Vischer, Annina S. and Mayr, Michael and Socrates, Thenral and Winterhalder, Clemens and Leonardi, Licia and Eckstein, Jens and Burkard, Thilo. (2019) Impact of Single-Occasion American vs. Canadian Office Blood Pressure Measurement Recommendations on Blood Pressure Classification. American journal of hypertension, 32 (2). pp. 143-145.
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Official URL: https://edoc.unibas.ch/77023/
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Abstract
The 2017 American hypertension guidelines [American College of Cardiology/American Heart Association (ACC/AHA)] define a blood pressure measurement (BPM) procedure that differs from the Canadian Hypertension Education Program (CHEP) guidelines. We studied the impact of the BPM procedure on arterial hypertension (AHT) prevalence rate.; In 805 subjects, the mean of the first and second BPM (adapted ACC/AHA procedure) was compared with the mean of the second and third BPM (CHEP procedure). All BPMs were taken at a single occasion. According to ACC/AHA definition, office blood pressure (OBP) of <120/80 mm Hg was classified as normal, 120-129/<80 mm Hg as elevated, and ≥130/80 mm Hg as hypertensive.; Using the adapted ACC/AHA BPM procedure compared to the CHEP BPM procedure led to an increase in the AHT prevalence rate (≥130/80 mm Hg) of 4% (58% vs. 54%). Overall, 8.9% (72/805) of subjects were reclassified to a higher and 2.6% (21/805) to a lower blood pressure category when using the adapted ACC/AHA BPM procedure instead of the CHEP BPM procedure. In the group with elevated OBP (120-129/<80 mm Hg), 41.9% (36/86) of subjects were reclassified.; Minimal changes of BPM procedures lead to relevant changes of hypertension prevalence.; Trial Number NCT02552030.
Faculties and Departments: | 03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Kardiologie > Klinische Outcomeforschung Kardiologie (Müller) 03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Kardiologie > Klinische Outcomeforschung Kardiologie (Müller) |
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UniBasel Contributors: | Vischer, Annina and Burkard, Thilo |
Item Type: | Article, refereed |
Article Subtype: | Research Article |
ISSN: | 1941-7225 |
Note: | Publication type according to Uni Basel Research Database: Journal article |
Identification Number: |
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Last Modified: | 18 Aug 2020 17:02 |
Deposited On: | 18 Aug 2020 17:02 |
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