| Title: |
Unattended automatic blood pressure measurements vs conventional office readings in predicting hypertension‐mediated organ damage |
| Authors: |
Stopa M.; Zieba K.; Tofilska A.; Bilo G.; Rajzer M.; Olszanecka A. |
| Contributors: |
Stopa, M; Zieba, K; Tofilska, A; Bilo, G; Rajzer, M; Olszanecka, A |
| Publisher Information: |
Medycyna Praktyczna Cholerzyn; PL |
| Publication Year: |
2024 |
| Collection: |
Università degli Studi di Milano-Bicocca: BOA (Bicocca Open Archive) |
| Subject Terms: |
arterial hypertension; blood pressure measurement; hypertension-mediated organ damage; unattended automated office blood pressure; white-coat effect; MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE; Settore MEDS-07/B - Malattie dell'apparato cardiovascolare |
| Description: |
INTRODUCTION Hypertension is a leading cardiovascular risk factor. Accurate blood pressure (BP) measurement is pivotal in hypertension diagnosis and management. Conventional office blood pressure measurements (OBPMs) are error-prone, exacerbated by the white-coat effect. Unattended automated office blood pressure measurement (UAOBPM) is emerging as an alternative, mitigating the white-coat effect. However, its ability to predict hypertension-mediated organ damage (HMOD) remains disputable. OBJECTIVES This study compares UAOBPM with OBPM in terms of their association with various types of HMOD, including left ventricular hypertrophy, left atrial enlargement, left ventricular systolic and diastolic dysfunction, intima-media complex thickening, microalbuminuria, and abnormal pulse wave velocity. PATIENTS AND METHODS A total of 219 hypertensive patients were recruited, interviewed, and examined. Subsequently, BP measurements were conducted in a randomized manner: 1) UAOBPM, after 5 minutes of solitary rest in an examination room, BP was automatically measured 3 times at 1-minute intervals; 2) OBPM, after 5 minutes of rest, a physician performed 3 consecutive BP measurements at 1-minute intervals. Subsequent evaluations aimed to detect HMOD and included echocardiography, carotid artery ultrasound, pulse wave velocity assessment, and laboratory tests. RESULTS UAOBP values were lower than the OBP ones (mean [SD], 124.7 [14.4] vs 128.2 [14.2] mm Hg; P |
| Document Type: |
article in journal/newspaper |
| File Description: |
ELETTRONICO |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/38501381; info:eu-repo/semantics/altIdentifier/wos/WOS:001225335500001; volume:134; issue:5; journal:POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ; https://hdl.handle.net/10281/551662 |
| DOI: |
10.20452/pamw.16699 |
| Availability: |
https://hdl.handle.net/10281/551662; https://doi.org/10.20452/pamw.16699 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.D4925141 |
| Database: |
BASE |