Evidence map›Paper›PMID 27129931›Full record

ArticleJournal of the American Society of Hypertension : JASH2016

Prevalence of pseudoresistant hypertension due to inaccurate blood pressure measurement.

Hemal Bhatt, Mohammed Siddiqui, Eric Judd, Suzanne Oparil, David Calhoun

Abstract readComparative Study
In one paragraph

Article in Journal of the American Society of Hypertension : JASH, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Targeted approaches to diagnose and treat resistant hypertension in Asia.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Multidisciplinary Consensus Document on the Management of Uncontrolled Hypertension in India.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2020
    Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Advances in resistant hypertension.Annals of translational medicine · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hemal BhattDepartment of Vascular Biology and Hypertension, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: cardiothorax@gmail.com.
Mohammed SiddiquiDepartment of Vascular Biology and Hypertension, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.
Eric JuddDepartment of Vascular Biology and Hypertension, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.
Suzanne OparilDepartment of Vascular Biology and Hypertension, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.
David CalhounDepartment of Vascular Biology and Hypertension, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2013 to 2026
$19.5M
MECHANISMS OF HYPERTENSION AND CARDIOVASCULAR DISEASEST32HL007457 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Martin E Young · 1985 to 2026
$8.6M
Mechanisms of Refractory HypertensionR01HL113004 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OPARIL, SUZANNE · 2014 to 2018
$2.5M
Vascular effects of mineralocorticoid receptor antagonism in kidney disease.K23DK102660 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JUDD, ERIC K · 2015 to 2019
$944k
NHLBI NIH HHS R01 HL113004NHLBI NIH HHS T32 HL007457NIDDK NIH HHS K23 DK102660NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

The prevalence of pseudoresistant hypertension (HTN) due to inaccurate BP measurement remains unknown. Triage BP measurements and measurements obtained at the same clinic visit by trained physicians were compared in consecutive adult patients referred for uncontrolled resistant HTN (RHTN). Triage BP measurements were taken by the clinic staff during normal intake procedures. BP measurements were obtained by trained physicians using the BpTRU (VSM Med Tech Ltd. Coquitlam, Canada) device. The prevalence of uncontrolled RHTN and differences in BP measurements were compared. Of 130 patients with uncontrolled RHTN, 33.1% (n = 43) were falsely identified as having uncontrolled RHTN based on triage BP measurements. The median (inter-quartile range) of differences in systolic BP between pseudoresistant and true resistant groups were 23 (17-33) mm Hg and 13 (6-21) mm Hg, respectively (P = .0001). The median (inter-quartile range) of differences in diastolic BP between the two groups were 12 (7-18) mm Hg and 8 (4-11) mm Hg, respectively (P = .001). Triage BP technique overestimated the prevalence of uncontrolled RHTN in approximately 33% of the patients emphasizing the importance of obtaining accurate BP measurements.

Indexed as

AdultAgedAntihypertensive AgentsBlood Pressure DeterminationBlood Pressure MonitorsCoronary VasospasmDiagnostic ErrorsFemaleHumansHypertensionMaleMiddle AgedPhysiciansPrevalenceRetrospective StudiesAntihypertensive AgentsBlood pressureblood pressure measurement techniquepseudoresistant hypertensionresistant hypertension

Identifiers

PMID27129931
PMCPMC4905807

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.