Evidence map›Paper›PMID 42108550›Full record

ArticleAmerican journal of hypertension2026

Concordance between awake blood pressure on home and ambulatory blood pressure monitoring in older adults.

Lama Ghazi, Emily B Levitan, Medha J Dubal, Rong Wei, Teresa N Harrison, Joseph E Schwartz, Paul Muntner, Daichi Shimbo, Kristi Reynolds

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of hypertension, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Lama GhaziDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL, United States.ORCID 0000-0002-9930-3575
Emily B LevitanDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL, United States.ORCID 0000-0002-5429-3852
Medha J DubalDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL, United States.
Rong WeiDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States.
Teresa N HarrisonDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States.
Joseph E SchwartzDepartment of Medicine, Center for Behavioral and Cardiovascular Health, Columbia University Irving Medical Center, New York, NY, United States.ORCID 0000-0002-8944-3566
Paul MuntnerDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL, United States.
Daichi ShimboDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, United States.ORCID 0000-0001-6302-8834
Kristi ReynoldsDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States.ORCID 0000-0001-7619-1649

Funding

Ambulatory blood pressure and falls in older treated patients with hypertensionR01HL136445 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI REYNOLDS, KRISTI, SHIMBO, DAICHI · 2018 to 2021
$3.1M
Home blood pressure and falls among older adultsR01HL147601 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, REYNOLDS, KRISTI · 2019 to 2022
$1.6M
National Heart, Lung and Blood InstituteNHLBI NIH HHS R01 HL136445NHLBI NIH HHS R01 HL147601NIH HHS R01 HL136445NIH HHS R01 HL147601
6 · The paper itself

Abstract

backgroundDetermining the agreement between ambulatory blood pressure (BP) monitoring (ABPM) and home BP monitoring (HBPM) can inform their use.

methodsParticipants ≥65 years of age taking antihypertensive medication in the AMBROSIA-HOME study completed 24 hours of ABPM and 7 days of HBPM. Controlled office and awake BP was defined as mean systolic BP (SBP)/diastolic BP (DBP) <130/<80 mm Hg and uncontrolled office and awake BP as mean SBP or DBP ≥130/80 mm Hg. Masked uncontrolled hypertension was defined as controlled clinic BP with uncontrolled BP on HBPM or ABPM, and white coat effect as uncontrolled clinic BP with controlled BP on HBPM or ABPM.

resultsAmong 510 participants (mean age: 74 years; 57% female), mean (SD) awake SBP/DBP was 135.6 (13.9)/73.7 (7.9) mm Hg on HBPM and 134.7 (13.9)/73.6 (8.5) mm Hg on ABPM. The mean difference (limits of agreement) between HBPM and ABPM for awake SBP and DBP was 0.84 (-20.6 to 22.3) mm Hg and 0.07 (-12.5 to 12.6) mm Hg, respectively. Intraclass correlation coefficients for mean awake SBP and DBP between HBPM and ABPM were 0.68 (95% CI: 0.63-0.73) and 0.69 (95% CI: 0.64-0.73), respectively. The Kappa statistics (95% CI) for uncontrolled BP, masked uncontrolled hypertension, and white coat effect were 0.47 (0.39-0.55), 0.43 (0.31-0.54), and 0.35 (0.21-0.49), respectively.

conclusionsHBPM and ABPM yielded comparable mean awake BP values with a wide limit of agreement and fair to moderate agreement for identifying BP phenotypes in older adults taking antihypertensive treatment.

Indexed as

Blood PressureBlood Pressure Monitoring, AmbulatoryHypertensionMasked HypertensionWakefulnessWhite Coat HypertensionAgedAged, 80 and overAge FactorsAntihypertensive AgentsFemaleHumansMalePredictive Value of TestsReproducibility of ResultsAntihypertensive AgentsABPMawake BPblood pressureHBPMhypertensionout-of-office BP measurement

Identifiers

PMID42108550
PMCPMC13473872

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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.