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November 1, 1996Hypertension

Blood Pressure Level and Variability in the Prediction of Blood Pressure After 5-Year Follow-up

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Why the study?

Do intra-arterial ambulatory blood pressure, BP variability, and postural measurements predict future blood pressure better than casual sphygmomanometric measurements in healthy unmedicated men?

Population

97 healthy, unmedicated men classified as normotensive, borderline hypertensive, or mildly hypertensive

Design

Cohort

Follow-up

5 years

Authors

SMSilja MajahalmeVTVäinö TurjanmaaAWAlan B. Weder

Discussion

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Overview

Casual SBP dominates future BP prediction in healthy men; confirms its primacy but leaves open IAMB's incremental value in broader cohorts.

Structured PICO

Do intra-arterial ambulatory blood pressure, BP variability, and postural measurements predict future blood pressure better than casual sphygmomanometric measurements in healthy unmedicated men?

P
Population
97 healthy, unmedicated men classified as normotensive (NT, n = 34), borderline hypertensive (BHT, n = 29), or mildly hypertensive (HT, n = 34)
O
Outcome
Future blood pressure at 5 years measured by casual BP measurements and noninvasive ambulatory 24-hour BP monitoring (NAMB)surrogate

Casual blood pressure measurements are strong predictors of future blood pressure, with ambulatory measurements adding only nominal predictive value, while weight gain is a significant independent predictor of future hypertension.

Cite This Study

Majahalme et al. (1996) studied this question.

synapsesocial.com/papers/6a7c99784a4ac2b70e610eeehttps://doi.org/10.1161/01.hyp.28.5.725
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Also Consider

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

  1. 1Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension.1994 · 1,682 citations
  2. 2The Prognostic Value of Ambulatory Blood Pressures1983 · 856 citations
  3. 3Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension.1990 · 1,230 citations
  4. 4Short-term variability of blood pressure and heart rate in borderline and mildly hypertensive subjects.1994 · 66 citations
  5. 5Prognostic significance of exercise versus resting blood pressure in hypertensive men.1991 · 104 citations