Laboratory of Immunopathology Keizo Asami, Federal University of Pernambuco, Recife, Brazil.
Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, Brazil.
J Clin Hypertens (Greenwich). 2021 Jul;23(7):1447-1451. doi: 10.1111/jch.14261. Epub 2021 May 6.
This study investigated the impact of changing abnormal home blood pressure monitoring (HBPM) cutoff from 135/85 to 130/80 mmHg on the prevalence of hypertension phenotypes, considering an abnormal office blood pressure cutoff of 140/90 mmHg. We evaluated 57 768 individuals (26 876 untreated and 30 892 treated with antihypertensive medications) from 719 Brazilian centers who performed HBPM. Changing the HBPM cutoff was associated with increases in masked (from 10% to 22%) and sustained (from 27% to 35%) hypertension, and decreases in white-coat hypertension (from 16% to 7%) and normotension (from 47% to 36%) among untreated participants, and increases in masked (from 11% to 22%) and sustained (from 29% to 36%) uncontrolled hypertension, and decreases in white-coat uncontrolled hypertension (from 15% to 8%) and controlled hypertension (from 45% to 34%) among treated participants. In conclusion, adoption of an abnormal HBPM cutoff of 130/80 mmHg markedly increased the prevalence of out-of-office hypertension and uncontrolled hypertension phenotypes.
本研究探讨了将异常家庭血压监测（HBPM）的截断值从 135/85mmHg 更改为 130/80mmHg 对高血压表型患病率的影响，同时考虑了诊室血压截断值为 140/90mmHg。我们评估了来自 719 个巴西中心的 57768 名个体（26876 名未接受治疗和 30892 名接受抗高血压药物治疗），这些个体进行了 HBPM。改变 HBPM 截断值与掩蔽性高血压（从 10%增加到 22%）和持续性高血压（从 27%增加到 35%）的增加以及白大衣性高血压（从 16%减少到 7%）和正常血压（从 47%减少到 36%）相关，在未接受治疗的参与者中，而在接受治疗的参与者中，掩蔽性高血压（从 11%增加到 22%）和持续性高血压（从 29%增加到 36%）的增加以及白大衣性未控制高血压（从 15%减少到 8%）和控制高血压（从 45%减少到 34%）的减少。总之，采用异常的 HBPM 截断值 130/80mmHg 显著增加了诊室外高血压和未控制高血压表型的患病率。
