Nighttime Home Blood Pressure and the Risk of Hypertensive Target Organ Damage
In ambulatory blood pressure (BP) monitoring, nighttime BP has a superior ability to predict hypertensive target organ damage than awake BP. We evaluated whether nighttime BP, assessed by a home BP monitor, was associated with hypertensive target organ damage. We measured clinic BP, out-of-clinic BP...
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| Veröffentlicht in: | Hypertension (Dallas, Tex. 1979) Tex. 1979), 2012-10, Vol.60 (4), p.921-928 |
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| container_title | Hypertension (Dallas, Tex. 1979) |
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| creator | Ishikawa, Joji Hoshide, Satoshi Eguchi, Kazuo Ishikawa, Shizukiyo Shimada, Kazuyuki Kario, Kazuomi |
| description | In ambulatory blood pressure (BP) monitoring, nighttime BP has a superior ability to predict hypertensive target organ damage than awake BP. We evaluated whether nighttime BP, assessed by a home BP monitor, was associated with hypertensive target organ damage. We measured clinic BP, out-of-clinic BP including nighttime home BP, and the urinary albumin:creatinine ratio (UACR) in 854 patients who had cardiovascular risk factors. Nighttime home BP was measured at 2:00, 3:00, and 4:00 AM, in addition to clinic, awake ambulatory, nighttime ambulatory, and awake home BP. Nighttime home systolic BP (SBP) was slightly higher than nighttime ambulatory SBP (difference, 2.6 mm Hg; P |
| doi_str_mv | 10.1161/HYPERTENSIONAHA.112.198101 |
| format | Article |
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We evaluated whether nighttime BP, assessed by a home BP monitor, was associated with hypertensive target organ damage. We measured clinic BP, out-of-clinic BP including nighttime home BP, and the urinary albumin:creatinine ratio (UACR) in 854 patients who had cardiovascular risk factors. Nighttime home BP was measured at 2:00, 3:00, and 4:00 AM, in addition to clinic, awake ambulatory, nighttime ambulatory, and awake home BP. Nighttime home systolic BP (SBP) was slightly higher than nighttime ambulatory SBP (difference, 2.6 mm Hg; P<0.001). Clinic (r=0.186), awake ambulatory (r=0.173), nighttime ambulatory (r=0.194), awake home (r=0.298), and nighttime home (r=0.311) SBPs were all associated with log-transformed UACR (all P<0.001). The correlation coefficient for the relationship between nighttime home SBP and log-transformed UACR was significantly greater than that for the relationship between nighttime ambulatory SBP and log-transformed UACR (P<0.001). The goodness of fit of the association between SBP and UACR was improved by adding nighttime home SBP to the other SBPs (P<0.001). Nighttime home diastolic BP also improved the goodness-of-fit of the association between diastolic BP and UACR (P=0.001). Similar findings were observed for the left ventricular mass index in the subgroup (N=594). In conclusion, nighttime home BP is slightly different from (but comparable to) nighttime ambulatory BP. The addition of nighttime home BP to other BP measures improves the association of BP with hypertensive target organ damage.</description><identifier>ISSN: 0194-911X</identifier><identifier>EISSN: 1524-4563</identifier><identifier>DOI: 10.1161/HYPERTENSIONAHA.112.198101</identifier><identifier>PMID: 22892810</identifier><identifier>CODEN: HPRTDN</identifier><language>eng</language><publisher>Hagerstown, MD: American Heart Association, Inc</publisher><subject>Aged ; Aged, 80 and over ; Albuminuria - diagnosis ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure - physiology ; Blood Pressure Monitoring, Ambulatory ; Cardiology. Vascular system ; Cardiovascular Diseases - complications ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Creatinine - urine ; Female ; Humans ; Hypertension - complications ; Hypertension - physiopathology ; Hypertrophy, Left Ventricular - complications ; Male ; Medical sciences ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Risk</subject><ispartof>Hypertension (Dallas, Tex. 1979), 2012-10, Vol.60 (4), p.921-928</ispartof><rights>2012 American Heart Association, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5221-ee357c4f3cf1fecbce469a489dc50f3ef874a4c1aa68dc5165ea0f3b78d115823</citedby><cites>FETCH-LOGICAL-c5221-ee357c4f3cf1fecbce469a489dc50f3ef874a4c1aa68dc5165ea0f3b78d115823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,3674,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26346733$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22892810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ishikawa, Joji</creatorcontrib><creatorcontrib>Hoshide, Satoshi</creatorcontrib><creatorcontrib>Eguchi, Kazuo</creatorcontrib><creatorcontrib>Ishikawa, Shizukiyo</creatorcontrib><creatorcontrib>Shimada, Kazuyuki</creatorcontrib><creatorcontrib>Kario, Kazuomi</creatorcontrib><creatorcontrib>Japan Morning Surge-Home Blood Pressure Study Investigators Group</creatorcontrib><creatorcontrib>for the Japan Morning Surge-Home Blood Pressure Study Investigators Group</creatorcontrib><title>Nighttime Home Blood Pressure and the Risk of Hypertensive Target Organ Damage</title><title>Hypertension (Dallas, Tex. 1979)</title><addtitle>Hypertension</addtitle><description>In ambulatory blood pressure (BP) monitoring, nighttime BP has a superior ability to predict hypertensive target organ damage than awake BP. We evaluated whether nighttime BP, assessed by a home BP monitor, was associated with hypertensive target organ damage. We measured clinic BP, out-of-clinic BP including nighttime home BP, and the urinary albumin:creatinine ratio (UACR) in 854 patients who had cardiovascular risk factors. Nighttime home BP was measured at 2:00, 3:00, and 4:00 AM, in addition to clinic, awake ambulatory, nighttime ambulatory, and awake home BP. Nighttime home systolic BP (SBP) was slightly higher than nighttime ambulatory SBP (difference, 2.6 mm Hg; P<0.001). Clinic (r=0.186), awake ambulatory (r=0.173), nighttime ambulatory (r=0.194), awake home (r=0.298), and nighttime home (r=0.311) SBPs were all associated with log-transformed UACR (all P<0.001). The correlation coefficient for the relationship between nighttime home SBP and log-transformed UACR was significantly greater than that for the relationship between nighttime ambulatory SBP and log-transformed UACR (P<0.001). The goodness of fit of the association between SBP and UACR was improved by adding nighttime home SBP to the other SBPs (P<0.001). Nighttime home diastolic BP also improved the goodness-of-fit of the association between diastolic BP and UACR (P=0.001). Similar findings were observed for the left ventricular mass index in the subgroup (N=594). In conclusion, nighttime home BP is slightly different from (but comparable to) nighttime ambulatory BP. The addition of nighttime home BP to other BP measures improves the association of BP with hypertensive target organ damage.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Albuminuria - diagnosis</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular Diseases - complications</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Creatinine - urine</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypertension - physiopathology</subject><subject>Hypertrophy, Left Ventricular - complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Risk</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1LI0EQhptFWaPrX5BmQdjL6FRPz5cHIcboCJKIRtDTUOmpTmadj2z3jOK_tyVRwdNeuuDleauLh7Hf4B8BRHCcPd6Mb2fjyd3VdDLMhi4UR5Am4MMPNoBQSE-GUbDFBj6k0ksBHnbYrrV_fR-klPFPtiNEkgpXGLDJpFwsu66siWete86qti34jSFre0Mcm4J3S-K3pX3irebZ64pMR40tn4nP0Cyo41OzwIafY40L-sW2NVaW9jdzj91fjGejzLueXl6NhteeCoUAjygIYyV1oDRoUnNFMkpRJmmhQl8HpJNYolSAGCUugigkdPk8TgqAMBHBHvuz3rsy7b-ebJfXpVVUVdhQ29scQEIoY0jf0ZM1qkxrrSGdr0xZo3nNwc_ffebffLpQ5Gufrnyw-aef11R8Vj8EOuBwA6BVWGmDjSrtFxcFMoqDwHGna-6lrToy9qnqX8jkS8KqW_7PJW_R2JPH</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Ishikawa, Joji</creator><creator>Hoshide, Satoshi</creator><creator>Eguchi, Kazuo</creator><creator>Ishikawa, Shizukiyo</creator><creator>Shimada, Kazuyuki</creator><creator>Kario, Kazuomi</creator><general>American Heart Association, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201210</creationdate><title>Nighttime Home Blood Pressure and the Risk of Hypertensive Target Organ Damage</title><author>Ishikawa, Joji ; Hoshide, Satoshi ; Eguchi, Kazuo ; Ishikawa, Shizukiyo ; Shimada, Kazuyuki ; Kario, Kazuomi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5221-ee357c4f3cf1fecbce469a489dc50f3ef874a4c1aa68dc5165ea0f3b78d115823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Albuminuria - diagnosis</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular Diseases - complications</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Creatinine - urine</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypertension - physiopathology</topic><topic>Hypertrophy, Left Ventricular - complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Risk</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishikawa, Joji</creatorcontrib><creatorcontrib>Hoshide, Satoshi</creatorcontrib><creatorcontrib>Eguchi, Kazuo</creatorcontrib><creatorcontrib>Ishikawa, Shizukiyo</creatorcontrib><creatorcontrib>Shimada, Kazuyuki</creatorcontrib><creatorcontrib>Kario, Kazuomi</creatorcontrib><creatorcontrib>Japan Morning Surge-Home Blood Pressure Study Investigators Group</creatorcontrib><creatorcontrib>for the Japan Morning Surge-Home Blood Pressure Study Investigators Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishikawa, Joji</au><au>Hoshide, Satoshi</au><au>Eguchi, Kazuo</au><au>Ishikawa, Shizukiyo</au><au>Shimada, Kazuyuki</au><au>Kario, Kazuomi</au><aucorp>Japan Morning Surge-Home Blood Pressure Study Investigators Group</aucorp><aucorp>for the Japan Morning Surge-Home Blood Pressure Study Investigators Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nighttime Home Blood Pressure and the Risk of Hypertensive Target Organ Damage</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>2012-10</date><risdate>2012</risdate><volume>60</volume><issue>4</issue><spage>921</spage><epage>928</epage><pages>921-928</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>In ambulatory blood pressure (BP) monitoring, nighttime BP has a superior ability to predict hypertensive target organ damage than awake BP. We evaluated whether nighttime BP, assessed by a home BP monitor, was associated with hypertensive target organ damage. We measured clinic BP, out-of-clinic BP including nighttime home BP, and the urinary albumin:creatinine ratio (UACR) in 854 patients who had cardiovascular risk factors. Nighttime home BP was measured at 2:00, 3:00, and 4:00 AM, in addition to clinic, awake ambulatory, nighttime ambulatory, and awake home BP. Nighttime home systolic BP (SBP) was slightly higher than nighttime ambulatory SBP (difference, 2.6 mm Hg; P<0.001). Clinic (r=0.186), awake ambulatory (r=0.173), nighttime ambulatory (r=0.194), awake home (r=0.298), and nighttime home (r=0.311) SBPs were all associated with log-transformed UACR (all P<0.001). The correlation coefficient for the relationship between nighttime home SBP and log-transformed UACR was significantly greater than that for the relationship between nighttime ambulatory SBP and log-transformed UACR (P<0.001). The goodness of fit of the association between SBP and UACR was improved by adding nighttime home SBP to the other SBPs (P<0.001). Nighttime home diastolic BP also improved the goodness-of-fit of the association between diastolic BP and UACR (P=0.001). Similar findings were observed for the left ventricular mass index in the subgroup (N=594). In conclusion, nighttime home BP is slightly different from (but comparable to) nighttime ambulatory BP. The addition of nighttime home BP to other BP measures improves the association of BP with hypertensive target organ damage.</abstract><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>22892810</pmid><doi>10.1161/HYPERTENSIONAHA.112.198101</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Hypertension (Dallas, Tex. 1979), 2012-10, Vol.60 (4), p.921-928 |
| issn | 0194-911X 1524-4563 |
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| source | MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Ovid Autoload |
| subjects | Aged Aged, 80 and over Albuminuria - diagnosis Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood Pressure - physiology Blood Pressure Monitoring, Ambulatory Cardiology. Vascular system Cardiovascular Diseases - complications Clinical manifestations. Epidemiology. Investigative techniques. Etiology Creatinine - urine Female Humans Hypertension - complications Hypertension - physiopathology Hypertrophy, Left Ventricular - complications Male Medical sciences Middle Aged Predictive Value of Tests Prospective Studies Risk |
| title | Nighttime Home Blood Pressure and the Risk of Hypertensive Target Organ Damage |
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