The utility of home blood pressure load in predicting average self-measured blood pressure.
J Hypertens
; 42(9): 1624-1631, 2024 Sep 01.
Article
in En
| MEDLINE
| ID: mdl-38860390
ABSTRACT
OBJECTIVES:
Average values for self-measured blood pressure (SMBP) more accurately reflect a patient's risk of cardiovascular disease than do office measurements. Oftentimes, however, patients provide lists of individual home blood pressure (BP) measurements, and average values cannot be computed within the time constraints of a clinic visit. In contrast, the home BP load - defined as the proportion of BP values greater than a partition value (e.g., 130âmmHg) - can be easily calculated. We examined the utility of the BP load in predicting the mean SMBP and confirming elevated SMBP.METHODS:
Four hundred twenty untreated adults at least 30âyears of age acquired SMBP data twice in the morning and twice in the evening over 10âdays. The 'true' SMBP was defined as the mean of these 40 determinations.RESULTS:
Using all 10âdays of BP data and a systolic BP threshold of 130âmmHg, the average SMBP associated with a home BP load of 0.50 was 130âmmHg, with a 95% prediction interval of 126-133âmmHg. True systolic SMBP was approximately 6âmmHg lower and higher at home BP loads of 0.25 and 0.75, respectively. There was a 90% probability that the true systolic SMBP was greater than 130âmmHg if the systolic home BP load was at least 0.60. Corresponding values for 3âdays and 1âday of SMBP were at least 0.68 and at least 0.84, respectively.CONCLUSION:
Our analysis demonstrates that the home BP load can be used to estimate the average BP acquired on home monitoring and confirm elevated SMBP.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood Pressure
/
Blood Pressure Monitoring, Ambulatory
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Hypertens
/
J. hypertens
/
Journal of hypertension
Year:
2024
Document type:
Article
Country of publication:
Netherlands