Discordance between Ambulatory versus Clinic Blood Pressure According to the Global Cardiovascular Risk Groups

Title
Discordance between Ambulatory versus Clinic Blood Pressure According to the Global Cardiovascular Risk Groups
Authors
신진호
Keywords
Risk assessment; Blood pressure monitoring; ambulatory; Masked hypertension; White coat hypertension; Hypertension
Issue Date
2015-08
Publisher
KOREAN ASSOCIATION OF INTERNAL MEDICINE
Citation
THE KOREAN JOURNAL OF INTERNAL MEDICINE, v. 30, NO 5, Page. 610-619
Abstract
Background/Aims: The detection of white coat hypertension (WCH), treated normalized hypertension, and masked hypertension (MH) is important to im-prove the effectiveness of hypertension management. However, whether global cardiovascular risk (GCR) profile has any effect on the discordance between ambulatory blood pressure (ABP) and clinic blood pressure (CBP) is unknown.Methods: Data from 1,916 subjects, taken from the Korean Multicenter Regis-try for ABP monitoring, were grouped according to diagnostic and therapeutic thresholds for CBP and ABP (140/90 and 135/85 mmHg, respectively). GCR was assessed using European Society of Hypertension 2007 guidelines. Results: The mean subject age was 54.1 ± 14.9 years, and 48.9% of patients were female. The discordancy rate between ABP and CBP in the untreated and treat-ed patients was 32.5% and 26.5%, respectively (p = 0.02). The prevalence of WCH or treated normalized hypertension and MH was 14.4% and 16.0%, respectively. Discordance between ABP and CBP was lower in the very high added-risk group compared to the moderate added-risk group (odds ratio [OR], 0.649; 95% confi-dence interval [CI], 0.487 to 0.863; p = 0.003). The prevalence of WCH or treated normalized hypertension was also lower in the very high added-risk group (OR, 0.451; 95% CI, 0.311 to 0.655). Conclusions: Discordance between ABP and CBP was observed more frequently in untreated subjects than in treated subjects, and less frequently in the very high added-risk group, which was due mainly to the lower prevalence of WCH or treat-ed normalized hypertension.
URI
http://kjim.org/journal/view.php?doi=10.3904/kjim.2015.30.5.610http://hdl.handle.net/20.500.11754/26797
ISSN
2005-6648; 226-3303
DOI
http://dx.doi.org/10.3904/kjim.2015.30.5.610
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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