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The impact of changing home blood pressure monitoring cutoff from 135/85 to 130/80 mmHg on hypertension phenotypes.
Feitosa, Audes D M; Mota-Gomes, Marco A; Barroso, Weimar S; Miranda, Roberto D; Barbosa, Eduardo C D; Brandão, Andréa A; Nobre, Fernando; Mion, Decio; Amodeo, Celso; Lima-Filho, José L; Sposito, Andrei C; Nadruz, Wilson.
Afiliação
  • Feitosa ADM; Laboratory of Immunopathology Keizo Asami, Federal University of Pernambuco, Recife, Brazil.
  • Mota-Gomes MA; Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil.
  • Barroso WS; UNICAP Clinical Research Institute, Recife, Brazil.
  • Miranda RD; CESMAC University Center, Maceió, Brazil.
  • Barbosa ECD; Hypertension League, Federal University of Goiás, Goiânia, Brazil.
  • Brandão AA; Cardiovascular Section, Geriatrics Division, Federal University of São Paulo, São Paulo, Brazil.
  • Nobre F; Department of Hypertension and Cardiometabolism, São Francisco Hospital - Santa Casa de Porto Alegre, Porto Alegre, Brazil.
  • Mion D; School of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Amodeo C; University of São Paulo, Ribeirão Preto, Brazil.
  • Lima-Filho JL; Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil.
  • Sposito AC; Federal University of São Paulo, São Paulo, Brazil.
  • Nadruz W; Laboratory of Immunopathology Keizo Asami, Federal University of Pernambuco, Recife, Brazil.
J Clin Hypertens (Greenwich) ; 23(7): 1447-1451, 2021 07.
Article em En | MEDLINE | ID: mdl-33955645
This study investigated the impact of changing abnormal home blood pressure monitoring (HBPM) cutoff from 135/85 to 130/80 mmHg on the prevalence of hypertension phenotypes, considering an abnormal office blood pressure cutoff of 140/90 mmHg. We evaluated 57 768 individuals (26 876 untreated and 30 892 treated with antihypertensive medications) from 719 Brazilian centers who performed HBPM. Changing the HBPM cutoff was associated with increases in masked (from 10% to 22%) and sustained (from 27% to 35%) hypertension, and decreases in white-coat hypertension (from 16% to 7%) and normotension (from 47% to 36%) among untreated participants, and increases in masked (from 11% to 22%) and sustained (from 29% to 36%) uncontrolled hypertension, and decreases in white-coat uncontrolled hypertension (from 15% to 8%) and controlled hypertension (from 45% to 34%) among treated participants. In conclusion, adoption of an abnormal HBPM cutoff of 130/80 mmHg markedly increased the prevalence of out-of-office hypertension and uncontrolled hypertension phenotypes.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hipertensão Mascarada / Hipertensão do Jaleco Branco / Hipertensão Tipo de estudo: Diagnostic_studies / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hipertensão Mascarada / Hipertensão do Jaleco Branco / Hipertensão Tipo de estudo: Diagnostic_studies / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article