Key result
An office blood pressure of 130/80 mmHg corresponds to a 24-hour ambulatory blood pressure mean of 130.24/78.73 mmHg in treated hypertensive patients.
Why the study?
While guidelines recommend target office blood pressure between 120/70 and 130/80 mmHg, corresponding target values for 24-h ambulatory blood pressure monitoring are lacking.
Cross-Sectional (n=1,313)
No
This study establishes specific 24-h ambulatory blood pressure monitoring target values that correspond to the 2018 ESC/ESH office blood pressure targets, providing practical thresholds for clinical use.
May aid ABPM interpretation aligned with office targets in treated hypertension; leaves open outcome validation before guiding practice.
INTRODUCTION: 2018 ESC/ESH guidelines have recommended 24-h ambulatory blood pressure monitoring to assess hypotensive therapy in many circumstances. Recommended target blood pressure in office blood pressure measurements is between 120/70 and 130/80 mmHg. Such targets for 24-h ambulatory blood pressure monitoring lacks. AIM: We aimed to define target values of blood pressure in 24-h ambulatory blood pressure monitoring in hypertensive patients. METHODS: Office blood pressure measurements and 24-h ambulatory blood pressure monitoring data were collected from 1313 hypertensive patients and sorted following increasing systolic (SBP)/diastolic (DBP) blood pressure in office blood pressure measurements. The corresponding 24-h ambulatory blood pressure monitoring to office blood pressure measurements values were calculated. RESULTS: Values 130/80 mmHg in office blood pressure measurements correspond in 24-h ambulatory blood pressure monitoring: night-time SBP/DBP mean: 113.74/66.95 mmHg; daytime SBP/DBP mean: 135.02/81.78 mmHg and 24-h SBP/DBP mean: 130.24/78.73 mmHg. Values 120/70 mmHg in office blood pressure measurements correspond in 24-h ambulatory blood pressure monitoring: night-time SBP/DBP mean: 109.50/63.43 mmHg; daytime SBP/DBP mean: 131.01/78.47 mmHg and 24-h SBP/DBP mean: 126.36/75.31 mmHg. CONCLUSIONS: The proposed blood pressure target values in 24-h ambulatory blood pressure monitoring complement the therapeutic target indicated in the ESC/ESH recommendations and improves 24-h ambulatory blood pressure monitoring usefulness in clinical practice.
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Lewandowska et al. (2022) conducted a cross-sectional in Arterial hypertension (n=1,313). Ambulatory blood pressure monitoring (ABPM) vs. Office blood pressure measurements (OBPM) was evaluated on Correlation between OBPM and 24-h ABPM values (r=0.59, p=<0.01). An office blood pressure of 130/80 mmHg corresponds to a 24-hour ambulatory blood pressure mean of 130.24/78.73 mmHg in treated hypertensive patients.
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