Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home

Jan A. Staessen; Lutgarde Thijs; Takayoshi Ohkubo; Masahiro Kikuya; Tom Richart; José Boggia; Ahmet Adiyaman; Dirk G. Dechering; Tatiana Kuznetsova; Theo Thien; Peter De Leeuw; Yutuka Imai; Eoin O'Brien; Gianfranco Parati

doi:10.1097/MBP.0b013e3283108f93

Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home

Jan A. Staessen, Lutgarde Thijs, Takayoshi Ohkubo, Masahiro Kikuya, Tom Richart, José Boggia, Ahmet Adiyaman, Dirk G. Dechering, Tatiana Kuznetsova, Theo Thien, Peter De Leeuw, Yutuka Imai, Eoin O'Brien, Gianfranco Parati

Fondazione Istituto Auxologico Italiano

Research output: Contribution to journal › Article › peer-review

Abstract

Objective The goal of this review study is to summarize 30 years of research on cut-off limits for the self-measured blood pressure. Methods We reviewed two meta-analyses, several prospective outcome studies in populations and hypertensive patients, studies in pregnant women, three clinical trials and the thresholds proposed in earlier and current hypertension guidelines. Results In line with existing guidelines, prospective studies support that levels of the self-measured blood pressure at home of greater than or equal to 135 mmHg systolic or greater than or equal to 85 mmHg diastolic indicate hypertension. Circumstantial data suggest that levels of the self-measured blood pressure below 120/80 and 130/85 mmHg are optimal and normal, respectively. Therapeutic targets of the self-measured blood pressure to be attained on antihypertensive drug treatment are currently unknown, but should logically be lower (

Original language	English
Pages (from-to)	352-365
Number of pages	14
Journal	Blood Pressure Monitoring
Volume	13
Issue number	6
DOIs	https://doi.org/10.1097/MBP.0b013e3283108f93
Publication status	Published - Dec 2008

Keywords

Diagnostic threshold
Home blood pressure
Hypertension
Normotension
Reference frame
Self-measured blood pressure

ASJC Scopus subject areas

Internal Medicine
Cardiology and Cardiovascular Medicine
Assessment and Diagnosis
Advanced and Specialised Nursing

Access to Document

10.1097/MBP.0b013e3283108f93

Cite this

Staessen, J. A., Thijs, L., Ohkubo, T., Kikuya, M., Richart, T., Boggia, J., Adiyaman, A., Dechering, D. G., Kuznetsova, T., Thien, T., De Leeuw, P., Imai, Y., O'Brien, E., & Parati, G. (2008). Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home. Blood Pressure Monitoring, 13(6), 352-365. https://doi.org/10.1097/MBP.0b013e3283108f93

Staessen, JA, Thijs, L, Ohkubo, T, Kikuya, M, Richart, T, Boggia, J, Adiyaman, A, Dechering, DG, Kuznetsova, T, Thien, T, De Leeuw, P, Imai, Y, O'Brien, E & Parati, G 2008, 'Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home', Blood Pressure Monitoring, vol. 13, no. 6, pp. 352-365. https://doi.org/10.1097/MBP.0b013e3283108f93

@article{ca805f20ceec4cf2b87257814c32ab35,

title = "Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home",

abstract = "Objective The goal of this review study is to summarize 30 years of research on cut-off limits for the self-measured blood pressure. Methods We reviewed two meta-analyses, several prospective outcome studies in populations and hypertensive patients, studies in pregnant women, three clinical trials and the thresholds proposed in earlier and current hypertension guidelines. Results In line with existing guidelines, prospective studies support that levels of the self-measured blood pressure at home of greater than or equal to 135 mmHg systolic or greater than or equal to 85 mmHg diastolic indicate hypertension. Circumstantial data suggest that levels of the self-measured blood pressure below 120/80 and 130/85 mmHg are optimal and normal, respectively. Therapeutic targets of the self-measured blood pressure to be attained on antihypertensive drug treatment are currently unknown, but should logically be lower (",

keywords = "Diagnostic threshold, Home blood pressure, Hypertension, Normotension, Reference frame, Self-measured blood pressure",

author = "Staessen, {Jan A.} and Lutgarde Thijs and Takayoshi Ohkubo and Masahiro Kikuya and Tom Richart and Jos{\'e} Boggia and Ahmet Adiyaman and Dechering, {Dirk G.} and Tatiana Kuznetsova and Theo Thien and {De Leeuw}, Peter and Yutuka Imai and Eoin O'Brien and Gianfranco Parati",

year = "2008",

month = dec,

doi = "10.1097/MBP.0b013e3283108f93",

language = "English",

volume = "13",

pages = "352--365",

journal = "Blood Pressure Monitoring",

issn = "1359-5237",

publisher = "Lippincott Williams and Wilkins",

number = "6",

}

TY - JOUR

T1 - Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home

AU - Staessen, Jan A.

AU - Thijs, Lutgarde

AU - Ohkubo, Takayoshi

AU - Kikuya, Masahiro

AU - Richart, Tom

AU - Boggia, José

AU - Adiyaman, Ahmet

AU - Dechering, Dirk G.

AU - Kuznetsova, Tatiana

AU - Thien, Theo

AU - De Leeuw, Peter

AU - Imai, Yutuka

AU - O'Brien, Eoin

AU - Parati, Gianfranco

PY - 2008/12

Y1 - 2008/12

N2 - Objective The goal of this review study is to summarize 30 years of research on cut-off limits for the self-measured blood pressure. Methods We reviewed two meta-analyses, several prospective outcome studies in populations and hypertensive patients, studies in pregnant women, three clinical trials and the thresholds proposed in earlier and current hypertension guidelines. Results In line with existing guidelines, prospective studies support that levels of the self-measured blood pressure at home of greater than or equal to 135 mmHg systolic or greater than or equal to 85 mmHg diastolic indicate hypertension. Circumstantial data suggest that levels of the self-measured blood pressure below 120/80 and 130/85 mmHg are optimal and normal, respectively. Therapeutic targets of the self-measured blood pressure to be attained on antihypertensive drug treatment are currently unknown, but should logically be lower (

AB - Objective The goal of this review study is to summarize 30 years of research on cut-off limits for the self-measured blood pressure. Methods We reviewed two meta-analyses, several prospective outcome studies in populations and hypertensive patients, studies in pregnant women, three clinical trials and the thresholds proposed in earlier and current hypertension guidelines. Results In line with existing guidelines, prospective studies support that levels of the self-measured blood pressure at home of greater than or equal to 135 mmHg systolic or greater than or equal to 85 mmHg diastolic indicate hypertension. Circumstantial data suggest that levels of the self-measured blood pressure below 120/80 and 130/85 mmHg are optimal and normal, respectively. Therapeutic targets of the self-measured blood pressure to be attained on antihypertensive drug treatment are currently unknown, but should logically be lower (

KW - Diagnostic threshold

KW - Home blood pressure

KW - Hypertension

KW - Normotension

KW - Reference frame

KW - Self-measured blood pressure

UR - http://www.scopus.com/inward/record.url?scp=57149128593&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=57149128593&partnerID=8YFLogxK

U2 - 10.1097/MBP.0b013e3283108f93

DO - 10.1097/MBP.0b013e3283108f93

M3 - Article

C2 - 19020427

AN - SCOPUS:57149128593

VL - 13

SP - 352

EP - 365

JO - Blood Pressure Monitoring

JF - Blood Pressure Monitoring

SN - 1359-5237

IS - 6

ER -

Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this