Number and timing of ambulatory blood pressure monitoring measurements.
Ambulatory monitoring
Blood pressure measurement
Nocturnal hypertension
Journal
Hypertension research : official journal of the Japanese Society of Hypertension
ISSN: 1348-4214
Titre abrégé: Hypertens Res
Pays: England
ID NLM: 9307690
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
received:
30
03
2021
accepted:
08
07
2021
revised:
01
07
2021
pubmed:
13
8
2021
medline:
27
1
2022
entrez:
12
8
2021
Statut:
ppublish
Résumé
Ambulatory blood pressure (BP) monitoring (ABPM) may cause sleep disturbances. Some home BP monitoring (HBPM) devices obtain a limited number of BP readings during sleep and may be preferred to ABPM. It is unclear how closely a few BP readings approximate a full night of ABPM. We used data from the Jackson Heart (N = 621) and Coronary Artery Risk Development in Young Adults (N = 458) studies to evaluate 74 sampling approaches to estimate BP during sleep. We sampled two to four BP measurements at specific times from a full night of ABPM and computed chance-corrected agreement (i.e., kappa) of nocturnal hypertension (i.e., mean asleep systolic BP ≥ 120 mmHg or diastolic BP ≥ 70 mmHg) defined using the full night of ABPM and subsets of BP readings. Measuring BP at 2, 3, and 4 h after falling asleep, an approach applied by some HBPM devices obtained a kappa of 0.81 (95% confidence interval [CI]: 0.78, 0.85). The highest kappa was obtained by measuring BP at 1, 2, 4, and 5 h after falling asleep: 0.84 (95% CI: 0.81, 0.87). In conclusion, measuring BP three or four times during sleep may have high agreement with nocturnal hypertension status based on a full night of ABPM.
Identifiants
pubmed: 34381194
doi: 10.1038/s41440-021-00717-y
pii: 10.1038/s41440-021-00717-y
pmc: PMC9153961
mid: NIHMS1807420
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1578-1588Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL117323
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL139716
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL144773
Pays : United States
Informations de copyright
© 2021. The Author(s), under exclusive licence to The Japanese Society of Hypertension.
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