10 36

Cited 0 times in

Comparison of day-to-day blood pressure variability in hypertensive patients with type 2 diabetes mellitus to those without diabetes: Asia BP@Home Study

Authors
 Yook-Chin Chia  ;  Kazuomi Kario  ;  Naoko Tomitani  ;  Sungha Park  ;  Jinho Shin  ;  Yuda Turana  ;  Jam Chin Tay  ;  Peera Buranakitjaroen  ;  Chen-Huan Chen  ;  Satoshi Hoshide  ;  Jennifer Nailes  ;  Huynh Van Minh  ;  Saulat Siddique  ;  Jorge Sison  ;  Arieska Ann Soenarta  ;  Guru Prasad Sogunuru  ;  Apichard Sukonthasarn  ;  Boon Wee Teo  ;  Narsingh Verma  ;  Yuqing Zhang  ;  Tzung-Dau Wang  ;  Ji-Guang Wang 
Citation
 JOURNAL OF CLINICAL HYPERTENSION, Vol.22(3) : 407-414, 2020-03 
Journal Title
JOURNAL OF CLINICAL HYPERTENSION
ISSN
 1524-6175 
Issue Date
2020-03
MeSH
Aged ; Asia ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory ; Diabetes Mellitus, Type 2* / complications ; Diabetes Mellitus, Type 2* / epidemiology ; Humans ; Hypertension* / complications ; Hypertension* / diagnosis ; Hypertension* / epidemiology ; Middle Aged
Keywords
Asia BP@Home ; blood pressure variability ; home BP measurement ; masked hypertension ; type 2 diabetes mellitus
Abstract
Blood pressure variability (BPV) has been shown to be independently associated with cardiovascular (CV) mortality and morbidity. Patients with type 2 diabetes mellitus (T2DM) have also been shown to have increased BPV. We aimed to compare BPV in hypertensive patients with diabetes with those without diabetes. A total of 1443 hypertensive patients measured their blood pressure (BP) twice in the morning and twice before bed at home for a week. Demographic data, history of T2DM, and anti-hypertensive use were captured. Clinic BP was measured twice in the clinic. Control of BP was defined as clinic systolic BP (SBP) <140 mm Hg and home SBP < 135 mm Hg. BPV was based on home SBP measurements. A total of 362(25.1%) hypertensives had diabetes and 47.4% were male. Mean age was 62.3 +/- 12.1 years. There was no difference in the mean clinic SBP in both groups (139.9 mm Hg vs 138.4 mm Hg P = .188). However, the mean morning home SBP was significantly higher and control rate lower in hypertensives with diabetes than those without (132.3 +/- 15 mm Hg vs 129.7 +/- 14.4 mm Hg P = .005, 39.4% vs 47.6% P = .007), respectively. Masked uncontrolled morning hypertension was higher in those with diabetes versus those without (12.8% vs 8.4%, respectively). There was no statistically significant difference in BPV between those with and without diabetes. In summary, clinic SBP was similar in hypertensives with or without diabetes. However, control of BP based on both clinic and home SBP thresholds was poorer in hypertensives with diabetes compared to those without. Masked uncontrolled morning hypertension was higher in those with diabetes than those without. There was no difference in BPV between the two groups.
Files in This Item:
T9992020419.pdf Download
DOI
10.1111/jch.13731
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Sung Ha(박성하) ORCID logo https://orcid.org/0000-0001-5362-478X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190194
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links