Sleep Blood Pressure Self‐Measured at Home as a Novel Determinant of Organ Damage: Japan Morning Surge Home Blood Pressure (J‐HOP) Study
Why the study?
Is sleep blood pressure self-measured at home associated with organ damage independently of clinic and awake home blood pressures?
Population
2562 participants in the J-HOP (Japan Morning Surge Home Blood Pressure) study
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
Home sleep SBP was independently associated with organ damage; hypothesis-generating for nocturnal monitoring and requires prospective validation before practice change.
Structured PICO
Is sleep blood pressure self-measured at home associated with organ damage independently of clinic and awake home blood pressures?
P
Population
2562 participants in the J-HOP (Japan Morning Surge Home Blood Pressure) study
I
Intervention
Sleep blood pressure self-measured at home using a home BP monitoring (HBPM) device, three times during sleep (2 am, 3 am, 4 am)
O
Outcome
Organ damage markers including urinary albumin/creatinine ratio (UACR), left ventricular mass index (LVMI), brachial-ankle pulse wave velocity (baPWV), maximum carotid intima-media thickness, and plasma N-terminal pro-hormone pro-brain-type natriuretic peptide (NTproBNP)surrogate
Self-measured home sleep blood pressure is independently associated with organ damage and can identify masked nocturnal hypertension missed by conventional home monitoring.
Cite This Study
Kario et al. (2015) studied this question.