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Juraschek SP, Ishak AM, Mukamal KJ, Wood JM, Anderson TS, Cohen ML, Li JX, Cluett JL. Impact of 30- Versus 60-Second Time Intervals Between Automated Office Blood Pressure Measurements on Measured Blood Pressure. Hypertension 2021; 78:1502-1510. [PMID: 34488436 DOI: 10.1161/hypertensionaha.121.17876] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- Stephen P Juraschek
- Department of Medicine, Division of General Medicine (S.P.J., K.J.M., J.M.W., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA.,Healthcare Associates (S.P.J., A.M.I., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA
| | - Anthony M Ishak
- Healthcare Associates (S.P.J., A.M.I., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA
| | - Kenneth J Mukamal
- Department of Medicine, Division of General Medicine (S.P.J., K.J.M., J.M.W., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA
| | - Julia M Wood
- Department of Medicine, Division of General Medicine (S.P.J., K.J.M., J.M.W., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA
| | - Timothy S Anderson
- Department of Medicine, Division of General Medicine (S.P.J., K.J.M., J.M.W., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA.,Healthcare Associates (S.P.J., A.M.I., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA.,Center for Healthcare Delivery Science (T.S.A.), Beth Israel Deaconess Medical Center, Boston, MA
| | - Marc L Cohen
- Department of Medicine, Division of General Medicine (S.P.J., K.J.M., J.M.W., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA.,Healthcare Associates (S.P.J., A.M.I., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA
| | - Jonathan X Li
- Department of Medicine, Division of General Medicine (S.P.J., K.J.M., J.M.W., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA.,Healthcare Associates (S.P.J., A.M.I., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA
| | - Jennifer L Cluett
- Department of Medicine, Division of General Medicine (S.P.J., K.J.M., J.M.W., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA.,Healthcare Associates (S.P.J., A.M.I., T.S.A., M.L.C., J.X.L., J.L.C.), Beth Israel Deaconess Medical Center, Boston, MA
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2
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Paiva AMG, Mota-Gomes MA, Feitosa ADM, Azevedo TCP, Amorim NW, Mion D, Sposito AC, Nadruz W. Differences in the diagnosis of high blood pressure using unattended and attended automated office blood pressure. J Hum Hypertens 2021; 36:370-372. [PMID: 34404899 DOI: 10.1038/s41371-021-00593-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 08/05/2021] [Accepted: 08/10/2021] [Indexed: 11/09/2022]
Affiliation(s)
- Annelise M G Paiva
- Centro de Pesquisas Clínicas do Centro Universitário Cesmac/Hospital do Coração de Alagoas, Maceió, AL, Brazil
| | - Marco A Mota-Gomes
- Centro de Pesquisas Clínicas do Centro Universitário Cesmac/Hospital do Coração de Alagoas, Maceió, AL, Brazil
| | - Audes D M Feitosa
- Laboratory of Immunopathology Keizo Asami, Federal University of Pernambuco, Recife, PE, Brazil.,Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil.,UNICAP Clinical Research Institute, Recife, PE, Brazil
| | - Thomás C P Azevedo
- Centro de Pesquisas Clínicas do Centro Universitário Cesmac/Hospital do Coração de Alagoas, Maceió, AL, Brazil
| | - Natalia W Amorim
- Centro de Pesquisas Clínicas do Centro Universitário Cesmac/Hospital do Coração de Alagoas, Maceió, AL, Brazil
| | - Decio Mion
- Hospital das Clínicas, University of São Paulo Medical School, São Paulo, SP, Brazil
| | - Andrei C Sposito
- Department of Internal Medicine, School of Medical Sciences, State University of Campinas, São Paulo, SP, Brazil
| | - Wilson Nadruz
- Laboratory of Immunopathology Keizo Asami, Federal University of Pernambuco, Recife, PE, Brazil. .,Department of Internal Medicine, School of Medical Sciences, State University of Campinas, São Paulo, SP, Brazil.
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Herrera FC, Siaron KB, Stutzman SE, Wilson J, Olson D. Exploring the accuracy and precision of BP measurements. Nursing 2021; 51:47-50. [PMID: 34157002 DOI: 10.1097/01.nurse.0000751336.84200.7a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT Accurate and precise BP measurements are crucial to clinical decision-making and interventions as healthcare professionals aim to prevent complications from hypertension, yet the literature provides no gold standard for measuring BP. This article discusses the additional research necessary to develop best practices and improve patient outcomes.
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Affiliation(s)
- Fatima Claire Herrera
- At Texas Woman's University in Dallas, Tex., Fatima Claire Herrera is a nursing student and Jennifer Wilson is a clinical professor. At the University of Texas Southwestern Medical Center in Dallas, Tex., Kathrina B. Siaron is a neuroscience ICU nurse, Sonja E. Stutzman is a clinical research manager, and DaiWai Olson is a professor of neurology
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Lee CJ, Ha JH, Kim JY, Kim IC, Ryu SK, Rhee MY, Lee JH, Lee JH, Lee HY, Ihm SH, Chung JW, Choi JH, Shin J, Park S, Kario K. Office blood pressure threshold of 130/80 mmHg better predicts uncontrolled out-of-office blood pressure in apparent treatment-resistant hypertension. J Clin Hypertens (Greenwich) 2020; 23:595-605. [PMID: 33280228 PMCID: PMC8029554 DOI: 10.1111/jch.14113] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Revised: 11/08/2020] [Accepted: 11/10/2020] [Indexed: 01/09/2023]
Abstract
The objective of this study was to compare the diagnostic accuracy of office blood pressure (BP) threshold of 140/90 and 130/80 mmHg for correctly identifying uncontrolled out‐of‐office BP in apparent treatment‐resistant hypertension (aTRH). We analyzed 468 subjects from a prospectively enrolled cohort of patients with resistant hypertension in South Korea (clinicaltrials.gov: NCT03540992). Resistant hypertension was defined as office BP ≥ 130/80 mmHg with three different classes of antihypertensive medications including thiazide‐type/like diuretics, or treated hypertension with four or more different classes of antihypertensive medications. We conducted different types of BP measurements including office BP, automated office BP (AOBP), home BP, and ambulatory BP. We defined uncontrolled out‐of‐office BP as daytime BP ≥ 135/85 mmHg and/or home BP ≥ 135/85 mmHg. Among subjects with office BP < 140/90 mmHg and subjects with office BP < 130/80 mmHg, 66% and 55% had uncontrolled out‐of‐office BP, respectively. The prevalence of controlled and masked uncontrolled hypertension was lower, and the prevalence of white‐coat and sustained uncontrolled hypertension was higher, with a threshold of 130/80 mmHg than of 140/90 mmHg, for both office BP and AOBP. The office BP threshold of 130/80 mmHg was better able to diagnose uncontrolled out‐of‐office BP than 140/90 mmHg, and the net reclassification improvement (NRI) was 0.255. The AOBP threshold of 130/80 mmHg also revealed better diagnostic accuracy than 140/90 mmHg, with NRI of 0.543. The office BP threshold of 130/80 mmHg showed better than 140/90 mmHg in terms of the correspondence to out‐of‐office BP in subjects with aTRH.
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Affiliation(s)
- Chan Joo Lee
- Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Jeong-Ha Ha
- Department of Health Promotion, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Jang Young Kim
- Department of Internal Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea
| | - In-Cheol Kim
- Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Keimyung University Dongsan Hospital, Keimyung University College of Medicine, Daegu, Korea
| | - Sung Kee Ryu
- Division of Cardiology, Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea
| | - Moo-Yong Rhee
- Cardiovascular Center, College of Medicine, Dongguk University Ilsan Hospital, Dongguk University, Goyang, Korea
| | - Ju-Hee Lee
- Division of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea
| | - Jung-Hee Lee
- Division of Cardiology, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea
| | - Hae-Young Lee
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Sang-Hyun Ihm
- Division of Cardiology, Department of Internal Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Joong Wha Chung
- Department of Internal Medicine, Chosun University School of Medicine, Kwangju, Korea
| | - Jung Hyun Choi
- Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
| | - Jinho Shin
- Division of Cardiology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
| | - Sungha Park
- Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.,Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea
| | - Kazuomi Kario
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan
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