Article
Peripheral Vascular Disease
Eline H. Groenland, Jean-Paul A. C. Vendeville, Remy H. H. Bemelmans, Houshang Monajemi, Michiel L. Bots, Frank L. J. Visseren, Wilko Spiering
Summary: This study evaluated the agreement between app-assisted home blood pressure monitoring and 24-hour ambulatory blood pressure monitoring, and found significant disagreement between the two methods. App-assisted home blood pressure monitoring had high sensitivity in diagnosing sustained and masked hypertension, and can be used as a complement to 24-hour ambulatory blood pressure monitoring.
Article
Medicine, General & Internal
Francesca Coccina, Paola Borrelli, Anna M. M. Pierdomenico, Jacopo Pizzicannella, Maria T. T. Guagnano, Chiara Cuccurullo, Marta Di Nicola, Giulia Renda, Oriana Trubiani, Francesco Cipollone, Sante D. D. Pierdomenico
Summary: The aim of this study was to provide prediction models for masked uncontrolled hypertension (MUCH) detected by ambulatory blood pressure (BP) monitoring in an Italian population. The study found that males, smokers, left ventricular hypertrophy, and high-normal clinic blood pressure are indicators of MUCH, and the models including these factors have good diagnostic accuracy.
Review
Medicine, General & Internal
Fabio Angeli, Gianpaolo Reboldi, Francesco Giuseppe Solano, Antonietta Prosciutto, Antonella Paolini, Martina Zappa, Claudia Bartolini, Andrea Santucci, Stefano Coiro, Paolo Verdecchia
Summary: Several outcome-based prospective investigations have shown the prognostic value of 24-hour ambulatory blood pressure monitoring in cardiovascular risk stratification. Average 24-hour, daytime, and nighttime blood pressures are essential components that improve risk assessment beyond traditional factors. However, the interpretation and clinical use of ambulatory blood pressure monitoring need standardization, and implementing its results in individual patient management remains challenging.
Article
Physiology
Hailan Zhu, Haoxiao Zheng, Xiaoyan Liang, Chunyi Huang, Lichang Sun, Xiong Liu, Min Qiu, Weiyi Mai, Yuli Huang
Summary: White coat hypertension and masked hypertension are highly prevalent in the Physical Examination Center in Shunde Hospital, Southern Medical University. Smoking and family history of coronary heart disease are related to white coat hypertension, while smoking, family history of hypertension, and coronary heart disease are associated with masked hypertension.
FRONTIERS IN PHYSIOLOGY
(2022)
Article
Peripheral Vascular Disease
Francesca Coccina, Anna M. Pierdomenico, Matteo de Rosa, Belli Lorenzo, Melissa Foglietta, Ivan Petrilli, Piergiusto Vitulli, Jacopo Pizzicannella, Oriana Trubiani, Francesco Cipollone, Giulia Renda, Sante D. Pierdomenico
Summary: In this study of 2135 treated hypertensive patients, individuals with masked and sustained uncontrolled hypertension were found to have approximately twice the risk of new-onset atrial fibrillation compared to those with controlled hypertension, while those with white coat uncontrolled hypertension did not have a significantly increased risk.
AMERICAN JOURNAL OF HYPERTENSION
(2021)
Review
Cardiac & Cardiovascular Systems
Justin Chia, Kunwardeep S. Bhatia, Anastasia S. Mihailidou, Logan B. Kanagaratnam
Summary: Hypertension remains the leading modifiable risk factor for stroke, kidney disease, and cardiovascular disease, and is a significant contributor to preventable deaths worldwide. Utilizing ambulatory blood pressure monitoring (ABPM) can enhance the accurate diagnosis of hypertension and identify specific subtypes such as white coat hypertension and masked hypertension, as well as assess a patient's nocturnal blood pressure status. Familiarity with the use of ABPM is crucial for optimal management of patients with hypertension.
HEART LUNG AND CIRCULATION
(2022)
Review
Medicine, General & Internal
Yibang Cheng, Yan Li, Jiguang Wang
Summary: Ambulatory blood pressure monitoring is crucial in the management of hypertension, as it aids in accurate diagnosis and cardiovascular risk assessment.
CHINESE MEDICAL JOURNAL
(2022)
Article
Peripheral Vascular Disease
Francesca Coccina, Anna M. Pierdomenico, Chiara Cuccurullo, Jacopo Pizzicannella, Maria T. Guagnano, Giulia Renda, Oriana Trubiani, Francesco Cipollone, Sante D. Pierdomenico
Summary: The study suggests that patients with masked uncontrolled hypertension (NRMUCH and RMUCH) have a higher cardiovascular risk compared to controlled hypertension patients (CH).
JOURNAL OF CLINICAL HYPERTENSION
(2022)
Article
Pediatrics
Sanober Sadiq, Elizabeth Black, Aris Oates
Summary: ABPM is a useful tool for diagnosing and managing hypertension in CKD patients, with no specific barriers identified in this study. No demographic or disease characteristics were found to impact the likelihood of obtaining ABPM, suggesting a need for further patient and provider education for improvement.
Article
Pediatrics
Ajay P. Sharma, Amrit Kirpalani, Ajaya Sharma, Luis Altamirano-Diaz, Guido Filler, Kambiz Norozi
Summary: This study evaluated the diagnosis and target organ injury of hypertension using the 2022 American Heart Association (AHA) ambulatory blood pressure threshold compared to the 2014 AHA and 2016 ESH thresholds. The results showed that the 2022 AHA threshold diagnosed more cases of hypertension and identified more cases of hypertension-induced target organ injury than the previous thresholds.
PEDIATRIC NEPHROLOGY
(2023)
Article
Pediatrics
Deniz Karakaya, Evrim Kargin Cakici, Fatma Yazilitas, Tulin Gungor, Evra Celikkaya, Esra Baglan, Mehmet Bulbul
Summary: This study investigated the presence of hypertension in children with renal parenchymal scarring (RPS) using ambulatory blood pressure monitoring (ABPM) and compared their blood pressure with healthy controls. The results showed a higher detection rate of hypertension in RPS children using ABPM. Early diagnosis of hypertension via ABPM can help prevent the development of kidney failure and cardiovascular disease, significantly reducing morbidity and mortality rates.
PEDIATRIC NEPHROLOGY
(2022)
Article
Peripheral Vascular Disease
Eugenia Gkaliagkousi, Athanase D. Protogerou, Antonios A. Argyris, Nikolaos Koletsos, Areti Triantafyllou, Panagiota Anyfanti, Antonios Lazaridis, Konstantina Dipla, Petros P. Sfikakis, Stella Douma
Summary: Masked hypertension and masked uncontrolled hypertension, which often go undiagnosed, can be detected by identifying the isolated high office aortic systolic blood pressure phenotype. This phenotype, measurable in a single office visit, can assist in the diagnosis of these conditions. Individuals with masked hypertension and masked uncontrolled hypertension have elevated office aortic systolic blood pressure compared to those with sustained normotension, potentially explaining their increased mortality rates.
HYPERTENSION RESEARCH
(2021)
Article
Medicine, General & Internal
Hyun-Jin Kim, Jeong-Hun Shin, Yonggu Lee, Ju Han Kim, Sun Ho Hwang, Woo Shik Kim, Sungha Park, Sang Jae Rhee, Eun Mi Lee, Sang Hyun Ihm, Wook Bum Pyun, Jinho Shin
Summary: This study aimed to investigate the clinical characteristics and predictors of masked uncontrolled hypertension (MUCH) in patients with hypertension. Patients with MUCH had worse metabolic profiles, higher office BP, and lower antihypertensive drug use compared to controlled hypertension patients. The study identified high office systolic and diastolic BP, prior stroke, dyslipidemia, LVH, high heart rate, and single antihypertensive drug use as independent predictors of MUCH, and proposed a prediction model with high diagnostic accuracy.
KOREAN JOURNAL OF INTERNAL MEDICINE
(2021)
Article
Endocrinology & Metabolism
Leif Karlsson, Lena Wallensteen, Anna Nordenstrom, Rafael T. Krmar, Svetlana Lajic
Summary: This study analyzed ambulatory blood pressure measurements in children and adults who were treated with dexamethasone (DEX) prenatally. The results suggest that DEX treatment does not adversely affect blood pressure in individuals unaffected by congenital adrenal hyperplasia.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2022)
Article
Medicine, General & Internal
Francesca Coccina, Anna M. Pierdomenico, Chiara Cuccurullo, Jacopo Pizzicannella, Oriana Trubiani, Sante D. Pierdomenico
Summary: The study aimed to assess the risk of heart failure in elderly treated hypertensive patients with different types of hypertension. The results showed that patients with uncontrolled hypertension, nonresistant hypertension, and resistant hypertension had a significantly higher risk of developing heart failure compared to those with controlled hypertension.