Comparison of ambulatory blood pressure monitoring and office blood pressure in primary health care of populations at a high risk of hypertension

Bibliographic Data

ID22070235
AuthorsWei Gao (0000-0003-3999-7146, Sichuan University), Yanwen Jin (0000-0003-0029-2341, Sichuan University), Ting Bao (0000-0003-3543-7344, Sichuan University), Yan Huang (0000-0003-3591-7532, Sichuan University, corresponding author)
Year2023
Volume10
Pages985730-985730
Publication date2023-01-11
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.985730
PMID36711370
OpenAlexW4315498162
LanguageEN
References cited26

Introduction Current studies have found that the incidence of masked hypertension is high in Asian countries, but the use of ambulatory blood pressure monitoring (ABPM) in Asian countries is very limited, especially in primary health care. We compared the ABPM and office blood pressure (OBP) in primary health care of a high-risk population of hypertension. Methods The study included participants with at least one risk factor for hypertension who received primary health care. Demographic data, present medical history, personal history, and family history were collected by questionnaire. Results A total of 823 subjects were included in the study. There were 531 (64.5%) subjects with hypertension by ABPM and 316 patients (38.4%) by OBP. A paired chi-square test showed that the positive rate of ABPM in the diagnosis of hypertension was significantly higher than that of OBP (chi-square value 174.129, P < 0.0001). There were 24 (2.9%) patients with white coat hypertension, 239 (29.0%) with masked hypertension, 504 (52.9%) with a non-dipping pattern, 135 (16.9%) with nocturnal hypertension and 18 (2.2%) with high ambulatory BP variability. Concordance correlation coefficient showed there was a poor correlation between OBP and awake average BP. Scatter plot displayed there was a positive correlation between OBP and awake average BP, but the degree of fitting was not high. The Bland Altman plot showed that OBP and awake average BP were consistent. Conclusions Although OBP and ABPM have some consistency, ABPM can screen for masked hypertension and nocturnal hypertension in primary care of populations at high risk of hypertension. Therefore, ABPM is necessary in the primary health care of populations at high risk of hypertension and can be used as a routine screening

Ambulatory · Ambulatory blood pressure · Blood pressure · Cardiology · Concordance · Environmental health · Family medicine · Masked Hypertension · Population · Primary care · White coat hypertension · Blood Pressure and Hypertension Studies · Medicine · Mobile Health and mHealth Applications · Sodium Intake and Health · Internal Medicine · Pediatrics

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