Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension: a systematic review and meta-analysis

Bliziotis, Ioannis A.; Destounis, Antonis; Stergiou, George S.

doi:10.1097/hjh.0b013e3283531eaf

Cited by 261Blood Pressure and Hypertension StudiesCardiovascular Health and Disease PreventionCardiovascular Function and Risk Factors

Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension: a systematic review and meta-analysis

Bliziotis, Ioannis A., Destounis, Antonis, Stergiou, George S.·2012·Journal of Hypertension

DOI 10.1097/hjh.0b013e3283531eaf

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Abstract

OBJECTIVE: Studies have shown that ambulatory blood pressure (BP) is more closely related to preclinical target organ damage than office measurements. A review and meta-analysis of studies investigating the association of home BP measurements with target organ damage was performed. METHODS: A PubMed and Cochrane Library search (1950-2011) revealed 23 studies reporting comparative data of home BP versus ambulatory and/or office measurements in terms of their association with several indices of target organ damage. Correlation coefficients were pooled by random-effects model meta-analysis. RESULTS: Fourteen studies (n = 2485) assessing echocardiographic left ventricular mass index (LVMI) showed similar correlations with home (coefficients r = 0.46/0.28, systolic/diastolic) as with ambulatory BP (0.37/0.26, P = NS for difference versus home BP), and superior to office measurements (r = 0.23/0.19, P < 0.001/0.009 for difference versus home BP). Four methodologically heterogeneous studies assessing the glomerular filtration rate (n = 609) could not be pooled or lead to a concrete result. Four studies assessing carotid intima-media thickness (n = 1222), three assessing pulse wave velocity (n = 720) and two assessing urinary protein excretion (n = 156) showed no difference in pooled correlation coefficients with home versus office BP measurements. With all the measurement methods SBP was more closely associated with target organ damage than DBP. CONCLUSION: These data suggest that home BP is as good as ambulatory monitoring and superior to office measurements in regard to their association with preclinical organ damage assessed by echocardiographic LVMI. More research is required to evaluate the relationship of home BP with other indices of target organ damage.

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In about half of patients diagnosed with masked hypertension, the phenomenon is present with both ABPM and HBPM, whereas in the remainder the diagnosis is documented with only one of the two methods.
“in about half of the patients diagnosed with masked hypertension, this phenomenon is present with both ABPM and HBPM (dual masked hypertension), whereas in the remainder, the diagnosis is only documented with one of the two BP measurement methods [22–25].”
From Home blood pressure monitoring: methodology, clinical relevance and practical application: a 2021 position paper by the Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension (2021) · cites this paper as [25]
Individuals with masked hypertension identified by only HBPM or ABPM have an intermediate cardiovascular disease risk between those identified by both methods as normotensives and those as sustained hypertensive patients.
“In outcome studies, individuals with masked hypertension identified by only HBPM or ABPM have an intermediate level of cardiovascular disease (CVD) risk between those identified by both methods as normotensives and those as sustained hypertensive patients.”
From Home blood pressure monitoring: methodology, clinical relevance and practical application: a 2021 position paper by the Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension (2021) · cites this paper as [25]

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Evaluation of a new rebound tonometer for self-measurement of intraocular pressure
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Multimodal Remote Monitoring of High Cardiovascular Risk Patients With OSA Initiating CPAP
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Is blood pressure load associated, independently of blood pressure level, with target organ damage?
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Home Blood Pressure Monitoring Is Better Predictor of Cardiovascular Disease and Target Organ Damage than Office Blood Pressure: A Systematic Review and Meta-Analysis
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Out-of-Office Blood Pressure Monitoring: A Comparison of Ambulatory Blood Pressure Monitoring and Home (Self) Monitoring Of Blood Pressure
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Antihypertensive Effects of an Optimized Aged Garlic Extract in Subjects with Grade I Hypertension and Antihypertensive Drug Therapy: A Randomized, Triple-Blind Controlled Trial
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Brazilian Guidelines for In-office and Out-of-office Blood Pressure Measurement – 2023
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Interrelations Between High Blood Pressure, Organ Damage, and Cardiovascular Disease: No More Room for Doubt
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Arterial Stiffness in Overweight and Obesity: Association with Sex, Age, and Blood Pressure
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Comparison of Optimal Diagnostic Thresholds of Hypertension With Home Blood Pressure Monitoring and 24-Hour Ambulatory Blood Pressure Monitoring
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Variable association of 24-h peripheral and central hemodynamics and stiffness with hypertension-mediated organ damage: the VASOTENS Registry
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Cost estimation of hypertension management based on home blood pressure monitoring alone or combined office and ambulatory blood pressure measurements
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Early Vascular Aging Risk Assessment From Ambulatory Blood Pressure Monitoring: The Early Vascular Aging Ambulatory Score
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Effect of Adenotonsillectomy on Ambulatory Blood Pressure in Pediatric Obstructive Sleep Apnea: 6‐Month Follow‐up Study
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Ambulatory Blood Pressure in Stroke and Cognitive Dysfunction
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Home Blood Pressure Is as Reliable as Ambulatory Blood Pressure in Predicting Target-Organ Damage in Hypertension
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Self-citation
Ambulatory blood pressure monitoring versus self-measurement of blood pressure at home: correlation with target organ damage
Gaborieau, V., Delarche, N., & Gosse, P. (2008) · Journal of Hypertension · doi:10.1097/hjh.0b013e32830c4368 · Cited by 169 · see citing works
Home and ambulatory blood pressure monitoring in children, adolescents and young adults: comparison, diagnostic agreement and association with preclinical organ damage
Zeniodi, M. E., Ntineri, A., Kollias, A., Servos, G., Moyssakis, I., Destounis, A., Harokopakis, A., Vazeou, A., & Stergiou, G. S. (2020) · Journal of Hypertension · doi:10.1097/hjh.0000000000002396 · Cited by 29 · see citing works
Self-citation
Value of home blood pressure as predictor of target organ damage in mild arterial hypertension
Mulè, G. (2001) · American Journal of Hypertension · doi:10.1016/s0895-7061(01)01539-4 · Cited by 2 · see citing works
Value of Home Blood Pressures as Predictor of Target Organ Damage in Mild Arterial Hypertension
Mulè, G., Caimi, G., Cottone, S., Nardi, E., Andronico, G., Piazza, G., Volpe, V., Federico, M., & Cerasola, G. (2002) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1177/174182670200900208 · Cited by 109 · see citing works

Authors: Bliziotis, I. A., Destounis, A., & Stergiou, G. S.
Affiliations: Sotiria General Hospital (GR)
Corresponding author: Stergiou, George S.
ORCID: Stergiou, George S.
Venue: Journal of Hypertension
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2012-07
Volume: 30
Issue: 7
Pages: 1289-1299
ISSN: 0263-6352 (ISSN-L)
DOI: 10.1097/hjh.0b013e3283531eaf
OpenAlex: W2000311463
Cited by: 261
References: 43
Citations by year: 2026: 7 · 2025: 8 · 2024: 11 · 2023: 14 · 2022: 26 · 2021: 22 · 2020: 21 · 2019: 22 · 2018: 25 · 2017: 24 · 2016: 21 · 2015: 22 · 2014: 20 · 2013: 15 · 2012: 3
FWCI: 3.15
Type: journal article
Language: en
Open access: closed
Locations: Journal of Hypertension (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
Keywords: home blood pressure, ambulatory blood pressure, office blood pressure, target organ damage, hypertension, left ventricular mass index, glomerular filtration rate, carotid intima-media thickness, pulse wave velocity, urinary protein excretion, ambulatory blood pressure monitoring
MeSH terms: Blood Pressure, Echocardiography, Glomerular Filtration Rate, Heart Ventricles, Humans, Hypertension, Proteinuria, Self Care, Blood Pressure Monitoring, Ambulatory

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Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension: a systematic review and meta-analysis

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