January 1, 2004Hypertension ResearchOpen Access

Home Blood Pressure Is a Better Predictor of Carotid Atherosclerosis than Office Blood Pressure in Community-Dwelling Subjects

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Why the study?

Does home blood pressure measurement better predict carotid atherosclerosis than office blood pressure measurement in community-dwelling subjects?

Population

101 community residents in Japan, aged 50 years or older, with no history or symptoms of cardiovascular…

Comparison

Home blood pressure measurement vs Office blood pressure measurement

Design

Cross-sectional

Authors

RTRieko TachibanaTokushima University YTYasuharu TabaraPreventive Cardiology IKIkuko KondoUniversity of Geneva

Discussion

Member takes

Implication

May support home BP for atherosclerosis risk stratification in community settings; hypothesis-generating, requiring prospective validation before practice change.

Structured PICO

Does home blood pressure measurement better predict carotid atherosclerosis than office blood pressure measurement in community-dwelling subjects?

Population

101 community residents in Japan, aged 50 years or older (mean age 66.7, 14 male / 87 female), with no history or symptoms of cardiovascular disease (except hypertension) and free from medication.

Intervention

Home blood pressure measurement (morning, sitting position, averaged over 2 weeks)

Comparator

Office blood pressure measurement (supine position, measured twice at 5-min interval, averaged)

Outcome

Carotid atherosclerosis defined as intima-media thickness (IMT) >= 0.80 mmsurrogate

Home blood pressure measurement is a stronger predictor of carotid atherosclerosis than office blood pressure in community-dwelling individuals without cardiovascular disease.

Limitations

Mild definition of carotid atherosclerosis (IMT >= 0.8 mm) due to healthy population
Office BP was measured in the supine position while home BP was measured in a sitting position

Cite This Study

Tachibana et al. (2004) studied this question.

synapsesocial.com/papers/6a7de25f4776ec63351879a3 https://doi.org/10.1291/hypres.27.633

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Implication

May support home BP for atherosclerosis risk stratification in community settings; hypothesis-generating, requiring prospective validation before practice change.

Home Blood Pressure Is a Better Predictor of Carotid Atherosclerosis than Office Blood Pressure in Community-Dwelling Subjects

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Home Blood Pressure Is a Better Predictor of Carotid Atherosclerosis than Office Blood Pressure in Community-Dwelling Subjects

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider