scholarly journals Seasonal Variation of Home Blood Pressure and Its Association With Target Organ Damage: The J-HOP Study (Japan Morning Surge-Home Blood Pressure)

2020 ◽  
Vol 33 (7) ◽  
pp. 620-628
Author(s):  
Keisuke Narita ◽  
Satoshi Hoshide ◽  
Takeshi Fujiwara ◽  
Hiroshi Kanegae ◽  
Kazuomi Kario
Keyword(s):  
Blood Pressure ◽  
Seasonal Variation ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Cross Sectional Study ◽  
Home Blood Pressure ◽  
Target Organ ◽  
Masked Hypertension ◽  
Cardiovascular Risks ◽  
Cross Sectional

Abstract Background Although seasonal variation of home blood pressure (BP) has been reported to be higher in winter, seasonal difference in home BP (HBP) and its association with target organ damage (TOD) remains unclear. Methods This is a cross-sectional study using the dataset from the Japan Morning Surge-Home Blood Pressure (J-HOP) study to assess seasonal differences in HBP, prevalence of masked hypertension, and association of HBP with TOD. The J-HOP study is a nationwide, multicenter prospective study whose participants with cardiovascular risks underwent morning and evening HBP measurements for a 14-day period in 71 institutions throughout Japan. Urine albumin–creatinine ratio (UACR) and serum-B-type natriuretic peptide (BNP) were obtained at enrollment. Results Among 4,267 participants (mean age, 64.9 ± 10.9 years; 46.9% male; 91.4% hypertensives), 1,060, 979, 1,224, and 1,004 participants were enrolled in spring, summer, autumn, and winter, respectively. Morning and evening home systolic/diastolic BP levels, and prevalence of masked hypertension (office BP <140/90 mm Hg and HBP ≥135/85 mm Hg) were significantly lower in summer than other seasons after adjustment for covariates. When we assessed the interaction between BP parameters and each season for an association with TOD, we found the association between morning home diastolic BP and each of UACR and BNP was stronger in winter than other seasons (both P for interaction <0.05). Conclusions In this study, we revealed that the prevalence of masked hypertension was higher in other seasons than in summer and found a notable association between morning home diastolic BP and TOD in winter.

scholarly journals Home Blood Pressure Is as Reliable as Ambulatory Blood Pressure in Predicting Target-Organ Damage in Hypertension

2007 ◽  
Vol 20 (6) ◽  
pp. 616-621 ◽  
Author(s):  
G STERGIOU ◽  
K ARGYRAKI ◽  
I MOYSSAKIS ◽  
S MASTORANTONAKIS ◽  
A ACHIMASTOS ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Home Blood Pressure ◽  
Target Organ

scholarly journals HYPERTENSION PHENOTYPES IN YOUNG INDIVIDUALS DEFINED BY OFFICE, AMBULATORY AND HOME BLOOD PRESSURE MEASUREMENT: PREVALENCE AND ASSOCIATION WITH TARGET ORGAN DAMAGE

2021 ◽  
Vol 39 (Supplement 1) ◽  
pp. e59
Author(s):  
Maria Elena Zeniodi ◽  
Angeliki Ntineri ◽  
Anastasios Kollias ◽  
George Servos ◽  
Ioannis Moyssakis ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Home Blood Pressure ◽  
Target Organ

Abstract P119: Cardiovascular Risk And Subclinical Target Organ Damage In A Young Adult Population Provided By A Primary Healthcare Center In Brazil (Laparc Study)

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Beatriz Deberaldini Marinho ◽  
Deisianny Santos ◽  
Rodrigo Borges ◽  
Tomás de Souza Mello ◽  
Natalia Ushijima ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Healthcare ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Neck Circumference ◽  
Target Organ ◽  
Healthy Population ◽  
Masked Hypertension ◽  
Healthcare Center ◽  
Primary Healthcare Center

Background: In this young and apparently healthy population, it is important to identify early CV risk factors and subclinical target organ damage (TOD) with low complexity procedures, aiming regression, control and primary prevention with future reduction of CV morbidity and mortality. Objectives: To evaluate subclinical TOD using Ankle-Brachial Index (ABI), Office and Home Pulse Pressure (PP), identifying arterial stiffness. Methods: A cross-sectional population study for CV risk assessment in adults aged 20-50 years old provided by a Primary Healthcare Center in Brazil. A total of 632 individuals were evaluated (40% male; mean age 36 ± 9 years). Socio-demographic, anthropometric data, and lifestyle evaluation were recorded. All underwent Office Blood Pressure (OBP) measurements in the 4 limbs to calculate the ABI and office PP. All received the Home Blood Pressure Monitoring (HBPM) device (7 days protocol) and the mean of the general BP and the calculation of the PP were evaluated. They also performed an ECG to calculate Sokolow-Lyon Index (SLI) and Cornell Voltage Index (CVI). Results: The prevalence of hypertension according to OBP was 16% and 18% according to HBPM, but with a low agreement between diagnoses (kappa = 0.385). HBPM identified 4 phenotypes: normotension (74%), sustained hypertension (8%), masked hypertension (10%), and white coat hypertension (8%). The median of office PP was 46 [39-52] mmHg and of Home PP was 45 [41-50] mmHg. Elevated Office PP and Home PP (> 60 mmHg) were identified in 64 and 28 participants, respectively. High office PP was more frequent in men, obese, with increased neck circumference and lower ABI. It was also associated with higher SLI and CVI. High Home PP was also more frequent in men, obese, with increased neck circumference and higher CVI. The median of the ABI was 1.14 [1.08-1.22], which is the cutoff point we used to define early changes in the ABI. Individuals with decreased ABI are more obese, with smaller neck circumference and lower OBP control. They also had higher systolic BP values and office PP (49 vs 43 mmHg, p<0.001). Conclusion: In this young population, early changes in subclinical TOD already identify a higher CV risk profile, indicating the importance of implementing prevention measures to reduce this risk.

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