Academic Journal
Predictors of Masked Hypertension Among Treated Hypertensive Patients: An Interesting Association With Orthostatic Hypertension
| العنوان: | Predictors of Masked Hypertension Among Treated Hypertensive Patients: An Interesting Association With Orthostatic Hypertension |
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| المؤلفون: | Barochiner, Jessica, Cuffaro, Paula E., Aparicio, Lucas S., Alfie, José, Rada, Marcelo A., Morales, Margarita S., Galarza, Carlos R., Waisman, Gabriel D. |
| بيانات النشر: | Oxford University Press |
| سنة النشر: | 2013 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | Original Article |
| الوصف: | BACKGROUND Masked hypertension (MH) entails an increased cardiovascular risk. Therefore, it is important to identify those individuals who would benefit the most from out-of-office blood pressure (BP) measurement. We sought to determine the prevalence and identify predictors of MH among adult hypertensive patients under treatment. METHODS Treated hypertensive patients aged ≥ 18 years underwent office (duplicate sitting and standing BP in 1 visit) and home BP measurements (duplicate measurements for 4 days in the morning, afternoon, and evening; at least 16 measurements) and completed a questionnaire regarding risk factors and history of cardiovascular disease. MH was defined as normal office BP (<140/90mm Hg) with elevated home BP ( ≥ 135/85mm Hg, average of all readings discarding first day measurements). Patients with a systolic BP rise upon standing ≥ 5mm Hg were considered to have orthostatic hypertension (OHT). Variables indentified as relevant predictors of MH were entered into a multivariable logistic regression analysis model. RESULTS Three hundred and four patients were included (mean age = 66.7 ± 13.8; 67.4% women). The prevalence of MH in the whole population was 12.4% and was 20.9% among patients with office-controlled hypertension. Factors independently associated with MH were age (odds ratio (OR) = 1.08, 95% confidence interval (CI) = 1.03–1.14), high-normal office systolic BP (OR = 5.61, 95% CI = 1.39–22.57), history of peripheral artery disease (PAD) (OR = 8.83, 95% CI = 1.5–51.84), moderate alcohol consumption (OR = 0.08, 95% CI = 0.01–0.73), and OHT (OR = 3.65, 95% CI = 1.27 to 10.51). CONCLUSIONS Easily measurable parameters such as age, office systolic BP, history of PAD, and OHT may help to detect a population at risk of MH that would benefit from home BP monitoring. |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| Relation: | http://ajh.oxfordjournals.org/cgi/content/short/26/7/872; http://dx.doi.org/10.1093/ajh/hpt036 |
| DOI: | 10.1093/ajh/hpt036 |
| الاتاحة: | http://ajh.oxfordjournals.org/cgi/content/short/26/7/872 https://doi.org/10.1093/ajh/hpt036 |
| Rights: | Copyright (C) 2013, American Journal of Hypertension, Ltd. |
| رقم الانضمام: | edsbas.AECCB297 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ajh/hpt036 |
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