May 10, 2016Hypertension
Morning and Evening Home Blood Pressure and Risks of Incident Stroke and Coronary Artery Disease in the Japanese General Practice Population
Why the study?
Does morning home systolic blood pressure measurement improve the prediction of incident stroke and coronary artery disease compared to evening or office blood pressure in Japanese patients with cardiovascular risk factors?
Population
4310 Japanese patients with a history of or risk factors for cardiovascular disease, or both
Comparison
Morning home systolic blood pressure measurement vs Evening home SBP measurement and office SBP…
Design
Cohort
Follow-up
mean 4 years
Authors
Discussion
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Member takes
Implication
Morning home SBP may refine stroke risk stratification in practice; leaves open prospective validation and CAD relevance.
Structured PICO
Does morning home systolic blood pressure measurement improve the prediction of incident stroke and coronary artery disease compared to evening or office blood pressure in Japanese patients with cardiovascular risk factors?
P
Population
4310 Japanese patients with a history of or risk factors for cardiovascular disease, or both (mean age 65 years, 79% on antihypertensive medication)
I
Intervention
Morning home systolic blood pressure (SBP) measurement (taken over 14 days at baseline)
C
Comparator
Evening home SBP measurement and office SBP measurement
O
Outcome
Incident stroke and coronary artery diseasehard clinical
Morning home systolic blood pressure is a superior predictor of incident stroke compared to evening or office blood pressure in a Japanese general practice population.
Limitations
- Findings may not be generalizable to non-Japanese ethnic groups
Cite This Study
Hoshide et al. (2016) studied this question.