Comparison of Optimal Diagnostic Thresholds of Hypertension With Home Blood Pressure Monitoring and 24-Hour Ambulatory Blood Pressure Monitoring
DC Field | Value | Language |
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dc.contributor.author | Park, Jin-Sun | - |
dc.contributor.author | Rhee, Moo-Yong | - |
dc.contributor.author | Namgung, June | - |
dc.contributor.author | Lee, Sung Yun | - |
dc.contributor.author | Cho, Deok-Kyu | - |
dc.contributor.author | Choi, Tae-Young | - |
dc.contributor.author | Kim, Seok Yeon | - |
dc.contributor.author | Kim, Jang Young | - |
dc.contributor.author | Park, Sang Min | - |
dc.contributor.author | Choi, Jae Hyuk | - |
dc.contributor.author | Lee, Jae Hang | - |
dc.contributor.author | Kim, Hae-Young | - |
dc.date.accessioned | 2021-09-02T22:47:34Z | - |
dc.date.available | 2021-09-02T22:47:34Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2017-12 | - |
dc.identifier.issn | 0895-7061 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/81442 | - |
dc.description.abstract | BACKGROUND Differences between the recently suggested outcome-driven diagnostic threshold of home blood pressure (HBP) measurements and the currently recommended diagnostic threshold of HBP measurements may cause a disagreement between 24-hour ambulatory blood pressure (ABP) and HBP measurements in the diagnosis of hypertension. We evaluated the agreement of various HBP diagnostic thresholds (135/85, 130/85, and 130/80 mm Hg) to ABP measurements, as a reference method. METHODS Patients who were confirmed to have high BP (>= 140/90 mm Hg) at the outpatient clinic were referred. HBP measurement was performed for 7 days in triplicates every morning and evening. The 24-hour ABP measurement was performed on the 8th day. Using 24-hour ABP measurement as a reference method, we analyzed HBP diagnostic thresholds at 135/85, 130/85, and 130/80 mm Hg. RESULTS Among 319 patients, 256 patients (mean age, 51.8 +/- 9.7 years; 119 men) with valid HBP measurements and 24-hour ABP measurements were enrolled. The threshold of 130/80 mm Hg showed the highest diagnostic sensitivity (P = 0.001) with diagnostic agreement by Kappa statistics. Using 130/80 mm Hg as a diagnostic threshold of hypertension, the prevalence of masked hypertension was significantly lower than 130/85 and 135/85 mm Hg (7.8, 15.2, and 18.4%, respectively, P = 0.002). CONCLUSIONS The present study suggests that lowering the diagnostic thresholds of HBP measurement from 135/85 mm Hg to 130/80 mm Hg may improve diagnostic accuracy for hypertension. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | OXFORD UNIV PRESS | - |
dc.subject | CARDIOVASCULAR-DISEASE | - |
dc.subject | GENERAL-POPULATION | - |
dc.subject | PROGNOSTIC VALUE | - |
dc.subject | REFERENCE VALUES | - |
dc.subject | WHITE-COAT | - |
dc.subject | OFFICE | - |
dc.subject | METAANALYSIS | - |
dc.subject | RISK | - |
dc.subject | RECORDINGS | - |
dc.subject | GUIDELINES | - |
dc.title | Comparison of Optimal Diagnostic Thresholds of Hypertension With Home Blood Pressure Monitoring and 24-Hour Ambulatory Blood Pressure Monitoring | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Hae-Young | - |
dc.identifier.doi | 10.1093/ajh/hpx115 | - |
dc.identifier.scopusid | 2-s2.0-85042134081 | - |
dc.identifier.wosid | 000416397900006 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF HYPERTENSION, v.30, no.12, pp.1170 - 1176 | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF HYPERTENSION | - |
dc.citation.title | AMERICAN JOURNAL OF HYPERTENSION | - |
dc.citation.volume | 30 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 1170 | - |
dc.citation.endPage | 1176 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Peripheral Vascular Disease | - |
dc.subject.keywordPlus | CARDIOVASCULAR-DISEASE | - |
dc.subject.keywordPlus | GENERAL-POPULATION | - |
dc.subject.keywordPlus | PROGNOSTIC VALUE | - |
dc.subject.keywordPlus | REFERENCE VALUES | - |
dc.subject.keywordPlus | WHITE-COAT | - |
dc.subject.keywordPlus | OFFICE | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | RECORDINGS | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordAuthor | ambulatory blood pressure measurement | - |
dc.subject.keywordAuthor | blood pressure | - |
dc.subject.keywordAuthor | hypertension | - |
dc.subject.keywordAuthor | home blood pressure measurement | - |
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