Key result
ABPM identifies hypertension in ~73% of referred young adults.
Why the study?
Single clinic measurements may not adequately characterize sustained and nocturnal blood pressure elevation, motivating description of the clinical profile and ambulatory blood pressure findings of young adults referred from peripheral hospitals for hypertension evaluation in North India.
Observational (n=200)
24-hour ABPM identified true hypertension in 72.5% of young adults referred from peripheral hospitals in North India, supporting out-of-office blood pressure assessment when hypertension is suspected.
Answers are grounded in this paper and cite their sources.
Supports ABPM in referred young adults; leaves open whether routine use improves long-term outcomes.
A BSTRACT Background: Ambulatory blood pressure monitoring (ABPM) provides repeated out-of-office measurements and can identify sustained and nocturnal blood pressure elevation that may not be adequately characterized by a single clinic measurement. Objective: To describe the clinical profile and ambulatory blood pressure findings of young adults referred from peripheral hospitals for evaluation of hypertension in North India. Methods: This prospective observational study included 200 consecutive adults aged 18–40 years referred for 24-hour ABPM between November 2024 and March 2026. Blood pressure (BP) was recorded at 20-minute intervals for 24 hours. Participants were classified as normotensive or hypertensive using BP thresholds based on the European Society of Hypertension framework used in the submitted study. Demographic characteristics, body mass index (BMI), cardiovascular risk factors, comorbidities, and ambulatory blood pressure parameters were summarized using descriptive statistics and Student’s t -test. Results: A total of 200 participants studied, 122 (61%) were male and 78 (39%) were female. Based on the study’s ambulatory classification, 55 (27.5%) participants were normotensive and 145 (72.5%) were hypertensive. Hypertension was associated with higher BMI and a greater proportion of dyslipidaemia (65% versus 35%, P < 0.05). Mean 24-hour systolic/diastolic blood pressure was 137.4 ± 12.2/85.88 ± 7.87 mmHg in the hypertensive group versus 116.4 ± 7.42/70.79 ± 5.10 mmHg in the normotensive group ( P < 0.01). Daytime and nighttime systolic and diastolic BP also differed significantly between groups. Conclusion: In this study ABPM identified a substantial proportion classified as hypertensive and demonstrated clear differences in 24-hour, daytime, and nighttime blood pressure profiles. The findings support the use of out-of-office BP assessment when hypertension is suspected, while the referral-based design limits estimation of population prevalence.
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Chaturvedi et al. (2026) conducted an observational in Suspected hypertension (n=200). 24-hour ambulatory blood pressure monitoring (hypertensive classification) vs. Normotensive classification was evaluated on Ambulatory classification of hypertension and 24-hour blood pressure profile (p=<0.01). 24-hour ABPM classified 72.5% of referred young adults as hypertensive vs 27.5% normotensive, with mean 24-h BP of 137.4/85.9 vs 116.4/70.8 mmHg (P<0.01).
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