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November 1, 1997American Journal of Hypertension

Home Blood Pressure as a Predictor of Future Blood Pressure Stability in Borderline Hypertension The Tecumseh Study

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Why the study?

Does home blood pressure measurement predict future blood pressure stability and hypertension in untreated individuals?

Population

735 participants from the Tecumseh study not receiving antihypertensive treatment who completed both…

Design

Cohort

Follow-up

mean 3.2 +/- 0.42 years

Authors

SNShawna D. NesbittGeneral / Preventive / Lipids

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Implication

Home blood pressure measurement is a highly specific predictor of future blood pressure trends and the development of sustained hypertension in untreated individuals.

Key Points

  • The aim is to determine if home blood pressure readings can predict future blood pressure trends in individuals with borderline hypertension.
  • Participants measured blood pressure at home twice daily for 7 days, followed by a second examination after an average of 3.2 years.
  • Evaluated predictors included baseline blood pressure, morphometric data, and biochemical measures in 946 subjects.
  • Used specific home blood pressure thresholds to classify sustained and transient hypertension.
  • Of 79 initial hypertensive subjects, 38 (48.1%) remained hypertensive after 3 years, while 41 (51.9%) reverted to normotensive status.
  • Home blood pressure thresholds showed 48% sensitivity and 93% specificity for predicting sustained hypertension.
  • For future normotension, thresholds of 120/80 mm Hg had a 45% sensitivity and 91% specificity.

Structured PICO

Does home blood pressure measurement predict future blood pressure stability and hypertension in untreated individuals?

P
Population
735 participants from the Tecumseh study not receiving antihypertensive treatment (380 men, 355 women; average age 32 years) who completed both baseline and follow-up examinations.
I
Intervention
Home blood pressure measurement (twice daily for 7 days)
O
Outcome
Future clinic blood pressures (sustained hypertension, transient hypertension, de novo hypertension, or normotension) after a mean of 3.2 yearssurrogate

Home blood pressure measurement is a highly specific predictor of future blood pressure trends and the development of sustained hypertension in untreated individuals.

Cite This Study

Shawna D. Nesbitt (1997) studied this question.

synapsesocial.com/papers/6a70706853da1ffdb507a469https://doi.org/10.1016/s0895-7061(97)00267-7

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The association of borderline hypertension with target organ changes and higher coronary risk. Tecumseh Blood Pressure study1990 · 258 citations
  2. 2"White coat" versus "sustained" borderline hypertension in Tecumseh, Michigan.1990 · 272 citations
  3. 3The Tecumseh Blood Pressure Study1990 · 58 citations
  4. 4Predictors of an increased risk of future hypertension in Utah. A screening analysis.1991 · 156 citations
  5. 5Disparate effects of exercise training on glucose tolerance and insulin levels and on ambulatory blood pressure in hypertensive patients1993 · 23 citations