI), left ventricle (LV) mean wall thickness (MWT), early-to-late transmitral velocity ratios (E/A), (echocardiography); log of urinary albumin-to-creatinine ratios (log ACR) (24-h urine samples); large artery dysfunction [carotid-femoral pulse wave velocity (PWV) and central augmentation index (Alc) (applanation tonometry)]. RESULTS Nurse-recorded systolic BP (SBP) measurements obtained at a single visit were as closely associated with LVMI (r = 0.44), LV MWT (r = 0.44), E/A (r = -0.55), log ACR (r = 0.20), PWV (r = 0.62) and AIc (r = 0.41) (P < 0.0001 for all relations) as was 24-h SBP (LVMI; r = 0.33, LV MWT; r = 0.37, E/A; r = -0.35, log ACR; r = 0.24, PWV; r = 0.41, and AIc; r = 0.18, P < 0.001 for all relations) and either day or night SBP. On multivariate regression analysis with both nurse-recorded SBP and 24-h SBP in the same model, nurse-recorded SBP was independently associated with LVMI (P = 0.006), LV MWT (P = 0.03), E/A (P < 0.02), PWV (P < 0.0001) and AIc (P = 0.0002), and 24-h SBP was independently and positively associated with log ACR (P < 0.005), and PWV (P = 0.01). CONCLUSION One or more, high-quality single visit nurse-recorded auscultatory BP measurements may be equally as effective as ambulatory BP in predicting target organ damage in a population sample of African ancestry. |
| Databáze: | OpenAIRE |
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