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January 1, 2007Hypertension ResearchOpen Access

Factors Affecting Heart Rate as Measured at Home among Treated Hypertensive Patients: The Japan Home versus Office Blood Pressure Measurement Evaluation (J-HOME) Study

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Why the study?

What factors determine elevated home heart rate in treated hypertensive patients?

Population

3,400 treated hypertensive patients in Japan (3,086 measured home heart rate both in the morning and evening)

Design

Cross-sectional

Authors

RKRie KomaiTohoku UniversityTOTaku ObaraPreventive CardiologyTOTakayoshi OhkuboPreventive Cardiology

Discussion

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Overview

These correlates may aid risk stratification in treated hypertension; leaves open whether modification improves outcomes.

Key Points

  • To identify clinical characteristics, lifestyle factors, and medication classes associated with elevated morning and evening home heart rate in patients undergoing treatment for hypertension.
  • Analyzed data from 3,400 hypertensive patients taking antihypertensive medications, with 3,086 completing home heart rate measurements both in the morning and evening using a home blood pressure device.
  • Physician-administered questionnaires collected patient demographic, clinical, and pharmacological data.
  • Multivariate linear regression analysis was performed to evaluate factors independently associated with morning and evening home heart rate.
  • The mean home heart rates were 67.2 ± 9.1 beats per minute in the morning and 69.6 ± 9.2 beats per minute in the evening.
  • Multivariate analysis identified younger age, presence of diabetes mellitus, habitual smoking, and higher diastolic blood pressure as determinants of elevated morning or evening home heart rate.
  • Non-use of beta-blockers or angiotensin-converting enzyme inhibitors was significantly associated with higher home heart rate levels.

Structured PICO

What factors determine elevated home heart rate in treated hypertensive patients?

P
Population
3,400 treated hypertensive patients in Japan (3,086 measured home heart rate both in the morning and evening)
O
Outcome
Factors affecting home heart rate in the morning and eveningsurrogate

In treated hypertensive patients, elevated home heart rate is associated with younger age, diabetes, smoking, higher diastolic BP, and lack of beta-blocker or ACE inhibitor therapy.

Cite This Study

Komai et al. (2007) studied this question.

synapsesocial.com/papers/6a88f776fdd42a3ef2696544https://doi.org/10.1291/hypres.30.1051
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Also Consider

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