ArticleHypertension (Dallas, Tex. : 1979)2019
Outcome-Driven Thresholds for Ambulatory Blood Pressure Based on the New American College of Cardiology/American Heart Association Classification of Hypertension.
Article in Hypertension (Dallas, Tex. : 1979), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk Stratification by Cross-Classification of Central and Brachial Systolic Blood Pressure.Hypertension (Dallas, Tex. : 1979) · 2022Pooled it
- Asian expert consensus on high-quality hypertension management.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Review
- 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 Electrolyte Levels and Dipping Blood Pressure Pattern in Hypertensive Patients: A Single Center Cross-Sectional Study in Shanghai.Vascular health and risk management · 2025Article
- The HOPE Asia Network consensus on blood pressure measurements corresponding to office measurements: Automated office, home, and ambulatory blood pressures.Journal of clinical hypertension (Greenwich, Conn.) · 2024Review
- Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Blood pressure and renal function responses in workers exposed to lead for up to six years.Journal of clinical hypertension (Greenwich, Conn.) · 2023Article
- Importance of reconfirming the validity of the revised blood pressure categories.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- What did we learn from the International Databases on Ambulatory and Home Blood Pressure in Relation to Cardiovascular Outcome?Hypertension research : official journal of the Japanese Society of Hypertension · 2023Review
- 130/80 mmHg as a unifying hypertension threshold for office brachial, office central, and ambulatory daytime brachial blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2023Article
- Ambulatory blood pressure monitoring for the management of hypertension.Chinese medical journal · 2022Article
- High Blood Pressure in Children and Adolescents: Current Perspectives and Strategies to Improve Future Kidney and Cardiovascular Health.Kidney international reports · 2022Review
- Pediatric Ambulatory Blood Pressure Classification: The Case for a Change.Hypertension (Dallas, Tex. : 1979) · 2021Review
- Guideline-Driven Management of Hypertension: An Evidence-Based Update.Circulation research · 2021Review
- Ambulatory Blood Pressure Monitoring to Diagnose and Manage Hypertension.Hypertension (Dallas, Tex. : 1979) · 2021Review
- 2018 American Heart Association redefinition of resistant hypertension: Major adverse cardiovascular and renal events.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Two-Year Responses of Office and Ambulatory Blood Pressure to First Occupational Lead Exposure.Hypertension (Dallas, Tex. : 1979) · 2020Article
- Modulation of spinal cord excitability following remote limb ischemic preconditioning in healthy young men.Experimental brain research · 2020Article
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27 authors.
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Abstract
The new American College of Cardiology/American Heart Association guideline reclassified office blood pressure and proposed thresholds for ambulatory blood pressure (ABP). We derived outcome-driven ABP thresholds corresponding with the new office blood pressure categories. We performed 24-hour ABP monitoring in 11 152 participants (48.9% women; mean age, 53.0 years) representative of 13 populations. We determined ABP thresholds resulting in multivariable-adjusted 10-year risks similar to those associated with elevated office blood pressure (120/80 mm Hg) and stages 1 and 2 of office hypertension (130/80 and 140/90 mm Hg). Over 13.9 years (median), 2728 (rate per 1000 person-years, 17.9) people died, 1033 (6.8) from cardiovascular disease; furthermore, 1988 (13.8), 893 (6.0), and 795 (5.4) cardiovascular and coronary events and strokes occurred. Using a composite cardiovascular end point, systolic/diastolic outcome-driven thresholds indicating elevated 24-hour, daytime, and nighttime ABP were 117.9/75.2, 121.4/79.6, and 105.3/66.2 mm Hg. For stages 1 and 2 ambulatory hypertension, thresholds were 123.3/75.2 and 128.7/80.7 mm Hg for 24-hour ABP, 128.5/79.6 and 135.6/87.1 mm Hg for daytime ABP, and 111.7/66.2 and 118.1/72.5 mm Hg for nighttime ABP. ABP thresholds derived from other end points were similar. After rounding, approximate thresholds for elevated 24-hour, daytime, and nighttime ABP were 120/75, 120/80, and 105/65 mm Hg, and for stages 1 and 2, ambulatory hypertension 125/75 and 130/80 mm Hg, 130/80 and 135/85 mm Hg, and 110/65 and 120/70 mm Hg. Outcome-driven ABP thresholds corresponding to elevated blood pressure and stages 1 and 2 of hypertension are similar to those proposed by the current American College of Cardiology/American Heart Association guideline.
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