ArticleJournal of the American Heart Association2019
Thresholds for Ambulatory Blood Pressure Monitoring Based on Maternal and Neonatal Outcomes in Late Pregnancy in a Southern Chinese Population.
Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 24 citations in OpenAlex.
- Comment on "Morning blood pressure and adverse pregnancy outcomes in high-risk pregnancies".Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Morning Blood Pressure and Adverse Pregnancy Outcomes in High-Risk Pregnancies.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- A cohort study evaluating preeclampsia risk-based cut-offs for ambulatory blood pressure monitoring in high-risk pregnant women. Time for a change?Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Nocturnal systolic and diastolic blood pressure across gestational periods and the risk of preeclampsia.Journal of human hypertension · 2025Article
- Blood pressure and the risk of diabetes: A longitudinal observational study based on Chinese individuals.Journal of diabetes investigation · 2025Observational
- Association of total cholesterol to high-density lipoprotein cholesterol ratio with diabetes risk: a retrospective study of Chinese individuals.Scientific reports · 2025Article
- Optimization of Ambulatory Blood Pressure Monitoring during Pregnancy: A Path Toward Risk Stratification Improvement and Management of Hypertensive Disorders.Reviews in cardiovascular medicine · 2025Review
- Article
- Is an office blood pressure ≥140/90 mmHg an appropriate hypertension threshold for pregnant women?Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Hypertension phenotypes and adverse pregnancy outcome-related office and ambulatory blood pressure thresholds during pregnancy: a retrospective cohort study.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Relationship between serum uric acid, nocturnal hypertension and risk for preeclampsia in high-risk pregnancies.Journal of human hypertension · 2024Article
- sFlt-1/PIGF ratio positive associated with non-dipper type change in ambulatory blood pressure monitoring(ABPM) for preeclampsia development.Hypertension research : official journal of the Japanese Society of Hypertension · 2024Article
- Hypertension arising after 20 weeks of gestation: gestational hypertension or masked chronic hypertension?Journal of human hypertension · 2023Article
- Ambulatory Blood Pressure Monitoring for Diagnosis and Management of Hypertension in Pregnant Women.Diagnostics (Basel, Switzerland) · 2023Review
- Blood Pressure Monitoring and Perinatal Outcomes in Normotensive Women with Gestational Diabetes Mellitus.Journal of clinical medicine · 2022Article
- Nocturnal hypertension and risk of developing early-onset preeclampsia in high-risk pregnancies.Hypertension research : official journal of the Japanese Society of Hypertension · 2021Article
- Thresholds for Ambulatory Blood Pressure Monitoring Based on Maternal and Neonatal Outcomes in Late Pregnancy in a Southern Chinese Population.Journal of the American Heart Association · 2019Article
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Authors and funding
12 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background In contrast to the general population, outcome-derived thresholds for diagnosing ambulatory hypertension in pregnancy are not yet available. We aimed to identify and compare outcome-derived ambulatory blood pressure (BP) monitoring thresholds for adverse perinatal outcomes by using approaches related and not related to clinic BP in a southern Chinese population. Methods and Results Ambulatory BP monitoring was performed in a cohort of 1768 high-risk participants in late pregnancy who were not taking antihypertensive medications. Participants were followed for composite maternal (severe complications) and neonatal (pregnancy loss, advanced neonatal care, and small for gestational age) outcomes. Modeling of clinic BP-unrelated approaches revealed a nonlinear threshold effect of ambulatory diastolic BP on the composite outcome, with increased risk for daytime ≥79 mm Hg and 24-hour measurement ≥76 mm Hg. For other ambulatory BP components showing linear associations with outcome, the following thresholds were identified: 131 mm Hg for daytime systolic, 121 mm Hg for nighttime systolic, 130 mm Hg for 24-hour systolic, and 73 mm Hg for night-time diastolic BP. These thresholds unrelated to clinic BP were lower than the equivalents yielding a similar probability of outcome to clinic BP of 140/90 mm Hg and were comparable with equivalents to clinic BP of 130/80 mm Hg. Conclusions Using an outcome-derived approach unrelated to clinic BP, we identified rounded thresholds to define ambulatory hypertension in at-risk women in late pregnancy in a southern Chinese population as follows: 130/80 mm Hg for daytime, 120/75 mm Hg for nighttime, and 130/75 mm Hg for 24-hour measurement. For wider clinical applicability and to align both nonpregnancy and pregnancy ambulatory BP monitoring with an outcomes-based approach, prospective, multiethnic, international studies from early pregnancy onward will be required.
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