Blood pressure differences between home monitoring and daytime ambulatory values and their reproducibility in treated hypertensive stroke and TIA patients

4Citations
Citations of this article
56Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Background: Guidelines recommend ambulatory or home blood pressure monitoring to improve hypertension diagnosis and monitoring. Both these methods are ascribed the same threshold values, but whether they produce similar results has not been established in certain patient groups. Methods: Adults with mild/moderate stroke or transient ischemic attack (N = 80) completed 2 sets of ambulatory and home blood pressure monitoring. Systolic and diastolic blood pressure values from contemporaneous measurements were compared, and the limits of agreement were assessed. Exploratory analyses for predictive factors of any difference were conducted. Results: Daytime ambulatory blood pressure values were consistently lower than home values, the mean difference in systolic blood pressure for initial ambulatory versus first home monitoring was −6.6 ± 13.5 mm Hg (P≤.001), and final ambulatory versus second home monitoring was −7.1 ± 11.0mm Hg (P≤.001). Mean diastolic blood pressure differences were −2.1 ± 8.5mm Hg (P=.03) and −2.0 ± 7.2mm Hg (P=.02). Limits of agreement for systolic blood pressure were −33.0 to 19.9mm Hg and −28.7 to 14.5mm Hg for the 2 comparisons and for DBP were −18.8 to 14.5mm Hg and −16.1 to 12.2mm Hg, respectively. The individual mean change in systolic blood pressure difference was 11.0 ± 8.3mm Hg across the 2 comparisons. No predictive factors for these differences were identified. Conclusions: Daytime ambulatory systolic and diastolic blood pressure values were significantly lower than home monitored values at both time points. Differences between the 2 methods were not reproducible for individuals. Using the same threshold value for both out-of-office measurement methods may not be appropriate in patients with cerebrovascular disease.

References Powered by Scopus

The task force for the management ofarterial hypertension of the european society ofhypertension (esh) and of the european society of cardiology (esc)

4358Citations
N/AReaders
Get full text

2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults a report of the American College of Cardiology/American Heart Association Task Force on Clinical practice guidelines

3529Citations
N/AReaders
Get full text

Understanding Bland Altman analysis

2824Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Increasing Blood Pressure Variability Predicts Poor Functional Outcome Following Acute Stroke

15Citations
N/AReaders
Get full text

Differences in ambulatory versus home blood pressure levels by ethnicity: data from the United Kingdom and Japan

0Citations
N/AReaders
Get full text

Home versus ambulatory versus office blood pressure monitoring in diagnosis and management of hypertension

0Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Davison, W. J., Myint, P. K., Clark, A. B., & Potter, J. F. (2019). Blood pressure differences between home monitoring and daytime ambulatory values and their reproducibility in treated hypertensive stroke and TIA patients. American Heart Journal, 207, 58–65. https://doi.org/10.1016/j.ahj.2018.09.005

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 16

62%

Researcher 7

27%

Professor / Associate Prof. 2

8%

Lecturer / Post doc 1

4%

Readers' Discipline

Tooltip

Medicine and Dentistry 15

60%

Nursing and Health Professions 5

20%

Neuroscience 3

12%

Computer Science 2

8%

Save time finding and organizing research with Mendeley

Sign up for free