ArticleArquivos brasileiros de cardiologia2019
Prevalence of Masked and White-Coat Hypertension in Pre-Hypertensive and Stage 1 Hypertensive patients with the use of TeleMRPA.
Article in Arquivos brasileiros de cardiologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Brazilian Guidelines for In-office and Out-of-office Blood Pressure Measurement - 2023.Arquivos brasileiros de cardiologia · 2024Guideline
- Hypertension and Cardiovascular Risk: Direct Association with Blood Pressure Values.Arquivos brasileiros de cardiologia · 2024Article
- National Registry of Hypertension Control Evaluated by Office and Home Measurements: The LHAR National Registry.Arquivos brasileiros de cardiologia · 2023Article
- Masked Hypertension and Exaggerated Blood Pressure Response to Exercise: A Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2023Review
- Seasonal variation in blood pressure: what is still missing?Frontiers in cardiovascular medicine · 2023Review
- The New Paradigm of Blood Pressure Measurement.Arquivos brasileiros de cardiologia · 2021Article
- Treated Hypertensive Patients Assessed by Home Blood Pressure Telemonitoring. TeleMRPA Study.Arquivos brasileiros de cardiologia · 2021Article
- Brazilian Guidelines of Hypertension - 2020.Arquivos brasileiros de cardiologia · 2021Article
- Ambulatory blood pressure phenotypes and isolated elevation of office central or brachial blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Recommendations for home blood pressure monitoring in Latin American countries: A Latin American Society of Hypertension position paper.Journal of clinical hypertension (Greenwich, Conn.) · 2020Review
- Self-Monitoring with or Without Telemonitoring: Is a New Time for Diagnosis and Management Hypertension?Arquivos brasileiros de cardiologia · 2019Article
- Factors Associated with Variations in Home Blood Pressure Monitoring among Adults with Hypertension: Systematic Review.SAGE open nursingReview
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8 authors at 7 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe diagnosis of arterial hypertension based on measurements of blood pressure in the office has low accuracy.
objectiveTo evaluate the prevalence of masked hypertension (MH) and white-coat hypertension through home blood pressure monitoring (HBPM) in pre-hypertensive and stage 1 hypertensive patients.
methodRetrospective study, of which sample consisted of individuals with BP ≥ 120/80 mmHg and < 160/100 mmHg at the medical office without the use of antihypertensive medication and who underwent exams on the HBPM platform by telemedicine (TeleMRPA) between May 2017 and September 2018. The four-day MRPA protocol was used, with 24 measurements, using automated, validated, calibrated equipment with a memory function.
resultsThe sample consisted of 1,273 participants, of which 739 (58.1%) were women. The mean age was 52.4 ± 14.9 years, mean body mass index (BMI) 28.4 ± 5.1 kg/m2. The casual BP was higher than the HBPM in 7.6 mmHg for systolic blood pressure (SBP) and 5.2 mmHg for diastolic blood pressure (DBP), both with statistical significance (p < 0.001). There were 558 (43.8%) normotensive individuals; 291 (22.9%) with sustained hypertension; 145 (11.4%) with MH and 279 (21.9%) with white-coat hypertension (WCH), with a diagnostic error by casual BP in the total sample in 424 (33.3%) patients. In stage 1 hypertensive individuals, the prevalence of WCH was 48.9%; in prehypertensive patients, the prevalence of MH was 20.6%.
conclusionMH and WCH have a high prevalence rate in the adult population; however, in prehypertensive or stage 1 hypertensive patients, the prevalence is higher. Out-of-office BP measurements in these subgroups should be performed whenever possible to prevent misdiagnosis.
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