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October 1, 2011Bratislavské lekárske listy/Bratislava medical journalOpen Access

Elevated pulse pressure in treated hypertensive patients during 24-hour ambulatory blood pressure monitoring

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Key result

Controlled hypertension is linked to ~14% higher 24-hour pulse pressure versus normotensive controls.

  • P<0.05
  • n=109

Why the study?

It was unclear whether antihypertensive therapy alters pulse pressure independently from other blood pressure parameters in treated hypertensive patients.

Does successful antihypertensive therapy normalize 24-hour pulse pressure in hypertensive patients?

Comparison

Successfully treated hypertensives vs healthy normotensive controls and poorly treated hypertensives

Design

Cross-sectional study

Follow-up

24 hours (ambulatory blood pressure monitoring)

Authors

JSJaroslava StrbovaJKJana KmecovaState Institute for Drug ControlJKJán KlimasComenius University Bratislava

Discussion

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Implication

Elevated 24-h pulse pressure persists despite BP control in treated hypertensives; hypothesis-generating for whether PP-targeted therapy improves outcomes.

Study Design

Type

Cross-Sectional (n=109)

Multicenter

No

Structured PICO

Does successful antihypertensive therapy normalize 24-hour pulse pressure in hypertensive patients?

P
Population
109 adults over 40 years of age, including 89 treated for essential hypertension and 20 normotensive controls, evaluated using 24-hour ambulatory blood pressure monitoring.
E
Exposure
Antihypertensive medication achieving successful control of systolic and diastolic blood pressure (sBP/dBP <130/80 mmHg).
C
Comparator
Healthy normotensive controls and poorly treated (uncontrolled) hypertensives.
O
Outcome
Mean 24-hour pulse pressure (PP) measured by ambulatory blood pressure monitoring.surrogate

Main Result

Absolute Event Rate: 49% vs 43%

p-value: p=<0.05

24-hour ambulatory blood pressure monitoring reveals that pulse pressure remains elevated in treated hypertensive patients despite achieving target systolic and diastolic blood pressures.

Limitations

  • Small sample size
  • Retrospective analysis of data
  • Cross-sectional design limits causal inferences

Cite This Study

Strbova et al. (2011) conducted a cross-sectional in Essential hypertension (n=109). Antihypertensive therapy (successful blood pressure control) vs. Normotensive controls was evaluated on 24-hour pulse pressure (PP) (p=<0.05). Successfully treated hypertensive patients had significantly increased 24-hour pulse pressure compared to normotensive controls (49 vs 43 mmHg, p<0.05) despite proper control of systolic and diastolic blood pressure.

synapsesocial.com/papers/6abe4a5fd8bdd63c9fc1f76ehttps://doi.org/10.1007/bf03657516

Topics

Hypertension management
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