Peer-Reviewed Journal Details
Mandatory Fields
O'Flynn, AM;Curtin, RJ;Perry, IJ;Kearney, PM
2016
July
Journal of Clinical Hypertension
Hypertension Prevalence, Awareness, Treatment, and Control: Should 24-Hour Ambulatory Blood Pressure Monitoring be the Tool of Choice?
Validated
Optional Fields
INCENTIVE-BASED CONTRACT PRIMARY-CARE TREATED HYPERTENSION HEART-DISEASE OLDER-PEOPLE SPAIN MANAGEMENT IMPACT RISK UK
18
697
702
We aimed to examine hypertension prevalence, awareness, treatment and control in a community sample and investigate the impact of using 24 hour ABPM. Office blood pressure (BP) was taken from the electronic health record. Study BP was measured by standardised methods. Participants were invited to undergo ABPM. Hypertension was defined by accepted thresholds or anti-hypertensive use. Standardised questions assessed awareness and treatment. Control was defined as anti-hypertensive use with BP below normal threshold. There were 931 (45%) participants with office BP, study BP and ABPM. By study BP, hypertension prevalence was 60%, awareness 59%, 60% were treated and 46% controlled. By daytime ABPM threshold, prevalence was 61%, awareness 59%, 59% were treated and 54% controlled. ABPM reclassified 13.5% from normotensive to hypertensive and 14.5% from hypertensive to normotensive. ABPM may not hugely impact population hypertension prevalence but at an individual level it reduces misclassification and facilitates more appropriate management.
HOBOKEN
1524-6175
10.1111/jch.12737
Grant Details