Ambulatory Blood Pressure Monitoring in Individuals with HIV: A Systematic Review and Meta-Analysis
Abnormal diurnal blood pressure (BP) rhythms may contribute to the high cardiovascular disease risk in HIV-positive (HIV+) individuals. To synthesize the current literature on ambulatory BP monitoring (ABPM) in HIV+ individuals, a systematic literature review and meta-analysis were performed. Medica...
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| description | Abnormal diurnal blood pressure (BP) rhythms may contribute to the high cardiovascular disease risk in HIV-positive (HIV+) individuals. To synthesize the current literature on ambulatory BP monitoring (ABPM) in HIV+ individuals, a systematic literature review and meta-analysis were performed.
Medical databases were searched through November 11, 2015 for studies that reported ABPM results in HIV+ individuals. Data were extracted by 2 reviewers and pooled differences between HIV+ and HIV-negative (HIV-) individuals in clinic BP and ABPM measures were calculated using random-effects inverse variance weighted models.
Of 597 abstracts reviewed, 8 studies with HIV+ cohorts met the inclusion criteria. The 420 HIV+ and 714 HIV- individuals in 7 studies with HIV- comparison groups were pooled for analyses. The pooled absolute nocturnal systolic and diastolic BP declines were 3.16% (95% confidence interval [CI]: 1.13%, 5.20%) and 2.92% (95% CI: 1.64%, 4.19%) less, respectively, in HIV+ versus HIV- individuals. The pooled odds ratio for non-dipping systolic BP (nocturnal systolic BP decline |
| doi_str_mv | 10.1371/journal.pone.0148920 |
| format | Article |
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Medical databases were searched through November 11, 2015 for studies that reported ABPM results in HIV+ individuals. Data were extracted by 2 reviewers and pooled differences between HIV+ and HIV-negative (HIV-) individuals in clinic BP and ABPM measures were calculated using random-effects inverse variance weighted models.
Of 597 abstracts reviewed, 8 studies with HIV+ cohorts met the inclusion criteria. The 420 HIV+ and 714 HIV- individuals in 7 studies with HIV- comparison groups were pooled for analyses. The pooled absolute nocturnal systolic and diastolic BP declines were 3.16% (95% confidence interval [CI]: 1.13%, 5.20%) and 2.92% (95% CI: 1.64%, 4.19%) less, respectively, in HIV+ versus HIV- individuals. The pooled odds ratio for non-dipping systolic BP (nocturnal systolic BP decline <10%) in HIV+ versus HIV- individuals was 2.72 (95% CI: 1.92, 3.85). Differences in mean clinic, 24-hour, daytime, or nighttime BP were not statistically significant. I2 and heterogeneity chi-squared statistics indicated the presence of high heterogeneity for all outcomes except percent DBP dipping and non-dipping SBP pattern.
An abnormal diurnal BP pattern may be more common among HIV+ versus HIV- individuals. However, results were heterogeneous for most BP measures, suggesting more research in this area is needed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0148920</identifier><identifier>PMID: 26882469</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Analysis ; Anti-Retroviral Agents - administration & dosage ; Antihypertensive Agents - therapeutic use ; Antiretroviral drugs ; Biology and Life Sciences ; Blood ; Blood Pressure ; Blood pressure measurement ; Blood Pressure Monitoring, Ambulatory ; Cardiovascular diseases ; Care and treatment ; Circadian Rhythm - drug effects ; Clinical Trials as Topic ; Confidence intervals ; Dipping ; Diurnal ; Female ; Health risks ; Heterogeneity ; HIV ; HIV - pathogenicity ; HIV Infections - complications ; HIV Infections - drug therapy ; HIV Infections - physiopathology ; HIV patients ; Human immunodeficiency virus ; Humans ; Hypertension - complications ; Hypertension - drug therapy ; Hypertension - physiopathology ; Literature reviews ; Male ; Medicine and Health Sciences ; Meta-analysis ; Monitoring ; Nocturnal ; Patient monitoring equipment ; Physical Sciences ; Pressure measurement ; Research and Analysis Methods ; Reviews ; Risk Factors ; Statistical analysis ; Statistical tests ; Studies</subject><ispartof>PloS one, 2016-02, Vol.11 (2), p.e0148920</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Kent et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Kent et al 2016 Kent et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-47768efb0146dc9c0d2561b047e59c477eeca740f672f399247a9156682de57f3</citedby><cites>FETCH-LOGICAL-c692t-47768efb0146dc9c0d2561b047e59c477eeca740f672f399247a9156682de57f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755611/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755611/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26882469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kent, Shia T</creatorcontrib><creatorcontrib>Bromfield, Samantha G</creatorcontrib><creatorcontrib>Burkholder, Greer A</creatorcontrib><creatorcontrib>Falzon, Louise</creatorcontrib><creatorcontrib>Oparil, Suzanne</creatorcontrib><creatorcontrib>Overton, Edgar T</creatorcontrib><creatorcontrib>Mugavero, Michael J</creatorcontrib><creatorcontrib>Schwartz, Joseph E</creatorcontrib><creatorcontrib>Shimbo, Daichi</creatorcontrib><creatorcontrib>Muntner, Paul</creatorcontrib><title>Ambulatory Blood Pressure Monitoring in Individuals with HIV: A Systematic Review and Meta-Analysis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Abnormal diurnal blood pressure (BP) rhythms may contribute to the high cardiovascular disease risk in HIV-positive (HIV+) individuals. To synthesize the current literature on ambulatory BP monitoring (ABPM) in HIV+ individuals, a systematic literature review and meta-analysis were performed.
Medical databases were searched through November 11, 2015 for studies that reported ABPM results in HIV+ individuals. Data were extracted by 2 reviewers and pooled differences between HIV+ and HIV-negative (HIV-) individuals in clinic BP and ABPM measures were calculated using random-effects inverse variance weighted models.
Of 597 abstracts reviewed, 8 studies with HIV+ cohorts met the inclusion criteria. The 420 HIV+ and 714 HIV- individuals in 7 studies with HIV- comparison groups were pooled for analyses. The pooled absolute nocturnal systolic and diastolic BP declines were 3.16% (95% confidence interval [CI]: 1.13%, 5.20%) and 2.92% (95% CI: 1.64%, 4.19%) less, respectively, in HIV+ versus HIV- individuals. The pooled odds ratio for non-dipping systolic BP (nocturnal systolic BP decline <10%) in HIV+ versus HIV- individuals was 2.72 (95% CI: 1.92, 3.85). Differences in mean clinic, 24-hour, daytime, or nighttime BP were not statistically significant. I2 and heterogeneity chi-squared statistics indicated the presence of high heterogeneity for all outcomes except percent DBP dipping and non-dipping SBP pattern.
An abnormal diurnal BP pattern may be more common among HIV+ versus HIV- individuals. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kent, Shia T</au><au>Bromfield, Samantha G</au><au>Burkholder, Greer A</au><au>Falzon, Louise</au><au>Oparil, Suzanne</au><au>Overton, Edgar T</au><au>Mugavero, Michael J</au><au>Schwartz, Joseph E</au><au>Shimbo, Daichi</au><au>Muntner, Paul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ambulatory Blood Pressure Monitoring in Individuals with HIV: A Systematic Review and Meta-Analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-02-16</date><risdate>2016</risdate><volume>11</volume><issue>2</issue><spage>e0148920</spage><pages>e0148920-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Abnormal diurnal blood pressure (BP) rhythms may contribute to the high cardiovascular disease risk in HIV-positive (HIV+) individuals. To synthesize the current literature on ambulatory BP monitoring (ABPM) in HIV+ individuals, a systematic literature review and meta-analysis were performed.
Medical databases were searched through November 11, 2015 for studies that reported ABPM results in HIV+ individuals. Data were extracted by 2 reviewers and pooled differences between HIV+ and HIV-negative (HIV-) individuals in clinic BP and ABPM measures were calculated using random-effects inverse variance weighted models.
Of 597 abstracts reviewed, 8 studies with HIV+ cohorts met the inclusion criteria. The 420 HIV+ and 714 HIV- individuals in 7 studies with HIV- comparison groups were pooled for analyses. The pooled absolute nocturnal systolic and diastolic BP declines were 3.16% (95% confidence interval [CI]: 1.13%, 5.20%) and 2.92% (95% CI: 1.64%, 4.19%) less, respectively, in HIV+ versus HIV- individuals. The pooled odds ratio for non-dipping systolic BP (nocturnal systolic BP decline <10%) in HIV+ versus HIV- individuals was 2.72 (95% CI: 1.92, 3.85). Differences in mean clinic, 24-hour, daytime, or nighttime BP were not statistically significant. I2 and heterogeneity chi-squared statistics indicated the presence of high heterogeneity for all outcomes except percent DBP dipping and non-dipping SBP pattern.
An abnormal diurnal BP pattern may be more common among HIV+ versus HIV- individuals. However, results were heterogeneous for most BP measures, suggesting more research in this area is needed.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26882469</pmid><doi>10.1371/journal.pone.0148920</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2016-02, Vol.11 (2), p.e0148920 |
| issn | 1932-6203 1932-6203 |
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| recordid | cdi_plos_journals_1765573170 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Acquired immune deficiency syndrome AIDS Analysis Anti-Retroviral Agents - administration & dosage Antihypertensive Agents - therapeutic use Antiretroviral drugs Biology and Life Sciences Blood Blood Pressure Blood pressure measurement Blood Pressure Monitoring, Ambulatory Cardiovascular diseases Care and treatment Circadian Rhythm - drug effects Clinical Trials as Topic Confidence intervals Dipping Diurnal Female Health risks Heterogeneity HIV HIV - pathogenicity HIV Infections - complications HIV Infections - drug therapy HIV Infections - physiopathology HIV patients Human immunodeficiency virus Humans Hypertension - complications Hypertension - drug therapy Hypertension - physiopathology Literature reviews Male Medicine and Health Sciences Meta-analysis Monitoring Nocturnal Patient monitoring equipment Physical Sciences Pressure measurement Research and Analysis Methods Reviews Risk Factors Statistical analysis Statistical tests Studies |
| title | Ambulatory Blood Pressure Monitoring in Individuals with HIV: A Systematic Review and Meta-Analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T12%3A05%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Ambulatory%20Blood%20Pressure%20Monitoring%20in%20Individuals%20with%20HIV:%20A%20Systematic%20Review%20and%20Meta-Analysis&rft.jtitle=PloS%20one&rft.au=Kent,%20Shia%20T&rft.date=2016-02-16&rft.volume=11&rft.issue=2&rft.spage=e0148920&rft.pages=e0148920-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0148920&rft_dat=%3Cgale_plos_%3EA443429805%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1765573170&rft_id=info:pmid/26882469&rft_galeid=A443429805&rft_doaj_id=oai_doaj_org_article_fac9e77114694c15ad497e6eb02410c5&rfr_iscdi=true |