Evaluation of Criteria to Detect Masked Hypertension.
Journal Article (Journal Article)
The prevalence of masked hypertension (out-of-clinic daytime systolic/diastolic blood pressure (SBP/DBP) ≥135/85 mm Hg on ambulatory blood pressure monitoring [ABPM] among adults with clinic SBP/DBP <140/90 mm Hg) is high. It is unclear who should be screened for masked hypertension. The authors derived a clinic blood pressure (CBP) index to identify populations for masked hypertension screening. Index cut points corresponding to 75% to 99% sensitivity and prehypertension were evaluated as ABPM testing criterion. In a derivation cohort (n=695), the index was clinic SBP+1.3*clinic DBP. In an external validation cohort (n=675), the sensitivity for masked hypertension using an index ≥190 mm Hg and ≥217 mm Hg and prehypertension status was 98.5%, 71.5%, and 82.5%, respectively. Using National Health and Nutrition Examination Survey data (n=11,778), the authors estimated that these thresholds would refer 118.6, 44.4, and 59.3 million US adults, respectively, to ABPM screening for masked hypertension. In conclusion, the CBP index provides a useful approach to identify candidates for masked hypertension screening using ABPM.
Full Text
Duke Authors
Cited Authors
- Booth, JN; Muntner, P; Diaz, KM; Viera, AJ; Bello, NA; Schwartz, JE; Shimbo, D
Published Date
- November 2016
Published In
Volume / Issue
- 18 / 11
Start / End Page
- 1086 - 1094
PubMed ID
- 27126770
Pubmed Central ID
- PMC5086321
Electronic International Standard Serial Number (EISSN)
- 1751-7176
Digital Object Identifier (DOI)
- 10.1111/jch.12830
Language
- eng
Conference Location
- United States