Which out-of-office measurement technique should be used for diagnosing hypertension in prehypertensives?

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dc.authoridTekin Akpolat / 0000-0003-3104-9205
dc.authorscopusidTekin Akpolat / 7004571672
dc.authorwosidTekin Akpolat / IAM-7772-2023
dc.contributor.authorUlusoy, Şükrü
dc.contributor.authorÖzkan, Gülsüm
dc.contributor.authorArıcı, Mustafa
dc.contributor.authorDerici, Ülver
dc.contributor.authorAkpolat, Tekin
dc.contributor.authorŞengül, Şule
dc.contributor.authorYılmaz, Rahmi
dc.contributor.authorErtürk, Şehsuvar
dc.contributor.authorErdem, Yunus
dc.date.accessioned2020-08-30T20:06:06Z
dc.date.available2020-08-30T20:06:06Z
dc.date.issued2020
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractHypertension (HT) is diagnosed with high office blood pressure (BP), although confirmation with the addition of out-of-office measurements is currently recommended. However, insufficient data are available concerning the use of out-of-office BP measurement techniques for the diagnosis of HT in the prehypertensive population. The aim of the present study was to determine which out-of-office measurements yielded earlier and more frequent detection of development of HT in prehypertensive patients. Two hundred seven prehypertensive patients under monitoring in the Cappadocia cohort were included in the study. Office BP was measured five times at 1-min intervals, followed by 24-h ambulatory BP monitoring (24-h ABPM). Home BP measurement (HBPM) was performed five times, at the same times in the morning and evening, at 1-min intervals for 1 week. The same procedure was carried out at 4-6-month intervals for ~2 years. HT was diagnosed in 25.6% of subjects, masked HT in 11.1%, and white coat HT in 2.9%, while 23.7% remained prehypertensive and 36.7% became normotensive. Briefly, 56.6% of the patients with HT were diagnosed with office plus 24-h ABPM, 13.2% with office plus HBPM, and 30.2% with office plus HBPM and 24-h ABPM. Office with 24-h ABPM yielded statistically significantly more diagnoses (p < 0.001). In conclusion, our prospective observational study evaluated the usefulness of out-of-office BP measurements in confirming diagnosis of HT in prehypertensive patients. The findings show that 24-h ABPM detected HT earlier and more frequently in this high-risk population.en_US
dc.identifier.citationUlusoy, Ş., Özkan, G., Arıcı, M., Derici, Ü., Akpolat, T., Şengül, Ş., ... & Erdem, Y. (2020). Which out-of-office measurement technique should be used for diagnosing hypertension in prehypertensives?. Journal of human hypertension, 34(8), 586-592.en_US
dc.identifier.doi10.1038/s41371-019-0284-xen_US
dc.identifier.endpage592en_US
dc.identifier.issn0950-9240en_US
dc.identifier.issn1476-5527en_US
dc.identifier.issue8en_US
dc.identifier.pmid31700139en_US
dc.identifier.scopus2-s2.0-85074870965en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage586en_US
dc.identifier.urihttps://doi.org/10.1038/s41371-019-0284-x
dc.identifier.urihttps://hdl.handle.net/20.500.12713/360
dc.identifier.volume34en_US
dc.identifier.wosWOS:000560070600006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAkpolat, Tekinen_US
dc.language.isoenen_US
dc.publisherNature Publishing Groupen_US
dc.relation.ispartofJournal of Human Hypertensionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleWhich out-of-office measurement technique should be used for diagnosing hypertension in prehypertensives?en_US
dc.typeArticleen_US

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