TY - JOUR
T1 - Blood pressure and heart rate related to sex in untreated subjects
T2 - the India ABPM study
AU - Kaul, Upendra
AU - Bhagwat, Ajit
AU - Omboni, Stefano
AU - Pancholia, Arvind K.
AU - Hardas, Suhas
AU - Bardoloi, Neil
AU - Davidson, Deepak
AU - Sivakadaksham, Peruvamba R.
AU - Mohan, Jagdish C.
AU - Vaidyanathan, Peruvamba R.
AU - Natarajan, Subramaniam
AU - Kapardhi, Lakshnmi N. P.
AU - Reddy, Karumuri S.
AU - Solanki, Dharmesh
AU - Makkar, Jitendra S.
AU - Viswanathan, M.
AU - Arambam, Priyadarshini
AU - Suvarna, Viraj
AU - Verberk, Willem J.
PY - 2020/7
Y1 - 2020/7
N2 - Women are underrepresented in groups of patients seeking hypertension care in India. The present paper reports trends in office and ambulatory blood pressure measurement (OBPM, ABPM) and 24-h heart rate (HR) with sex in 14,977 subjects untreated for hypertension (aged 47.3 +/- 13.9 years, males 69.4%) visiting primary care physicians. Results showed that, for systolic blood pressure (SBP), females had lower daytime ABPM (131 +/- 16 vs. 133 +/- 14 mm Hg,P <.001) but higher nighttime ABPM (122 +/- 18 vs. 121 +/- 16 mm Hg,P <.001) than males. Females had higher HR than men at daytime (80 +/- 11 vs 79 +/- 11.5 bpm) and nighttime (71 +/- 11 vs 69 +/- 11), respectively (allP <.001). Dipping percentages for SBP (7.4 +/- 7.3 vs 9.3 +/- 7.4%), DBP (10.1 +/- 8.6 vs. 12.3 +/- 8.9%), and HR (10.7 +/- 7.9 vs. 12.8 +/- 9.2%) were lower (P <.001) for females than for males, respectively. Females more often had isolated nighttime hypertension as compared to males (14.9%, n = 684% vs 10.6%, n = 1105;P <.001). BP patterns and HR showed clear differences in sex, particularly at nighttime. As females were more often affected by non-dipping and elevated nighttime SBP and HR than males, they should receive ABPM, at least, as frequently as men to document higher risk necessitating treatment.
AB - Women are underrepresented in groups of patients seeking hypertension care in India. The present paper reports trends in office and ambulatory blood pressure measurement (OBPM, ABPM) and 24-h heart rate (HR) with sex in 14,977 subjects untreated for hypertension (aged 47.3 +/- 13.9 years, males 69.4%) visiting primary care physicians. Results showed that, for systolic blood pressure (SBP), females had lower daytime ABPM (131 +/- 16 vs. 133 +/- 14 mm Hg,P <.001) but higher nighttime ABPM (122 +/- 18 vs. 121 +/- 16 mm Hg,P <.001) than males. Females had higher HR than men at daytime (80 +/- 11 vs 79 +/- 11.5 bpm) and nighttime (71 +/- 11 vs 69 +/- 11), respectively (allP <.001). Dipping percentages for SBP (7.4 +/- 7.3 vs 9.3 +/- 7.4%), DBP (10.1 +/- 8.6 vs. 12.3 +/- 8.9%), and HR (10.7 +/- 7.9 vs. 12.8 +/- 9.2%) were lower (P <.001) for females than for males, respectively. Females more often had isolated nighttime hypertension as compared to males (14.9%, n = 684% vs 10.6%, n = 1105;P <.001). BP patterns and HR showed clear differences in sex, particularly at nighttime. As females were more often affected by non-dipping and elevated nighttime SBP and HR than males, they should receive ABPM, at least, as frequently as men to document higher risk necessitating treatment.
KW - AGE
KW - CARDIOVASCULAR RISK
KW - EXERCISE
KW - HYPERTENSION
KW - India
KW - MANAGEMENT
KW - MORTALITY
KW - POPULATION
KW - PREVENTION
KW - PROGNOSTIC VALUE
KW - TASK-FORCE
KW - ambulatory blood pressure measurement
KW - hypertension management
KW - isolated nighttime hypertension
KW - masked hypertension
KW - office blood pressure measurement
KW - white coat hypertension
KW - WOMEN
KW - GENDER
KW - HOME
U2 - 10.1111/jch.13894
DO - 10.1111/jch.13894
M3 - Article
C2 - 32558208
SN - 1524-6175
VL - 22
SP - 1154
EP - 1162
JO - Journal of Clinical Hypertension
JF - Journal of Clinical Hypertension
IS - 7
ER -