Automated office blood pressure measurements in primary care are misleading in more than one third of treated hypertensives: The VALENTINE-Greece Home Blood Pressure Monitoring study

Autor: A. Kollias, S.S. Papadatos, A.F. Dominiczak, G. Parati, G.S. Stergiou, E. Demerouti, D. Voulgaris, I. Papadakis, A. Karsanidis, A. Triantafillou, S. Garzonis, G. Gourgoulis, A. Trikalinou, P. Karidas, D. Savvalas, T. Aggelopoulos, A. Alevizos, A. Moraiti, E. Rosmarakis, G. Chatzigeorgiou, V. Antonakis, A. Alexandropoulou-Tsirka, I. Markaki, S. Astrinakis, V. Roilidis, S. Polymeros, E. Chariatis, V. Panageas, A. Kontoriga, M. Patsioura, A. Kleftaki-Manta, A. Kalantaridou, S. Kourouklis, G. Papakonstantinos, P. Barouni, E. Grekidou, A. Sklaveniti, I. Kolovou, A. Antoniadis, I. Pelekanos, N. Zervaki Drakou, K. Tikka-Zoumpou, V. Dalaklidou, A. Menti, A. Christofeli, T. Androutsakos, D. Doulgerakis, I. Oikonomopoulou, M. Moschos, D. Koutras, I. Skias, P. Boutsikos, M. Matsaggoura-Sameli, M. Riga, P. Sainis, E. Mitilinaiou-Karakozi, K. Mainas, K. Nikolaou, S. Chatziparaskevas, O. Ozai, G. Vogiatzis, L. Lilis, D. Plaskas, S. Chatzizisi, A. Gianasmidis, E. Petrovitsos, G. Koykoyfikis, A. Pittas, D. Rovithis, A. Ioannidis, E. Dalamaga, G. Kladas, N. Afthonidis, E. Pourou, S. Katainidis, M. Gavrilidou, P. Kourtidou, L. Tsamopoulos, K. Kairis, S. Arampatzi, C. Basoukos, K. Daskalakis, V. Megianis, D. Simintiridou, T. Christoforidis, G. Lafazanis, L. Chatzioannidis, C. Stephopoulos, K. Karanika-Chandolia, E. Teneketzi, C. Mellidis, P. Tsepelis, C. Louspas, M. Biternas, T. Xionis, D. Tsantilas, M. Kosmanou, I. Gougousis, F. Chatzi, A. Vassos, S. Bitchavas, E. Dalaveris, G. Spiroulias, I. Anastasopoulos, D. Karlis, D. Chiotis, G. Christodoulou, D. Arfanakis, V. Psarogianni-Sinou, S. Kokkinos, I. Anifantis, P. Alogogianni, A. Michas, A. Oikonomou, A. Charalampous, P. Papadopoulos, M. Philipoiou Kotsoni, P. Dragonas, E. Laskari, G. Tsiamtsiouri, V. Kritsova-Avgerou, T. Tiligadas, N. Vrettos, N. Vernardos, M. Melessanakis, A. Melidoniotis, E. Liodakis, A. Manousakis, C. Galanakis, I. Lampousakis, E. Vyzoukakis, G. Strimpouli, I. Patramanis, D. Chatziliadou, K. Nioti, D. Koynalakis, I. Tserkis, C. Androutsopoulou, C. Liavvas, D. Karaoglanidou
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Hellenic Journal of Cardiology, Vol 61, Iss 3, Pp 174-177 (2020)
Druh dokumentu: article
ISSN: 1109-9666
DOI: 10.1016/j.hjc.2019.01.005
Popis: Background: This study assessed the diagnostic reliability of automated office blood pressure (OBP) measurements in treated hypertensive patients in primary care by evaluating the prevalence of white coat hypertension (WCH) and masked uncontrolled hypertension (MUCH) phenomena. Methods: Primary care physicians, nationwide in Greece, assessed consecutive hypertensive patients on stable treatment using OBP (1 visit, triplicate measurements) and home blood pressure (HBP) measurements (7 days, duplicate morning and evening measurements). All measurements were performed using validated automated devices with bluetooth capacity (Omron M7 Intelli-IT). Uncontrolled OBP was defined as ≥140/90 mmHg, and uncontrolled HBP was defined as ≥135/85 mmHg. Results: A total of 790 patients recruited by 135 doctors were analyzed (age: 64.5 ± 14.4 years, diabetics: 21.4%, smokers: 20.6%, and average number of antihypertensive drugs: 1.6 ± 0.8). OBP (137.5 ± 9.4/84.3 ± 7.7 mmHg, systolic/diastolic) was higher than HBP (130.6 ± 11.2/79.9 ± 8 mmHg; difference 6.9 ± 11.6/4.4 ± 7.6 mmHg, p
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