Characteristics of Individuals with Disagreement between Home and Ambulatory Blood Pressure Measurements for the Diagnosis of Hypertension
Home and ambulatory blood pressure (BP) measurements are recommended for the diagnosis of hypertension. However, the clinical characteristics of individuals showing a diagnostic disagreement between their home and ambulatory BP measurements are unclear. Of the 470 individuals who were not on antihyp...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-11-01
|
| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/8/4/457 |
| _version_ | 1797548895472975872 |
|---|---|
| author | Chee Hae Kim Je Sang Kim Moo-Yong Rhee |
| author_facet | Chee Hae Kim Je Sang Kim Moo-Yong Rhee |
| author_sort | Chee Hae Kim |
| collection | DOAJ |
| description | Home and ambulatory blood pressure (BP) measurements are recommended for the diagnosis of hypertension. However, the clinical characteristics of individuals showing a diagnostic disagreement between their home and ambulatory BP measurements are unclear. Of the 470 individuals who were not on antihypertensive drug treatment with a BP ≥140/90 mmHg at an outpatient clinic, 399 who had valid office, home, and ambulatory BP results were included. Hypertension was diagnosed based on an average home BP ≥135/85 mmHg and/or an average daytime ambulatory BP ≥135/85 mmHg. The participants were divided into three groups: Agree-NT (home and ambulatory BP normotension), Disagree (home BP normotension and ambulatory BP hypertension, or home BP normotension and ambulatory BP hypertension), and Agree-HT (home and ambulatory BP hypertension). Eighty-four individuals (21.1%) were classified as the Disagree group. The mean serum creatinine, triglycerides, and electrocardiogram voltage in the Disagree group were intermediate between those observed in the Agree-NT and the Agree-HT group. In the Disagree group, the mean levels of office and home diastolic BP, all of the components of ambulatory BP, the aortic systolic BP, and the BP variabilities were found to be intermediate between those of the Agree-NT and the Agree-HT groups. These results indicate that individuals showing a diagnostic disagreement between their home and ambulatory BP may have cardiovascular risks that are intermediate between those with sustained home and ambulatory normotension and hypertension. |
| first_indexed | 2024-03-10T15:07:16Z |
| format | Article |
| id | doaj.art-a308533a0e394b2aa95bc2b49f9562bd |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T15:07:16Z |
| publishDate | 2020-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-a308533a0e394b2aa95bc2b49f9562bd2023-11-20T19:41:29ZengMDPI AGHealthcare2227-90322020-11-018445710.3390/healthcare8040457Characteristics of Individuals with Disagreement between Home and Ambulatory Blood Pressure Measurements for the Diagnosis of HypertensionChee Hae Kim0Je Sang Kim1Moo-Yong Rhee2Cardiovascular Center, Dongguk University Ilsan Hospital, Goyang 10326, KoreaCardiovascular Center, Dongguk University Ilsan Hospital, Goyang 10326, KoreaCardiovascular Center, Dongguk University Ilsan Hospital, Goyang 10326, KoreaHome and ambulatory blood pressure (BP) measurements are recommended for the diagnosis of hypertension. However, the clinical characteristics of individuals showing a diagnostic disagreement between their home and ambulatory BP measurements are unclear. Of the 470 individuals who were not on antihypertensive drug treatment with a BP ≥140/90 mmHg at an outpatient clinic, 399 who had valid office, home, and ambulatory BP results were included. Hypertension was diagnosed based on an average home BP ≥135/85 mmHg and/or an average daytime ambulatory BP ≥135/85 mmHg. The participants were divided into three groups: Agree-NT (home and ambulatory BP normotension), Disagree (home BP normotension and ambulatory BP hypertension, or home BP normotension and ambulatory BP hypertension), and Agree-HT (home and ambulatory BP hypertension). Eighty-four individuals (21.1%) were classified as the Disagree group. The mean serum creatinine, triglycerides, and electrocardiogram voltage in the Disagree group were intermediate between those observed in the Agree-NT and the Agree-HT group. In the Disagree group, the mean levels of office and home diastolic BP, all of the components of ambulatory BP, the aortic systolic BP, and the BP variabilities were found to be intermediate between those of the Agree-NT and the Agree-HT groups. These results indicate that individuals showing a diagnostic disagreement between their home and ambulatory BP may have cardiovascular risks that are intermediate between those with sustained home and ambulatory normotension and hypertension.https://www.mdpi.com/2227-9032/8/4/457hypertensionout-of-office blood pressurehome blood pressure measurementsambulatory blood pressure measurementsdisagreement |
| spellingShingle | Chee Hae Kim Je Sang Kim Moo-Yong Rhee Characteristics of Individuals with Disagreement between Home and Ambulatory Blood Pressure Measurements for the Diagnosis of Hypertension Healthcare hypertension out-of-office blood pressure home blood pressure measurements ambulatory blood pressure measurements disagreement |
| title | Characteristics of Individuals with Disagreement between Home and Ambulatory Blood Pressure Measurements for the Diagnosis of Hypertension |
| title_full | Characteristics of Individuals with Disagreement between Home and Ambulatory Blood Pressure Measurements for the Diagnosis of Hypertension |
| title_fullStr | Characteristics of Individuals with Disagreement between Home and Ambulatory Blood Pressure Measurements for the Diagnosis of Hypertension |
| title_full_unstemmed | Characteristics of Individuals with Disagreement between Home and Ambulatory Blood Pressure Measurements for the Diagnosis of Hypertension |
| title_short | Characteristics of Individuals with Disagreement between Home and Ambulatory Blood Pressure Measurements for the Diagnosis of Hypertension |
| title_sort | characteristics of individuals with disagreement between home and ambulatory blood pressure measurements for the diagnosis of hypertension |
| topic | hypertension out-of-office blood pressure home blood pressure measurements ambulatory blood pressure measurements disagreement |
| url | https://www.mdpi.com/2227-9032/8/4/457 |
| work_keys_str_mv | AT cheehaekim characteristicsofindividualswithdisagreementbetweenhomeandambulatorybloodpressuremeasurementsforthediagnosisofhypertension AT jesangkim characteristicsofindividualswithdisagreementbetweenhomeandambulatorybloodpressuremeasurementsforthediagnosisofhypertension AT mooyongrhee characteristicsofindividualswithdisagreementbetweenhomeandambulatorybloodpressuremeasurementsforthediagnosisofhypertension |