Blood pressure and variability responses to the down-titration of antihypertensive drugs.
J Hypertens
; 42(5): 809-815, 2024 May 01.
Article
em En
| MEDLINE
| ID: mdl-38230618
ABSTRACT
OBJECTIVES:
Several recent guidelines have proposed the gradual reduction of antihypertensive drugs for patients with well controlled blood pressure (BP). However, no studies have examined alterations in BP variability (BPV) during the down-titration of antihypertensives. This study aims to investigate changes in home BPV during the down-titration of antihypertensives.METHODS:
We analyzed 83 hypertensive patients who underwent down-titration of antihypertensives and had available home BP data during the down-titration. Down-titration was performed when home SBP was less than 120âmmHg, regardless of the clinic SBP. Primary exposure variable was the standard deviation (SD) of home BP.RESULTS:
Among 83 patients (mean age 66.3â±â11.9âyears; 45.8% men), down-titration led to increase home SBP (from 110.5 to 118.7âmmHg; P â<â0.001), and home DBP (from 68.8 to 72.8âmmHg; P â=â0.001) significantly. There were no significant differences in SDs of SBP [from 6.02â±â3.79 to 5.76â±â3.09 in morning, P â=â0.570; from 6.13â±â3.32 to 6.63â±â3.70 in evening, P â=â0.077; and from 6.54 (4.80, 8.31) to 6.37 (4.65, 8.76) in home SBP, P â=â0.464] and SDs of DBP during the down-titration of antihypertensive drugs.CONCLUSION:
Down-titration of antihypertensive drugs did not have notable impact on clinic BP and home BPV, while significantly increasing home BP. These findings provide important insights indicating that the potential concern related to an increase in BPV in the planned strategy of reducing antihypertensive drugs is not substantial.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hipertensão
/
Anti-Hipertensivos
Tipo de estudo:
Guideline
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Hypertens
Ano de publicação:
2024
Tipo de documento:
Article