Evidence map›Paper›PMID 32720295›Full record

ArticleHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2020

Are Unattended Blood Pressure Measurements Necessary in All Patients Visiting an Outpatient Cardiology Clinic?

Helen Triantafyllidi, Dimitris Voutsinos, Konstantina Sioula, Antonios Schoinas, Dimitris Benas, Dionysia Birmpa, Ignatios Ikonomidis

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 85% of its field
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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Trial
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

7 authors at 1 institution in 1 country.

Helen Triantafyllidi2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Attikon Hospital, 83, Agiou Ioannou Theologou, Holargos, 155 61, Athens, Greece. seliani@hotmail.com.ORCID http://orcid.org/0000-0001-6801-1214
Dimitris Voutsinos2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Attikon Hospital, 83, Agiou Ioannou Theologou, Holargos, 155 61, Athens, Greece.
Konstantina Sioula2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Attikon Hospital, 83, Agiou Ioannou Theologou, Holargos, 155 61, Athens, Greece.
Antonios Schoinas2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Attikon Hospital, 83, Agiou Ioannou Theologou, Holargos, 155 61, Athens, Greece.
Dimitris Benas2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Attikon Hospital, 83, Agiou Ioannou Theologou, Holargos, 155 61, Athens, Greece.
Dionysia Birmpa2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Attikon Hospital, 83, Agiou Ioannou Theologou, Holargos, 155 61, Athens, Greece.
Ignatios Ikonomidis2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Attikon Hospital, 83, Agiou Ioannou Theologou, Holargos, 155 61, Athens, Greece.
National and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUnattended automatic office blood pressure (BP) measurement has given new evidence regarding treatment goals.

aimWe aimed to explore any differences between unattended and conventional office BP measurements in different groups of patients visiting a European Society of Hypertension (ESH)  Excellence Centre.

methodsWe performed two unattended (Microlife Watch BP Home) followed by a single attended (mercury sphygmomanometer) BP measurement in 310 patients (mean age 62 ± 15 years, 151 males, 64% hypertensives and 36% normotensive individuals) visiting our ESH Centre for a scheduled follow-up. Office BP < 140 mmHg (systolic) and < 90 mmHg (diastolic) were characterized as controlled or normal in hypertensives and normotensive individuals, respectively.

resultsAttended BP (systolic/diastolic) was higher than unattended BP in total population (p < 0.001 and p = 0.02) and hypertensives (p < 0.001). In hypertensives, attended BP was higher than unattended BP regardless of age, smoking habit, obesity or controlled BP status but it was similar to unattended in diabetic patients. In normotensive individuals, attended BP was higher than unattended BP in older (p = 0.04), non-smoker (p = 0.002) and non-diabetic (p = 0.02) subjects. Finally, unattended BP was important for treatment decisions only in a small group of non-diabetic hypertensive patients (7%) whose unattended BP was controlled while attended BP was uncontrolled.

conclusionsUnattended BP was lower than attended BP in the majority of hypertensive patients. However, it was useful only in a small percentage of non diabetic hypertensive patients in order to take appropriate treatment plan decisions.

Indexed as

Blood PressureBlood Pressure DeterminationCardiology Service, HospitalOutpatient Clinics, HospitalAgedAged, 80 and overCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedPredictive Value of TestsPrognosisReproducibility of ResultsAutomated blood pressure measurementConventional office blood pressure measurementDiabetes mellitusUnattended blood pressure measurement

Identifiers

PMID32720295
OpenAlexW3045972763

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Registered trials

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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.