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Accuracy of studied variables to predict masked hypertension in the derivation cohort. OBP – office BP; BMI – body mass index; DBP – diastolic BP; SBP – systolic BP; MH – masked hypertension; ESH – European Society of Hypertension; BSC – Brazilian Society of Cardiology; ACC/AHA – American College of Cardiology/American Heart Association
Our 2-year data on home BP and indoor or outdoor temperature among healthy community-dwelling individuals aged 20 to 74 years showed results suggest that indoor temperature influences home BP levels.
Home BP-guided digital approach to prevent the onset of hypertension and its consequences from prehypertension to severe hypertension. SaMD, software of medical device; CVD, cardiovascular disease
Our study showed that overweight and obesity were associated with a higher prevalence of masked uncontrolled hypertension but not masked hypertension, indicating that clinic blood pressure might overestimate antihypertensive treatment effects in patients with overweight and obesity.
The hypertensive cut-off in HBP by HBPM was determined in Japanese pregnant women. (A) Optimizing the polynomial of systolic HBP that induces the hypertensive boundary value by HBPM. By the polynomial equation of mean +3 SD, systolic HBP at 35 weeks gestation equal to non-pregnant was 135 mmHg, the current reference value for non-pregnant hypertension of HBPM. Polynomial of mean +3 SD was considered optimal. (B) Optimization of polynomial of diastolic HBP that induces the hypertensive boundary value by HBPM. By polynomial of mean +2SD, diastolic HBP at 38 weeks gestation equal to non-pregnant was 85 mmHg, the current standard for non-pregnant hypertension by HBPM. Thus, polynomial of mean +2 SD was considered optimal.
*Adjusted prevalence of high office blood pressure (OBP) and home blood pressure monitoring (HBPM) before and during the Covid-19 pandemic among independent treated participants. **p < 0.05. Whisker-plot: 95% confidence interval.
Blood pressure variability differs with office and out-of-office measurements. The variability index used is less important. Office and out-of-office measurements are complementary methods in assessing blood pressure variability.
Environmental and behavioral factors are associated with seasonal variation in BP. To prevent cardiovascular events, the management of hypertension while taking seasonal variation into consideration may be important.
Home-based transcutaneous electrical acupoint stimulation added to usual care for patients with hypertension was acceptable, safe and may be a potential treatment option. TEAS, transcutaneous electrical acupoint stimulation; SBP, systolic blood pressure.
The present study demonstrated that the higher difference of morning and evening home systolic blood pressure (SBP) (MEdif: morning minus evening home SBP ≥ 20 mmHg) was associated with higher total cardiovascular disease (CVD) events risk compared with other MEdif groups. After adjusting confounding factors and average of morning and evening home SBP (MEave), the higher MEdif group showed higher CVD risk compared with the normal MEdif group (0–20 mmHg) (adjusted hazard ratio [HR] 1.38, 95% confidence interval [CI] 1.01–1.88). The both elevated MEave (≥135 mmHg) and MEdif (≥20 mmHg) groups were also associated with higher CVD risk compared to the both controlled groups (adjusted HR 1.64, 95% CI 1.10–2.47). From these findings, the higher MEdif in home BP monitoring was suggested to predict future CVD incidence.
The Japanese Society of Hypertension Working Group on the COmparison of Self-measured home, Automated unattended office and Conventional attended office blood pressure (COSAC) study