The validity of a daytime ambulatory blood pressure to diagnose masked hypertension
Masked hypertension (MH) is traditionally diagnosed with 24-hour ambulatory blood pressure monitoring (24-ABPM). This is relatively costly and could cause discomfort during the night. We studied the validity of daytime ABP (DT-ABPM) in young National Guard soldiers and determined the prevalence in c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2020-07-01
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| Series: | Monaldi Archives for Chest Disease |
| Subjects: | |
| Online Access: | https://monaldi-archives.org/index.php/macd/article/view/1356 |
| _version_ | 1811266093146177536 |
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| author | Abdulhalim Jamal Kinsara Ayman Hassan Elshiekh Ahmed Mohamed Abuosa Domenico Galzerano Mohammed Burhan Abrar |
| author_facet | Abdulhalim Jamal Kinsara Ayman Hassan Elshiekh Ahmed Mohamed Abuosa Domenico Galzerano Mohammed Burhan Abrar |
| author_sort | Abdulhalim Jamal Kinsara |
| collection | DOAJ |
| description | Masked hypertension (MH) is traditionally diagnosed with 24-hour ambulatory blood pressure monitoring (24-ABPM). This is relatively costly and could cause discomfort during the night. We studied the validity of daytime ABP (DT-ABPM) in young National Guard soldiers and determined the prevalence in comparison to the standard 24-ABPM. A prospective study of 196 soldiers aged 21-50 years, without a history of hypertension or antihypertensive medication use. Each participant was fitted with a 12h-ABPM. Patients were diagnosed with MH if the office blood pressure (OBP) was <140/90 mmHg and the average DT-ABPM was ≥135/85 mmHg. By pairing the average OBP with the 12 h-ABPM, the prevalence of MH was estimated as 18/196 (9.2%), the SBP MH (systolic blood pressure) of 8.2% and the DPB MH (diastolic blood pressure) of 3.1%. When we compared the daytime prevalence with the 24 h-ABPM, and the average OBP, the prevalence of MH was 29/196 (14.8%). No statistically significant difference was noted (kappa=0.74; 95% CI: 0.59 to 0.88). We conclude that DT-ABPM is a good method and convenient to detect MH, with no statistically significant difference when compared to the 24 h-ABPM. The prevalence of MH in young healthy soldiers was unexpectedly high. |
| first_indexed | 2024-04-12T20:35:53Z |
| format | Article |
| id | doaj.art-4694458e1f064f9c8f40c11df92e9bc6 |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-04-12T20:35:53Z |
| publishDate | 2020-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-4694458e1f064f9c8f40c11df92e9bc62022-12-22T03:17:35ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642020-07-0190310.4081/monaldi.2020.1356The validity of a daytime ambulatory blood pressure to diagnose masked hypertensionAbdulhalim Jamal Kinsara0Ayman Hassan Elshiekh1Ahmed Mohamed Abuosa2Domenico Galzerano3Mohammed Burhan Abrar4Ministry of National Guard Health Affair, King Saud Bin Abdulaziz University for Health Sciences, COM-WR, King Abdullah International Medical Research Center, JeddahMinistry of National Guard Health Affair, King Saud Bin Abdulaziz University for Health Sciences, COM-WR, King Abdullah International Medical Research Center, JeddahMinistry of National Guard Health Affair, King Saud Bin Abdulaziz University for Health Sciences, COM-WR, King Abdullah International Medical Research Center, JeddahKing Faisal Specialist Hospital and Research Centre and Alfaisal University, RiyadhPrincess Noorah Oncology Centre; King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, JeddahMasked hypertension (MH) is traditionally diagnosed with 24-hour ambulatory blood pressure monitoring (24-ABPM). This is relatively costly and could cause discomfort during the night. We studied the validity of daytime ABP (DT-ABPM) in young National Guard soldiers and determined the prevalence in comparison to the standard 24-ABPM. A prospective study of 196 soldiers aged 21-50 years, without a history of hypertension or antihypertensive medication use. Each participant was fitted with a 12h-ABPM. Patients were diagnosed with MH if the office blood pressure (OBP) was <140/90 mmHg and the average DT-ABPM was ≥135/85 mmHg. By pairing the average OBP with the 12 h-ABPM, the prevalence of MH was estimated as 18/196 (9.2%), the SBP MH (systolic blood pressure) of 8.2% and the DPB MH (diastolic blood pressure) of 3.1%. When we compared the daytime prevalence with the 24 h-ABPM, and the average OBP, the prevalence of MH was 29/196 (14.8%). No statistically significant difference was noted (kappa=0.74; 95% CI: 0.59 to 0.88). We conclude that DT-ABPM is a good method and convenient to detect MH, with no statistically significant difference when compared to the 24 h-ABPM. The prevalence of MH in young healthy soldiers was unexpectedly high.https://monaldi-archives.org/index.php/macd/article/view/1356Masked hypertensionambulatory BP monitoringoffice blood pressuredaytime blood pressure12 h-ambulatory BP |
| spellingShingle | Abdulhalim Jamal Kinsara Ayman Hassan Elshiekh Ahmed Mohamed Abuosa Domenico Galzerano Mohammed Burhan Abrar The validity of a daytime ambulatory blood pressure to diagnose masked hypertension Monaldi Archives for Chest Disease Masked hypertension ambulatory BP monitoring office blood pressure daytime blood pressure 12 h-ambulatory BP |
| title | The validity of a daytime ambulatory blood pressure to diagnose masked hypertension |
| title_full | The validity of a daytime ambulatory blood pressure to diagnose masked hypertension |
| title_fullStr | The validity of a daytime ambulatory blood pressure to diagnose masked hypertension |
| title_full_unstemmed | The validity of a daytime ambulatory blood pressure to diagnose masked hypertension |
| title_short | The validity of a daytime ambulatory blood pressure to diagnose masked hypertension |
| title_sort | validity of a daytime ambulatory blood pressure to diagnose masked hypertension |
| topic | Masked hypertension ambulatory BP monitoring office blood pressure daytime blood pressure 12 h-ambulatory BP |
| url | https://monaldi-archives.org/index.php/macd/article/view/1356 |
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