Which out-of-office measurement technique should be used for diagnosing hypertension in prehypertensives?

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dc.authorscopusid6603926071
dc.authorscopusid8570900600
dc.authorscopusid36338307600
dc.authorscopusid6701557803
dc.authorscopusid7004571672
dc.authorscopusid55920765900
dc.authorscopusid9736922500
dc.authorwosidArici, Mustafa/I-9265-2013
dc.authorwosidSengul, Sule/AAQ-3466-2021
dc.authorwosidUlusoy, Sukru/AAL-9150-2021
dc.contributor.authorUlusoy, Şükrü
dc.contributor.authorÖzkan, Gülsüm
dc.contributor.authorArıcı, Mustafa
dc.contributor.authorDerici, Ülver
dc.contributor.authorAkpolat, T.
dc.contributor.authorŞengül, Şule
dc.contributor.authorErdem, Yunus
dc.date.accessioned2022-05-11T14:39:59Z
dc.date.available2022-05-11T14:39:59Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractHypertension (HT) is diagnosed with high office blood pressure (BP), although confirmation with the addition of out-of-office measurements is currently recommended. However, insufficient data are available concerning the use of out-of-office BP measurement techniques for the diagnosis of HT in the prehypertensive population. The aim of the present study was to determine which out-of-office measurements yielded earlier and more frequent detection of development of HT in prehypertensive patients. Two hundred seven prehypertensive patients under monitoring in the Cappadocia cohort were included in the study. Office BP was measured five times at 1-min intervals, followed by 24-h ambulatory BP monitoring (24-h ABPM). Home BP measurement (HBPM) was performed five times, at the same times in the morning and evening, at 1-min intervals for 1 week. The same procedure was carried out at 4-6-month intervals for ~2 years. HT was diagnosed in 25.6% of subjects, masked HT in 11.1%, and white coat HT in 2.9%, while 23.7% remained prehypertensive and 36.7% became normotensive. Briefly, 56.6% of the patients with HT were diagnosed with office plus 24-h ABPM, 13.2% with office plus HBPM, and 30.2% with office plus HBPM and 24-h ABPM. Office with 24-h ABPM yielded statistically significantly more diagnoses (p < 0.001). In conclusion, our prospective observational study evaluated the usefulness of out-of-office BP measurements in confirming diagnosis of HT in prehypertensive patients. The findings show that 24-h ABPM detected HT earlier and more frequently in this high-risk population.
dc.identifier.doi10.1038/s41371-019-0284-x
dc.identifier.endpage592
dc.identifier.issn0950-9240
dc.identifier.issn1476-5527
dc.identifier.issue8en_US
dc.identifier.pmid31700139
dc.identifier.scopus2-s2.0-85074870965
dc.identifier.scopusqualityQ2
dc.identifier.startpage586
dc.identifier.urihttps://doi.org/10.1038/s41371-019-0284-x
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8823
dc.identifier.volume34
dc.identifier.wosWOS:000560070600006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzkan, Gülsüm
dc.language.isoen
dc.publisherSpringernature
dc.relation.ispartofJournal of Human Hypertension
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBlood-Pressure
dc.subjectWhite-Coat
dc.subjectMasked Hypertension
dc.subjectProgression
dc.subjectPrevalence
dc.subjectIntervals
dc.subjectTurkey
dc.titleWhich out-of-office measurement technique should be used for diagnosing hypertension in prehypertensives?
dc.typeArticle

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