Short report: Ambulatory blood pressure in normotensive compared with hypertensive subjects

Jan A. Staessen, Eoin T. O’Brien, Neil Atkins, Antoon K. Amery, Peter Baumgart, Paul De Cort, Jean Paul Degaute, Primoz Dolenc, Régis de Gaudemaris, Inger Enström, Robert Fagard, Philippe Gosse, Steve Gourlay, Hiroshi Hayashi, Yutaka Imai, Gary James, Terukazu Kawasaki, Emilio Kuschnir, Iwao Kuwajima, Lars LindholmLisheng Liu, Franco Macor, Giuseppe Mancia, Barry McGrath, Martin Middeke, Jian Ming, Stefan Omboni, Kuniaka Otsuka, Paolo Palatini, Gianfranco Parati, Carl Pieper, Paolo Verdecchia, Prince Zachariah, Weizhong Zhang

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To delineate more precisely an operational threshold for making clinical decisions based on ambulatory blood pressure (ABP) measurement by studying the ABP in subjects who were diagnosed as either normotensive or hypertensive by conventional blood pressure (CBP) measurement. Subjects: Twenty-four research groups recruited 7069 subjects. Of these, 4577 were normotensive (CBP ≤140/90 mmHg), 719 were borderline hypertensive (systolic CBP 141-159 mmHg or diastolic CBP 91-94 mmHg) and 1773 were definitely hypertensive. Of the subjects in the last of these categories, 1324 had systolic hypertension (systolic CBP ≥160 mmHg) and 1310 had diastolic hypertension (diastolic CBP ≥95 mmHg). Hypertension had been diagnosed from the mean of two to nine (median two) CBP measurements obtained at one to three (median two) visits. Results: The 95th centiles of the 24-h ABP distributions in the normotensive subjects were (systolic and diastolic, respectively) 133 and 82 mmHg. Of the subjects with systolic hypertension, 24% had 24-h systolic ABP ≤133 mmHg. Similarly, 30% of those with diastolic hypertension had 24-h diastolic ABP

Original languageEnglish
Pages (from-to)1289-1297
Number of pages9
JournalJournal of Hypertension
Volume11
Issue number11
Publication statusPublished - 1993

Keywords

  • Ambulatory blood pressure
  • Conventional blood pressure

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine
  • Internal Medicine
  • Endocrinology

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