Home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia: Results of the BP-PRESELF study
Objectives: The risk of cardiovascular disease more than doubles after hypertensive disorders of pregnancy. As early onset chronic hypertension contributes to cardiovascular risk, implementation of screening strategies, using home blood pressure monitoring (HBPM), may help to improve long-term cardi...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
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| Series: | American Journal of Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666667722001131 |
| _version_ | 1811295607097131008 |
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| author | Hella E.C. Muijsers Pensee Wu Olivier W.H. van der Heijden Lia D.E. Wijnberger Chantal van Bijsterveldt Ciska Buijs Jens Pagels Peter Tönnies Susanne Heiden Nel Roeleveld Angela H.E.M. Maas |
| author_facet | Hella E.C. Muijsers Pensee Wu Olivier W.H. van der Heijden Lia D.E. Wijnberger Chantal van Bijsterveldt Ciska Buijs Jens Pagels Peter Tönnies Susanne Heiden Nel Roeleveld Angela H.E.M. Maas |
| author_sort | Hella E.C. Muijsers |
| collection | DOAJ |
| description | Objectives: The risk of cardiovascular disease more than doubles after hypertensive disorders of pregnancy. As early onset chronic hypertension contributes to cardiovascular risk, implementation of screening strategies, using home blood pressure monitoring (HBPM), may help to improve long-term cardiovascular health.We evaluated whether HBPM among women with a history of preeclampsia/HELLP syndrome is feasible for early detection and management of hypertension. Methods: The BP-PRESELF study is a multicenter randomized controlled trial. Participants were randomized to intervention group with HBPM for the duration of 1 year or the control group with 'usual care'. The primary outcome was feasibility of HBPM during 1 year of follow-up, defined as protocol adherence, protocol persistence and patient acceptance. Secondary outcomes were blood pressure levels and prevalence of hypertension. Results: We recruited 198 women with a mean age of 45 years. Protocol adherence decreased during the first 6 months, after which it stabilized. Protocol persistence remained high throughout follow-up. During the study period, 33 women (34%) in the intervention group were diagnosed with hypertension versus only 10 women (11%) in the control group, P<0.001. At 1-year follow-up, mean systolic blood pressure (SD) was 120.4 (11.6) mmHg in the intervention group versus 126.1 (14.3) mmHg in the control group, P=0.003. Mean diastolic blood pressure (SD) values were 77.1 (8.0) mmHg versus 81.7 (9.4) mmHg, P<0.001, respectively. Adjusted systolic and diastolic differences (95% confidence interval) were -6.81 (-10.17, -3.45) and -4.93 (-7.26, -2.61) mm Hg, with 80% less hypertension at 1-year follow-up in the intervention group. Conclusions: HBPM appears to be feasible for follow-up of blood pressure in women after preeclampsia/HELLP syndrome, while it detected hypertension and blood pressure levels reduced in one-third of women in this group. |
| first_indexed | 2024-04-13T05:35:58Z |
| format | Article |
| id | doaj.art-a68e56a05f6448b8ba3e0b9c4f2e1e74 |
| institution | Directory Open Access Journal |
| issn | 2666-6677 |
| language | English |
| last_indexed | 2024-04-13T05:35:58Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Preventive Cardiology |
| spelling | doaj.art-a68e56a05f6448b8ba3e0b9c4f2e1e742022-12-22T03:00:18ZengElsevierAmerican Journal of Preventive Cardiology2666-66772022-12-0112100429Home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia: Results of the BP-PRESELF studyHella E.C. Muijsers0Pensee Wu1Olivier W.H. van der Heijden2Lia D.E. Wijnberger3Chantal van Bijsterveldt4Ciska Buijs5Jens Pagels6Peter Tönnies7Susanne Heiden8Nel Roeleveld9Angela H.E.M. Maas10Radboud University Medical Center, Department of Cardiology, Geert-Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands; Corresponding author at: Radboud University Medical Center, Geert-Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands.Keele Cardiovascular Research Group, School of Medicine, Keele University, Staffordshire ST5 5BG, UK; Academic Unit of Obstetrics and Gynecology, University Hospital of North Midlands, Stoke-on-Trent ST5 6QG, UKRadboud University Medical Center, Department of Obstetrics and Gynecology, Geert-Grooteplein Zuid 10, 6525 GA Nijmegen, the NetherlandsRijnstate, Department of Obstetrics and Gynecology, Wagnerlaan 55, 6815 AD Arnhem, the NetherlandsCanisius-Wilhelmina Hospital, Department of Obstetrics and Gynecology, Weg door Jonkerbos 100, 6532 SZ Nijmegen, the NetherlandsMaasziekenhuis Pantein, Department of Obstetrics and Gynecology, Dokter Kopstraat 1, 5835 BV Beugen, the NetherlandsSt. Josef Hospital Moers, Department of Obstetrics and Gynecology, Asberger Strasse 4, 47441 Moers, GermanyBethanien Hospital Moers, Department of Obstetrics and Gynecology, Bethanienstrasse 21, 47441 Moers, GermanySt. Antonius Hospital Kleve, Department of Obstetrics and Gynecology, Albersallee 5-7, 47533 Kleve, GermanyRadboud University Medical Center, Radboud Institute for Health Sciences, Department for Health Evidence, Geert-Grooteplein Zuid 10, 6525 GA Nijmegen, the NetherlandsRadboud University Medical Center, Department of Cardiology, Geert-Grooteplein Zuid 10, 6525 GA Nijmegen, the NetherlandsObjectives: The risk of cardiovascular disease more than doubles after hypertensive disorders of pregnancy. As early onset chronic hypertension contributes to cardiovascular risk, implementation of screening strategies, using home blood pressure monitoring (HBPM), may help to improve long-term cardiovascular health.We evaluated whether HBPM among women with a history of preeclampsia/HELLP syndrome is feasible for early detection and management of hypertension. Methods: The BP-PRESELF study is a multicenter randomized controlled trial. Participants were randomized to intervention group with HBPM for the duration of 1 year or the control group with 'usual care'. The primary outcome was feasibility of HBPM during 1 year of follow-up, defined as protocol adherence, protocol persistence and patient acceptance. Secondary outcomes were blood pressure levels and prevalence of hypertension. Results: We recruited 198 women with a mean age of 45 years. Protocol adherence decreased during the first 6 months, after which it stabilized. Protocol persistence remained high throughout follow-up. During the study period, 33 women (34%) in the intervention group were diagnosed with hypertension versus only 10 women (11%) in the control group, P<0.001. At 1-year follow-up, mean systolic blood pressure (SD) was 120.4 (11.6) mmHg in the intervention group versus 126.1 (14.3) mmHg in the control group, P=0.003. Mean diastolic blood pressure (SD) values were 77.1 (8.0) mmHg versus 81.7 (9.4) mmHg, P<0.001, respectively. Adjusted systolic and diastolic differences (95% confidence interval) were -6.81 (-10.17, -3.45) and -4.93 (-7.26, -2.61) mm Hg, with 80% less hypertension at 1-year follow-up in the intervention group. Conclusions: HBPM appears to be feasible for follow-up of blood pressure in women after preeclampsia/HELLP syndrome, while it detected hypertension and blood pressure levels reduced in one-third of women in this group.http://www.sciencedirect.com/science/article/pii/S2666667722001131Home blood pressure monitoringHypertensive disorders of pregnancyHypertensionPrevention |
| spellingShingle | Hella E.C. Muijsers Pensee Wu Olivier W.H. van der Heijden Lia D.E. Wijnberger Chantal van Bijsterveldt Ciska Buijs Jens Pagels Peter Tönnies Susanne Heiden Nel Roeleveld Angela H.E.M. Maas Home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia: Results of the BP-PRESELF study American Journal of Preventive Cardiology Home blood pressure monitoring Hypertensive disorders of pregnancy Hypertension Prevention |
| title | Home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia: Results of the BP-PRESELF study |
| title_full | Home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia: Results of the BP-PRESELF study |
| title_fullStr | Home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia: Results of the BP-PRESELF study |
| title_full_unstemmed | Home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia: Results of the BP-PRESELF study |
| title_short | Home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia: Results of the BP-PRESELF study |
| title_sort | home blood pressure monitoring detects unrevealed hypertension in women with a history of preeclampsia results of the bp preself study |
| topic | Home blood pressure monitoring Hypertensive disorders of pregnancy Hypertension Prevention |
| url | http://www.sciencedirect.com/science/article/pii/S2666667722001131 |
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