June 30, 2025Polskie Archiwum Medycyny WewnętrznejOpen Access

Differences between office, home, and 24-hour ambulatory blood pressure monitoring in preeclampsia and uncomplicated hypertension during pregnancy

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Why the study?

Hypertension definition and management rely on office blood pressure measurement, yet home and ambulatory monitoring seem more accurate, and data comparing these methods in pregnancy are scarce.

Do different blood pressure monitoring methods (HBPM, OBPM, ABPM) differ in their ability to predict preeclampsia in pregnant women with hypertension?

Comparison

HBPM vs OBPM vs ABPM across normotensive, uncomplicated hypertension, and preeclampsia groups

Design

Prospective cohort study

Follow-up

1 year post-delivery

Authors

LSLudwina Szczepaniak‐ChichełPoznan University of Medical Sciences DLDawid LipskiPoznan University of Medical Sciences PUPaweł UruskiPoznan University of Medical Sciences

Discussion

Member takes

Implication

Multiple BP monitoring methods may aid preeclampsia detection in pregnancy; leaves open whether ABPM improves outcomes over HBPM or OBPM.

Structured PICO

Do different blood pressure monitoring methods (HBPM, OBPM, ABPM) differ in their ability to predict preeclampsia in pregnant women with hypertension?

Population

241 pregnant women, including 40 normotensive controls and 201 hypertensive women (49 of whom developed preeclampsia)

Intervention

Simultaneous assessment of blood pressure using home (HBPM), office (OBPM), and 24-hour ambulatory monitoring (ABPM)

Outcome

Blood pressure profiles and differences between HBPM, OBPM, and ABPM with respect to hypertensive status and development of preeclampsiasurrogate

Nighttime ambulatory blood pressure monitoring shows the strongest potential for early detection of preeclampsia risk in pregnant women with hypertension.

Cite This Study

Szczepaniak‐Chicheł et al. (2025) studied this question.

synapsesocial.com/papers/6a7104ce6ceb2bbd16e00e64 https://doi.org/10.20452/pamw.17052

Topics

Hypertension management

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Differences between office, home, and 24-hour ambulatory blood pressure monitoring in preeclampsia and uncomplicated hypertension during pregnancy

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Differences between office, home, and 24-hour ambulatory blood pressure monitoring in preeclampsia and uncomplicated hypertension during pregnancy

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider