The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.
Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension: a systematic review and meta-analysis
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 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].”
In the citing paper
“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.”
Citations
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2013 ESH/ESC Guidelines for the management of arterial hypertension
Authors Task Force Members, Mancia, G., Fagard, R., Narkiewicz, K., Redon, J., Zanchetti, A., Böhm, M., Christiaens, T., Cífková, R., Backer, G. D., et al. (2013) · European Heart Journal · doi:10.1093/eurheartj/eht151 · Cited by 13,739
2018 ESC/ESH Guidelines for the management of arterial hypertension
Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., Clement, D. L., Coca, A., de Simone, G., Dominiczak, A., et al. (2018) · European Heart Journal · doi:10.1093/eurheartj/ehy339 · Cited by 10,286
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Mancia, G., Fagard, R., Narkiewicz, K., Redón, J., Zanchetti, A., Böhm, M., Christiaens, T., Cifkova, R., De Backer, G., Dominiczak, A., et al. (2013) · Journal of Hypertension · doi:10.1097/01.hjh.0000431740.32696.cc · Cited by 5,655
Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., Clement, D. L., Coca, A., de Simone, G., Dominiczak, A., et al. (2018) · Journal of Hypertension · doi:10.1097/hjh.0000000000001940 · Cited by 2,885
Metadata
- 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
- Published
- 2012-07
- Volume
- 30
- Issue
- 7
- Pages
- 1289-1299
- ISSN
- 0263-6352 (ISSN-L)
- 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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