TY - JOUR
T1 - Control of home heart rate and home blood pressure levels in treated patients with hypertension
T2 - The J-HOME study
AU - Obara, Taku
AU - Ohkubo, Takayoshi
AU - Komai, Rie
AU - Asayama, Kei
AU - Kikuya, Masahiro
AU - Metoki, Hirohito
AU - Inoue, Ryusuke
AU - Murai, Kayo
AU - Tanaka, Koji
AU - Hashimoto, Junichiro
AU - Totsune, Kazuhito
AU - Imai, Yutaka
AU - Ogihara, Toshio
AU - Shimamoto, Kazuaki
AU - Fujita, Toshiro
AU - Shimada, Kazuyuki
AU - Ikeda, Toshio
AU - Kuwajima, Iwao
AU - Kuriyama, Satoru
AU - Kario, Kazuomi
N1 - Funding Information:
This research was supported by grant number K08DK084111 from the National Institute of Diabetes and Digestive and Kidney Diseases, by Department and Divisional funds, by University of California Davis Center for Health and Nutrition Research (CHNR), by the National Center for Research Resources (NIH) through grant #UL1 RR024146 (to Medici V), by NIH 1R01ES021707 from the National Institute of Environmental Health Sciences (to LaSalle JM), by a Veterans Health Administration Biomedical Laboratory Research and Development National Merit Review grant award I01 BX001155 (to Kharbanda KK), and by NIH/NIAAA P50-011999 Morphology core (to French SW). Medici V is a full member of the University of California San Francisco Liver Center (Liver Center grant number P30 DK026743). The content is the sole responsibility of the authors and does not necessarily represent the official views of the National Institute of Health.
PY - 2007/10
Y1 - 2007/10
N2 - OBJECTIVE: Recently, it was found that resting heart rate (HR) measured at home (home HR), as well as self-measured blood pressure (BP) at home (home BP), was a strong predictor of the risk of cardiovascular disease mortality in the general Japanese population. It was also reported that home BP levels were not adequately controlled in hypertensive patients. Little information, however, is available on the current status of home HR control in treated patients with hypertension. The objective of this study was to examine the current status of home HR control and home BP control among treated patients with hypertension. METHODS: Home HR and BP were measured using a self-monitored BP measuring device. Morning home HR and BP were obtained in 3183 patients and evening home HR and BP were obtained in 3106 patients. On the basis of an earlier study, we defined a home HR value of ≥70 beats/min as 'high home HR'. RESULTS: The mean home HR value was 67.2±9.1 beats/min in the morning and 69.6±9.2 beats/min in the evening. Of the 3183 patients, 35.7% had a high home HR in the morning and 46.7% of the 3106 patients had a high home HR in the evening. The prevalence of patients with a high home HR and a controlled home BP (<135/85 mmHg) was 11.3% in the morning and 24.2% in the evening. CONCLUSION: Resting home HR control and home BP control were inadequate.
AB - OBJECTIVE: Recently, it was found that resting heart rate (HR) measured at home (home HR), as well as self-measured blood pressure (BP) at home (home BP), was a strong predictor of the risk of cardiovascular disease mortality in the general Japanese population. It was also reported that home BP levels were not adequately controlled in hypertensive patients. Little information, however, is available on the current status of home HR control in treated patients with hypertension. The objective of this study was to examine the current status of home HR control and home BP control among treated patients with hypertension. METHODS: Home HR and BP were measured using a self-monitored BP measuring device. Morning home HR and BP were obtained in 3183 patients and evening home HR and BP were obtained in 3106 patients. On the basis of an earlier study, we defined a home HR value of ≥70 beats/min as 'high home HR'. RESULTS: The mean home HR value was 67.2±9.1 beats/min in the morning and 69.6±9.2 beats/min in the evening. Of the 3183 patients, 35.7% had a high home HR in the morning and 46.7% of the 3106 patients had a high home HR in the evening. The prevalence of patients with a high home HR and a controlled home BP (<135/85 mmHg) was 11.3% in the morning and 24.2% in the evening. CONCLUSION: Resting home HR control and home BP control were inadequate.
KW - Cross-sectional study
KW - Home blood pressure
KW - Home heart rate
UR - http://www.scopus.com/inward/record.url?scp=34648812665&partnerID=8YFLogxK
U2 - 10.1097/MBP.0b013e3282c9ad42
DO - 10.1097/MBP.0b013e3282c9ad42
M3 - Article
C2 - 17890967
AN - SCOPUS:34648812665
SN - 1359-5237
VL - 12
SP - 289
EP - 295
JO - Blood Pressure Monitoring
JF - Blood Pressure Monitoring
IS - 5
ER -