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.
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)
Article
Peripheral Vascular Disease
Jessica Barochiner, Lucas S. Aparicio, Rocio Martinez, Jose Alfie, Marcos J. Marin
Summary: The study identifies a phenomenon called masked uncontrolled apparent resistant hypertension (MUCRH) in hypertensive patients, which is associated with cardiovascular mortality and cerebrovascular events. MUCRH may be an independent predictor for these events.
JOURNAL OF HYPERTENSION
(2021)
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
Peripheral Vascular Disease
Kazuomi Kario, Naoko Tomitani, Satoshi Hoshide, Masafumi Nishizawa, Tetsuro Yoshida, Tomoyuki Kabutoya, Takeshi Fujiwara, Hiroyuki Mizuno, Yukie Okawara, Hiroshi Kanegae, HI JAMP Study Grp
Summary: Home blood pressure control status defined using different thresholds can predict the control status of 24-hour ambulatory blood pressure in treated hypertension. When home blood pressure is controlled to less than 125/75 mm Hg, ambulatory blood pressure is well controlled.
Article
Peripheral Vascular Disease
Marco A. M. Alves, Audes D. M. Feitosa, Marco A. Mota-Gomes, Annelise M. G. Paiva, Weimar S. Barroso, Roberto D. Miranda, Eduardo C. D. Barbosa, Andrea A. Brandao, Paulo G. S. Diniz, Otavio Berwanger, Jose L. Lima-Filho, Andrei C. Sposito, Antonio Coca, Wilson Nadruz
Summary: This study found that the accuracy of guideline-proposed office blood pressure screening thresholds in identifying individuals at high risk of having masked hypertension in an office setting is limited and is inferior to that yielded by scores derived from simple clinical variables.
HYPERTENSION RESEARCH
(2023)
Article
Peripheral Vascular Disease
Emelina Stambolliu, Anastasios Kollias, Ioanna Bountzona, Angeliki Ntineri, George Servos, Andriani Vazeou, George S. Stergiou
Summary: This study shows that nighttime home blood pressure monitoring is feasible and closely associated with nighttime ambulatory blood pressure in children and adolescents, and similarly associated with preclinical organ damage.
Article
Health Care Sciences & Services
Matthew J. J. Thompson, Melissa L. L. Anderson, Andrea J. J. Cook, Kelly Ehrlich, Yoshio N. N. Hall, Clarissa Hsu, Karen L. L. Margolis, Jennifer B. B. McClure, Sean A. A. Munson, Beverly B. B. Green
Summary: This study compared the acceptability and adherence of blood pressure (BP) measurement in clinic, home, kiosk, and ambulatory BP monitoring (ABPM) settings. The results showed that home BP measurement was the most acceptable, followed by clinic, kiosk, and ABPM. These findings support the routine use of home-based BP measurement in primary care practice in the US.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
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
Peripheral Vascular Disease
Keisuke Narita, Satoshi Hoshide, Kazuomi Kario
Summary: This study analyzed the association between home and ambulatory blood pressure monitoring and cardiovascular risk in hypertensive outpatients, and found that both home blood pressure and ambulatory blood pressure were independently associated with cardiovascular risk. Home blood pressure had a modest superiority to predict cardiovascular prognosis compared to ambulatory blood pressure.
Article
Peripheral Vascular Disease
Angeliki Ntineri, Ariadni Menti, Konstantinos G. Kyriakoulis, Ioanna Bountzona, Sofia Prapa, Anastasios Kollias, George S. Stergiou
Summary: This study evaluated the accuracy of the InBody BPBIO210 manual auscultatory hybrid blood pressure measuring device in a general population and demonstrated its compliance with the AAMI/ESH/ISO Universal Standard, making it suitable for clinical use.
BLOOD PRESSURE MONITORING
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Anastasios Kollias, Konstantinos G. Kyriakoulis, George S. Stergiou
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2022)
Review
Engineering, Biomedical
Ramakrishna Mukkamala, George S. Stergiou, Alberto P. Avolio
Summary: Cuffless blood pressure measurement is a popular research field driven by clinical need and technological opportunity. This review provides an overview of the development and application of cuffless BP measurement methods, including the principles of conventional BP measurement, the problems that cuffless methods can address, the technological advances that are driving the field, and the current evidence of various cuffless methods under investigation.
ANNUAL REVIEW OF BIOMEDICAL ENGINEERING
(2022)
Article
Peripheral Vascular Disease
Thomas Weber, Jaques Amar, Tine de Backer, Thilo Burkard, Marcus van der Giet, Philippe Gosse, Andrzej Januszewicz, Thomas Kahan, Giuseppe Mancia, Christopher C. Mayer, Maria Lorenza Muiesan, George S. Stergiou, Konstantinos Tsioufis, Bernard Vaisse, Reinhold Kreutz
Summary: The Covid-19 pandemic led to a significant decrease in non-Covid-19 related hypertension care procedures. The first wave and lockdown period saw the largest reduction in diagnostic and therapeutic procedures related to hypertension. The long-term consequences on blood pressure control and cardiovascular events need further investigation.
Correction
Cardiac & Cardiovascular Systems
Gregory Y. H. Lip, Agnieszka Kotalczyk, Christine Teutsch, Hans-Christoph Diener, Sergio J. Dubner, Jonathan L. Halperin, Chang-Sheng Ma, Kenneth J. Rothman, Sabrina Marler, Venkatesh Kumar Gurusamy, Menno V. Huisman
Summary: The name of the GLORIA-AF investigator was mistakenly written as Athanasios Kollias instead of Anastasios Kollias in the Acknowledgements section of the article. The error has been corrected.
CLINICAL RESEARCH IN CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Gregory Y. H. Lip, Agnieszka Kotalczyk, Christine Teutsch, Hans-Christoph Diener, Sergio J. Dubner, Jonathan L. Halperin, Chang-Sheng Ma, Kenneth J. Rothman, Sabrina Marler, Venkatesh Kumar Gurusamy, Menno Huisman
Summary: This study compared the safety and effectiveness of different non-vitamin K antagonists (NOACs) in newly diagnosed atrial fibrillation (AF) patients. The results showed that dabigatran had a lower risk of major bleeding compared to rivaroxaban, but similar risks of stroke, myocardial infarction (MI), and death. Patients treated with dabigatran had similar risks of stroke, major bleeding, MI, and death compared to apixaban. Rivaroxaban had an increased risk of major bleeding compared to apixaban, but similar risks of stroke, MI, and death.
CLINICAL RESEARCH IN CARDIOLOGY
(2022)
Review
Peripheral Vascular Disease
James E. Sharman, Isabella Tan, George S. Stergiou, Carolina Lombardi, Francesca Saladini, Mark Butlin, Raj Padwal, Kei Asayama, Alberto Avolio, Tammy M. Brady, Alan Murray, Gianfranco Parati
Summary: Automated oscillometric blood pressure measuring devices have replaced manual auscultatory blood pressure measurement by mercury sphygmomanometers in clinical settings. These validated devices provide similar blood pressure values to manual measurement, making them the recommended standard for hypertension diagnosis and management globally.
JOURNAL OF HUMAN HYPERTENSION
(2023)
Article
Peripheral Vascular Disease
Anastasios Kollias, Emmanouil Foukarakis, Konstantinos Karakousis, George S. Stergiou
Summary: The HYPEDIA study evaluated the implementation of the 2018 European guidelines for treating hypertension in primary care. The study found that renin-angiotensin system blocker-based therapy is widely used in primary care, and single-pill combination drugs are commonly prescribed. However, treatment was not intensified in almost half of the uncontrolled hypertensive patients, suggesting suboptimal implementation of the guidelines.
JOURNAL OF HUMAN HYPERTENSION
(2023)
Review
Peripheral Vascular Disease
Dean S. Picone, Raj Padwal, George S. Stergiou, Jordana B. Cohen, Richard J. McManus, Siegfried Eckert, Kei Asayama, Neil Atkins, Michael Rakotz, Cintia Lombardi, Tammy M. Brady, James E. Sharman
Summary: Clinically validated, automated arm-cuff blood pressure measuring devices are recommended for accurate measurement. However, most devices available for consumers lack proper validation, which increases the risk of misdiagnosis and mismanagement of blood pressure. Validated device lists have been developed to address this issue, but there are still challenges to overcome.
JOURNAL OF HUMAN HYPERTENSION
(2023)
Review
Cardiac & Cardiovascular Systems
Aletta E. Schutte, Tazeen H. Jafar, Neil R. Poulter, Albertino Damasceno, Nadia A. Khan, Peter M. Nilsson, Jafar Alsaid, Dinesh Neupane, Kazuomi Kario, Hind Beheiry, Sofie Brouwers, Dylan Burger, Fadi J. Charchar, Myeong Chan Cho, Tomasz J. Guzik, Ghazi F. Haji Al-Saedi, Muhammad Ishaq, Hiroshi Itoh, Erika S. W. Jones, Taskeen Khan, Yoshihiro Kokubo, Praew Kotruchin, Elizabeth Muxfeldt, Augustine Odili, Mansi Patil, Udaya Ralapanawa, Cesar A. Romero, Markus P. Schlaich, Abdulla Shehab, Ching Siew Mooi, U. Muscha Steckelings, George Stergiou, Rhian M. Touyz, Thomas Unger, Richard D. Wainford, Ji-Guang Wang, Bryan Williams, Brandi M. Wynne, Maciej Tomaszewski
Summary: Hypertension is the leading cause of preventable death globally, but there are significant challenges in its detection, treatment, and control, particularly in low-resource settings. Disparities based on resources, sociodemographic environment, and race contribute to the disproportionate burden of hypertension-related outcomes. Immediate action is needed to address these challenges and reduce inequities in hypertension care.
CARDIOVASCULAR RESEARCH
(2023)
Article
Cardiac & Cardiovascular Systems
George S. Stergiou, Angeliki Ntineri, Ariadni Menti, Natasa Kalpourtzi, Charalambos Vlachopoulos, Evangelos N. Liberopoulos, Loukianos Rallidis, Dimitris Richter, Magda Gavana, Apostolos Vantarakis, Grigoris Chlouverakis, Christos Hajichristodoulou, Grigoris Trypsianis, Paraskevi V. Voulgari, Yannis Alamanos, Argiro Karakosta, Giota Touloumi
Summary: A nationwide survey conducted in Greece revealed that hypercholesterolemia is responsible for 27% of cardiovascular deaths. The study found that the Greek population generally has high cholesterol levels, with a significant proportion requiring lipid-lowering drugs.
HELLENIC JOURNAL OF CARDIOLOGY
(2023)
Review
Peripheral Vascular Disease
Ramakrishna Mukkamala, Sanjeev G. Shroff, Cederick Landry, Konstantinos G. Kyriakoulis, Alberto P. Avolio, George S. Stergiou
Summary: Conventional blood pressure measurement devices only provide a limited view of continuous blood pressure profile. Wearable cuffless blood pressure devices utilizing pulse wave analysis and pulse arrival time have the potential to significantly improve the assessment and management of hypertension. The Aurora Project, conducted by Microsoft Research, evaluated the accuracy of various cuffless blood pressure devices and found negative results. This article discusses the emerging technologies, summarizes the Aurora Project, and highlights its implications, study methodology, and limitations.
Review
Peripheral Vascular Disease
Michelle L. Gumz, Daichi Shimbo, Marwah Abdalla, Ravi C. Balijepalli, Christian Benedict, Yabing Chen, David J. Earnest, Karen L. Gamble, Scott R. Garrison, Ming C. Gong, John B. Hogenesch, Yuling Hong, Jessica R. Ivy, Bina Joe, Aaron D. Laposky, Mingyu Liang, Eric J. MacLaughlin, Tami A. Martino, David M. Pollock, Susan Redline, Amy Rogers, R. Dan Rudic, Eva S. Schernhammer, George S. Stergiou, Marie-Pierre St-Onge, Xiaoling Wang, Jacqueline Wright, Young S. Oh
Summary: Healthy individuals experience variation in blood pressure over a 24-hour period, with higher levels during wakefulness and lower levels during sleep. Disruption of the blood pressure circadian rhythm has been associated with negative health outcomes such as cardiovascular disease, dementia, and chronic kidney disease. Current approaches to diagnosis and treatment do not adequately consider the circadian rhythmicity of blood pressure. This review summarizes findings from a workshop held by the National Heart, Lung, and Blood Institute to identify knowledge gaps and research opportunities related to the study of blood pressure circadian rhythm and chronotherapy for hypertension.
Review
Peripheral Vascular Disease
Justine Huart, Alexandre Persu, Jean-Philippe Lengele, Jean-Marie Krzesinski, Francois Jouret, George S. Stergiou
Summary: The nondipping blood pressure pattern refers to an inadequate decrease in BP levels during nighttime sleep, disrupting the circadian BP rhythm as observed in 24-hour ambulatory BP monitoring. Patients with this pattern experience poorer renal and cardiovascular outcomes regardless of their average 24-hour BP levels. The pathophysiology of nondipping BP involves disruptions in circadian rhythm, autonomic nervous system, and water and sodium regulation, and recent research has also suggested a potential role of gut microbiota in this pattern.
Review
Peripheral Vascular Disease
James E. Sharman, Pedro Ordunez, Tammy Brady, Gianfranco Parati, George Stergiou, Paul K. Whelton, Raj Padwal, Michael Hecht Olsen, Christian Delles, Aletta E. Schutte, Maciej Tomaszewski, Daniel T. Lackland, Nadia Khan, Richard J. McManus, Ross T. Tsuyuki, Xin-Hua Zhang, Lisa D. Murphy, Andrew E. Moran, Markus P. Schlaich, Norm R. C. Campbell
JOURNAL OF HUMAN HYPERTENSION
(2023)