Home measurement of blood pressure and cardiovascular disease
Top Cited Papers
- 1 March 2012
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal Of Hypertension
- Vol. 30 (3), 449-456
- https://doi.org/10.1097/hjh.0b013e32834e4aed
Abstract
Examine the relationship between home blood pressure (BP) and risk for all-cause mortality, cardiovascular mortality and cardiovascular events. We conducted a systematic review and meta-analysis of prospective studies of home BP. Primary outcomes were all-cause mortality, cardiovascular mortality and cardiovascular events. We extracted hazard ratios and 95% confidence intervals (CIs) which were pooled with a random-effects model. Heterogeneity was assessed using the I2 statistic. We identified eight studies with 17 698 participants. Follow-up was 3.2–10.9 years. For all-cause mortality (n = 747) the hazard ratio for home BP was 1.14 (95% CI 1.01–1.29) per 10 mmHg increase in systolic BP compared to 1.07 (0.91–1.26) for office BP. For cardiovascular mortality (n = 193) the hazard ratio for home BP was 1.29 (1.02–1.64) per 10 mmHg increase in systolic BP compared to 1.15 (0.91–1.46) for office BP. For cardiovascular events (n = 699) the hazard ratio for home BP was 1.14 (1.09–1.20) per 10 mmHg increase in systolic BP compared to 1.10 (1.06–1.15) for office BP. In three studies which adjusted for office and home BP the hazard ratio was 1.20 (1.11–1.30) per 10 mmHg increase in systolic BP for home BP adjusted for office BP compared to 0.99 (0.93–1.07) per 10 mmHg increase in systolic BP for office BP adjusted for home BP. Diastolic results were similar. Home BP remained a significant predictor of cardiovascular mortality and cardiovascular events after adjusting for office BP suggesting it is an important prognostic variable over and above that of office BP.Keywords
This publication has 27 references indexed in Scilit:
- Determining which automatic digital blood pressure device performs adequately: a systematic reviewJournal of Human Hypertension, 2010
- European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure MonitoringJournal Of Hypertension, 2008
- Noninvasive 24-h ambulatory blood pressure and cardiovascular disease: a systematic review and meta-analysisJournal Of Hypertension, 2008
- Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring: Executive Summary A Joint Scientific Statement From the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses AssociationThe Journal of Clinical Hypertension, 2008
- Incidence of cardiovascular events in white-coat, masked and sustained hypertension versus true normotension: a meta-analysisJournal Of Hypertension, 2007
- Self measurement of blood pressure: a community surveyJournal of Human Hypertension, 2007
- Prognosis of “Masked” Hypertension and “White-Coat” Hypertension Detected by 24-h Ambulatory Blood Pressure MonitoringJournal of the American College of Cardiology, 2005
- Cardiovascular Prognosis of "Masked Hypertension" Detected by Blood Pressure Self-measurement in Elderly Treated Hypertensive PatientsJAMA, 2004
- Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studiesThe Lancet, 2002
- Comparison of acceptability of and preferences for different methods of measuring blood pressure in primary careBMJ, 2002