What question did this study set out to answer?

To evaluate the clinical utility of 24-hour ambulatory blood pressure monitoring compared with office measurements in assessing cardiovascular risk and guiding hypertension management.

November 14, 2010Sultan Qaboos University medical journalOpen Access

Comparative Study of Ambulatory Blood Pressure Monitoring and Clinic Blood Pressure Measurement in the Risk Assessment and Management of Hypertension

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Why the study?

Does 24-hour ABPM improve risk assessment and management of hypertension compared to clinic BP measurement in hypertensive patients?

Population

104 consecutive hypertensive patients, mean age 41.1 ± 8.6 years, 51.9% male.

Comparison

24-hour ambulatory blood pressure monitoring vs Clinic blood pressure measurement

Design

Cohort

Authors

HFHatem FarhanOman Medical College MAMona Al-HasaniSultan Qaboos University Hospital MMMohamed MisbahSultan Qaboos University Hospital

Discussion

Member takes

Implication

ABPM non-dipping associated with diastolic dysfunction; hypothesis-generating for ABPM risk stratification versus clinic BP.

Key Points

To evaluate the clinical utility of 24-hour ambulatory blood pressure monitoring compared with office measurements in assessing cardiovascular risk and guiding hypertension management.
Retrospectively analyzed 104 consecutive hypertensive patients evaluated between January 2007 and December 2009.
Collected clinic blood pressure measurements, routine blood test results, electrocardiograms, echocardiograms, and 24-hour ambulatory blood pressure monitoring (ABPM) profiles.
Ambulatory monitoring identified a non-dipping blood pressure profile in 64.4% of patients, with mean daytime and nighttime readings of 134/82 mmHg and 124/73 mmHg, respectively.
Echocardiography revealed left ventricular hypertrophy in 22.1% and left ventricular diastolic dysfunction (LVDD) in 29.8% of patients, with ABPM parameters significantly correlated with LVDD (P = 0.043).
Suspected white coat hypertension was confirmed in 10.6% of patients, successfully sparing them from unnecessary antihypertensive medications.

Structured PICO

Does 24-hour ABPM improve risk assessment and management of hypertension compared to clinic BP measurement in hypertensive patients?

Population

104 consecutive hypertensive patients, mean age 41.1 ± 8.6 years, 51.9% male.

Intervention

24-hour ambulatory blood pressure monitoring (ABPM)

Comparator

Clinic blood pressure measurement

Outcome

Correlation of blood pressure parameters with target organ damage (left ventricular hypertrophy and diastolic dysfunction)surrogate

24-hour ABPM is superior to office BP measurement for risk stratification in hypertensive patients, as its parameters significantly correlate with target organ damage such as diastolic dysfunction.

Cite This Study

Farhan et al. (2010) studied this question.

synapsesocial.com/papers/6a70fbcbe36a167817e2d0bf https://doi.org/10.18295/2075-0528.1219

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Comparative Study of Ambulatory Blood Pressure Monitoring and Clinic Blood Pressure Measurement in the Risk Assessment and Management of Hypertension

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Comparative Study of Ambulatory Blood Pressure Monitoring and Clinic Blood Pressure Measurement in the Risk Assessment and Management of Hypertension

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider