Prognosis of White-Coat and Masked Hypertension: International Database of Home Blood Pressure in Relation to Cardiovascular Outcome

Home blood pressure monitoring is useful in detecting white-coat and masked hypertension and is recommended for patients with suspected or treated hypertension. The prognostic significance of white-coat and masked hypertension detected by home measurement was investigated in 6458 participants from 5...

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Bibliographic Details
Published in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2014-04, Vol.63 (4), p.675-682
Main Authors: Stergiou, George S, Asayama, Kei, Thijs, Lutgarde, Kollias, Anastasios, Niiranen, Teemu J, Hozawa, Atsushi, Boggia, José, Johansson, Jouni K, Ohkubo, Takayoshi, Tsuji, Ichiro, Jula, Antti M, Imai, Yutaka, Staessen, Jan A
Format: Article
Language:English
Subjects:
Adult
Aged
Antihypertensive Agents - pharmacology
Antihypertensive Agents - therapeutic use
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure - drug effects
Blood Pressure - physiology
Blood Pressure Monitoring, Ambulatory
Cardiology. Vascular system
Cardiovascular Diseases - epidemiology
Databases, Factual
Female
Follow-Up Studies
Humans
Male
Masked Hypertension - diagnosis
Masked Hypertension - drug therapy
Masked Hypertension - epidemiology
Medical sciences
Middle Aged
Prevalence
Prognosis
Risk Factors
Treatment Outcome
White Coat Hypertension - diagnosis
White Coat Hypertension - drug therapy
White Coat Hypertension - epidemiology
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Summary:Home blood pressure monitoring is useful in detecting white-coat and masked hypertension and is recommended for patients with suspected or treated hypertension. The prognostic significance of white-coat and masked hypertension detected by home measurement was investigated in 6458 participants from 5 populations enrolled in the International Database of HOme blood pressure in relation to Cardiovascular Outcomes. During a median follow-up of 8.3 years, 714 fatal plus nonfatal cardiovascular events occurred. Among untreated subjects (n=5007), cardiovascular risk was higher in those with white-coat hypertension (adjusted hazard ratio 1.42; 95% CI [1.06–1.91]; P=0.02), masked hypertension (1.55; 95% CI [1.12–2.14]; P
ISSN:0194-911X
1524-4563
DOI:10.1161/HYPERTENSIONAHA.113.02741