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HYPERTENSION

Ambulatory versus clinic BP values

Nature Reviews Cardiology volume 15, page 381 (2018)Cite this article

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Ambulatory blood-pressure (BP) measurements are a stronger predictor of all-cause and cardiovascular mortality than clinic BP measurements, according to a Spanish registry study published in NEJM. Of note, masked hypertension was associated with a greater risk of death than sustained hypertension, and white-coat hypertension was also associated with an increased risk of death.

The multicentre, national cohort included 63,910 adults recruited between 2004 and 2014 in Spain. Individuals were categorized as having sustained hypertension (elevated 24-h ambulatory and elevated clinic BP), white-coat hypertension (normal 24-h ambulatory and elevated clinic BP), masked hypertension (elevated 24-h ambulatory and normal clinic BP), or normotension (normal 24-h ambulatory and normal clinic BP).

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References

Original article

  • Banegas, J. R. et al. Relationship between clinic and ambulatory blood-pressure measurements and mortality. N. Engl. J. Med. 378, 1509–1520 (2018)

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Further reading

  • Ruiz-Hurtado, G. et al. Has the SPRINT trial introduced a new blood-pressure goal in hypertension? Nat. Rev. Cardiol. 14, 560–566 (2017)

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  1. Nature Reviews Cardiology http://www.nature.com/nrcardio/

    Gregory B. Lim

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  1. Gregory B. Lim
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Correspondence to Gregory B. Lim.

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Lim, G.B. Ambulatory versus clinic BP values. Nat Rev Cardiol 15, 381 (2018). https://doi.org/10.1038/s41569-018-0028-6

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