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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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dc.contributor.authorPark, JS-
dc.contributor.authorRhee, MY-
dc.contributor.authorNamgung, J-
dc.contributor.authorLee, SY-
dc.contributor.authorCho, DK-
dc.contributor.authorChoi, TY-
dc.contributor.authorKim, SY-
dc.contributor.authorKim, JY-
dc.contributor.authorPark, SM-
dc.contributor.authorChoi, JH-
dc.contributor.authorLee, JH-
dc.contributor.authorKim, HY-
dc.date.accessioned2018-08-24T01:49:12Z-
dc.date.available2018-08-24T01:49:12Z-
dc.date.issued2017-
dc.identifier.issn0895-7061-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/15957-
dc.description.abstractBACKGROUND: Differences between the recently suggested outcome-driven diagnostic threshold of home blood pressure (HBP) measurements and the currently recommended diagnostic threshold of HBP measurements may cause a disagreement between 24-hour ambulatory blood pressure (ABP) and HBP measurements in the diagnosis of hypertension. We evaluated the agreement of various HBP diagnostic thresholds (135/85, 130/85, and 130/80 mm Hg) to ABP measurements, as a reference method.
METHODS: Patients who were confirmed to have high BP (>/=140/90 mm Hg) at the outpatient clinic were referred. HBP measurement was performed for 7 days in triplicates every morning and evening. The 24-hour ABP measurement was performed on the 8th day. Using 24-hour ABP measurement as a reference method, we analyzed HBP diagnostic thresholds at 135/85, 130/85, and 130/80 mm Hg.
RESULTS: Among 319 patients, 256 patients (mean age, 51.8 +/- 9.7 years: 119 men) with valid HBP measurements and 24-hour ABP measurements were enrolled. The threshold of 130/80 mm Hg showed the highest diagnostic sensitivity (P = 0.001) with diagnostic agreement by Kappa statistics. Using 130/80 mm Hg as a diagnostic threshold of hypertension, the prevalence of masked hypertension was significantly lower than 130/85 and 135/85 mm Hg (7.8, 15.2, and 18.4%, respectively, P = 0.002).
CONCLUSIONS: The present study suggests that lowering the diagnostic thresholds of HBP measurement from 135/85 mm Hg to 130/80 mm Hg may improve diagnostic accuracy for hypertension.
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dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHBlood Pressure-
dc.subject.MESHBlood Pressure Monitoring, Ambulatory-
dc.subject.MESHFemale-
dc.subject.MESHHome Care Services-
dc.subject.MESHHumans-
dc.subject.MESHHypertension-
dc.subject.MESHMale-
dc.subject.MESHMasked Hypertension-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrevalence-
dc.subject.MESHReference Standards-
dc.subject.MESHRisk Factors-
dc.subject.MESHTime Factors-
dc.titleComparison of Optimal Diagnostic Thresholds of Hypertension With Home Blood Pressure Monitoring and 24-Hour Ambulatory Blood Pressure Monitoring-
dc.typeArticle-
dc.identifier.pmid28992112-
dc.contributor.affiliatedAuthor박, 진선-
dc.type.localJournal Papers-
dc.identifier.doi10.1093/ajh/hpx115-
dc.citation.titleAmerican journal of hypertension-
dc.citation.volume30-
dc.citation.number12-
dc.citation.date2017-
dc.citation.startPage1170-
dc.citation.endPage1176-
dc.identifier.bibliographicCitationAmerican journal of hypertension, 30(12). : 1170-1176, 2017-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1941-7225-
dc.relation.journalidJ008957061-
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Journal Papers > School of Medicine / Graduate School of Medicine > Cardiology
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