CORE
🇺🇦
make metadata, not war
Services
Services overview
Explore all CORE services
Access to raw data
API
Dataset
FastSync
Content discovery
Recommender
Discovery
OAI identifiers
OAI Resolver
Managing content
Dashboard
Bespoke contracts
Consultancy services
Support us
Support us
Membership
Sponsorship
Community governance
Advisory Board
Board of supporters
Research network
About
About us
Our mission
Team
Blog
FAQs
Contact us
The ambulatory blood pressure in normotensive and hypertensive subjects: results from an international database
Authors
Antoon Amery
Neil Atkins
+33 more
Peter Baumgart
Paul De Cort
Régis De Gaudemaris
Jean-Paul Degaute
Primoz Dolenc
Inger Enström
Robert Fagard
Philippe Gosse
Steve Gourlay
Hiroshi Hayashi
Yutaki Imai
Gary James
Teruo Kawasaki
Emilio Kuschnir
Iwao Kuwajima
Lars Lindholm
Lisheng Liu
Franco Macor
Giuseppe Mancia
Barry McGrath
Martin Middeke
Jian Ming
Eoin O'Brien
Stefano Omboni
Kuniaka Otsuka
Paolo Palatini
Gianfranco Parati
Carl Pieper
Jan A. Staessen
Lutgarde Thijs
Poalo Verdecchia
Prince Zachariah
Weizhong Zhang
Publication date
1 January 1994
Publisher
Abstract
Objective: To delineate more precisely an operational threshold for making clinical decisions based on ambulatory blood pressure (ABP) measurement by studying the ABP in subjects who were diagnosed as either normotensive or hypertensive by conventional blood pressure (CBP) measurement. Subjects: Twenty-four research groups recruited 7069 subjects. Of these, 4577 were normotensive (systolic CBP ≤ 140 mmHg and diastolic CBP ≤ 90 mmHg) and 1773 were hypertensive (systolic CBP ≥ 160 mmHg and/or diastolic CBP ≥ 90 mmHg). Of the latter, 1324 had systolic and 1310 had diastolic hypertension. Results: Ninety-five percent of the normotensive subjects had a 24-h ABP below (systolic and diastolic, respectively) 133 and 82 mmHg. Of the patients with systolic hypertension, 24% had a 24-h systolic ABP of < 133 mmHg. Similarly, 30% of those with diastolic hypertension had a 24-h diastolic ABP of < 82 mmHg. The probability that hypertensive patients had a 24-h ABP below these thresholds was higher in women than in men, increased with age and was 2- to 4-fold greater if the CBP of the patient had been measured at only one visit and if fewer than 3 CBP measurements had been averaged to establish the diagnosis of hypertension. By contrast, for each 10-mmHg increment in systolic CBP, this probability decreased by 54% for the 24-h systolic ABP and by 25% for the 24-h diastolic ABP, and for each 5 mmHg increment in diastolic CBP it increased by 6 and 9%, respectively. Conclusion: The ABP distributions of the normotensive subjects included in the present international database were not materially different from those in previous reports in the literature. One-fifth to more than one-third of the hypertensive patients had an ABP which was below the 95th centile of the ABP in normotensive subjects, but this proportion decreased if the hypertensive patients had shown a higher CBP upon repeated measurement. The prognostic implications of elevated CBP in the presence of normal ABP remain to be determined. © 1995.SCOPUS: re.jinfo:eu-repo/semantics/publishe
Similar works
Full text
Available Versions
DI-fusion
See this paper in CORE
Go to the repository landing page
Download from data provider
oai:dipot.ulb.ac.be:2013/18725...
Last time updated on 23/02/2017
DI-fusion
See this paper in CORE
Go to the repository landing page
Download from data provider
oai:dipot.ulb.ac.be:2013/22934...
Last time updated on 23/02/2017