Authors
George S Stergiou, Kei Asayama, Lutgarde Thijs, Anastasios Kollias, Teemu J Niiranen, Atsushi Hozawa, José Boggia, Jouni K Johansson, Takayoshi Ohkubo, Ichiro Tsuji, Antti M Jula, Yutaka Imai, Jan A Staessen
Publication date
2014/4
Journal
Hypertension
Volume
63
Issue
4
Pages
675-682
Publisher
Lippincott Williams & Wilkins
Description
Home blood pressure monitoring is useful in detecting white-coat and masked hypertension and is recommended for patients with suspected or treated hypertension. The prognostic significance of white-coat and masked hypertension detected by home measurement was investigated in 6458 participants from 5 populations enrolled in the International Database of HOme blood pressure in relation to Cardiovascular Outcomes. During a median follow-up of 8.3 years, 714 fatal plus nonfatal cardiovascular events occurred. Among untreated subjects (n=5007), cardiovascular risk was higher in those with white-coat hypertension (adjusted hazard ratio 1.42; 95% CI [1.06–1.91]; P=0.02), masked hypertension (1.55; 95% CI [1.12–2.14]; P<0.01) and sustained hypertension (2.13; 95% CI [1.66–2.73]; P<0.0001) compared with normotensive subjects. Among treated patients (n=1451), the cardiovascular risk did not differ …
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