TY - JOUR
T1 - Inconsistent Control Status of Office, Home, and Ambulatory Blood Pressure All Taken Using the Same Device
T2 - The HI-JAMP Study Baseline Data
AU - Kario, Kazuomi
AU - Hoshide, Satoshi
AU - Tomitani, Naoko
AU - Nishizawa, Masafumi
AU - Yoshida, Tetsuro
AU - Kabutoya, Tomoyuki
AU - Fujiwara, Takeshi
AU - Mizuno, Hiroyuki
AU - Narita, Keisuke
AU - Komori, Takahiro
AU - Ogata, Yukiyo
AU - Suzuki, Daisuke
AU - Ogoyama, Yukako
AU - Ono, Akifumi
AU - Yamagiwa, Kayo
AU - Abe, Yasuhisa
AU - Nakazato, Jun
AU - Nakagawa, Naoki
AU - Katsuya, Tomohiro
AU - Harada, Noriko
AU - Kanegae, Hiroshi
N1 - Publisher Copyright:
© 2022 The Author(s). Published by Oxford University Press on behalf of American Journal of Hypertension, Ltd. All rights reserved.
PY - 2023/2/1
Y1 - 2023/2/1
N2 - BACKGROUND: Inconsistencies between the office and out-of-office blood pressure (BP) values (described as white-coat hypertension or masked hypertension) may be attributable in part to differences in the BP monitoring devices used. METHODS: We studied consistency in the classification of BP control (well-controlled BP vs. uncontrolled BP) among office, home, and ambulatory BPs by using a validated "all-in-one"BP monitoring device. In the nationwide, general practitioner-based multicenter HI-JAMP study, 2,322 hypertensive patients treated with antihypertensive drugs underwent office BP measurements and 24-hour ambulatory BP monitoring (ABPM), consecutively followed by 5-day home BP monitoring (HBPM), for a total of seven BP measurement days. RESULTS: Using the thresholds of the JSH2019 and ESC2018 guidelines, the patients with consistent classification of well-controlled status in the office (<140 mmHg) and home systolic BP (SBP) (<135 mmHg) (n=970) also tended to have well-controlled 24-hour SBP (<130 mmHg) (n=808, 83.3%). The patients with the consistent classification of uncontrolled status in office and home SBP (n=579) also tended to have uncontrolled 24-hour SBP (n=444, 80.9%). Among the patients with inconsistent classifications of office and home BP control (n=803), 46.1% had inconsistent ABPM-vs.-HBPM out-of-office BP control status. When the 2017 ACC/AHA thresholds were applied as an alternative, the results were essentially the same. CONCLUSIONS: The combined assessment of the office and home BP is useful in clinical practice. Especially for patients whose office BP classification and home BP classification conflict, the complementary clinical use of both HBPM and ABPM might be recommended.
AB - BACKGROUND: Inconsistencies between the office and out-of-office blood pressure (BP) values (described as white-coat hypertension or masked hypertension) may be attributable in part to differences in the BP monitoring devices used. METHODS: We studied consistency in the classification of BP control (well-controlled BP vs. uncontrolled BP) among office, home, and ambulatory BPs by using a validated "all-in-one"BP monitoring device. In the nationwide, general practitioner-based multicenter HI-JAMP study, 2,322 hypertensive patients treated with antihypertensive drugs underwent office BP measurements and 24-hour ambulatory BP monitoring (ABPM), consecutively followed by 5-day home BP monitoring (HBPM), for a total of seven BP measurement days. RESULTS: Using the thresholds of the JSH2019 and ESC2018 guidelines, the patients with consistent classification of well-controlled status in the office (<140 mmHg) and home systolic BP (SBP) (<135 mmHg) (n=970) also tended to have well-controlled 24-hour SBP (<130 mmHg) (n=808, 83.3%). The patients with the consistent classification of uncontrolled status in office and home SBP (n=579) also tended to have uncontrolled 24-hour SBP (n=444, 80.9%). Among the patients with inconsistent classifications of office and home BP control (n=803), 46.1% had inconsistent ABPM-vs.-HBPM out-of-office BP control status. When the 2017 ACC/AHA thresholds were applied as an alternative, the results were essentially the same. CONCLUSIONS: The combined assessment of the office and home BP is useful in clinical practice. Especially for patients whose office BP classification and home BP classification conflict, the complementary clinical use of both HBPM and ABPM might be recommended.
KW - ambulatory BP monitoring
KW - blood pressure
KW - home BP monitoring
KW - hypertension
KW - masked hypertension
KW - nationwide ABPM study
KW - white-coat hypertension
UR - http://www.scopus.com/inward/record.url?scp=85139232608&partnerID=8YFLogxK
U2 - 10.1093/ajh/hpac103
DO - 10.1093/ajh/hpac103
M3 - Article
C2 - 36053278
AN - SCOPUS:85139232608
SN - 0895-7061
VL - 36
SP - 90
EP - 101
JO - American Journal of Hypertension
JF - American Journal of Hypertension
IS - 2
ER -