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Prognosis of White-Coat and Masked Hypertension International Database of Home Blood Pressure in Relation to Cardiovascular Outcome

  • George S. Stergiou
  • , Kei Asayama
  • , Lutgarde Thijs
  • , Anastasios Kollias
  • , Teemu J. Niiranen
  • , Atsushi Hozawa
  • , Jose Boggia
  • , Jouni K. Johansson
  • , Takayoshi Ohkubo
  • , Ichiro Tsuji
  • , Antti M. Jula
  • , Yutaka Imai
  • , Jan A. Staessen*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Home blood pressure monitoring is useful in detecting white-coat and masked hypertension and is recommended for patients with suspected or treated hypertension. The prognostic significance of white-coat and masked hypertension detected by home measurement was investigated in 6458 participants from 5 populations enrolled in the International Database of HOme blood pressure in relation to Cardiovascular Outcomes. During a median follow-up of 8.3 years, 714 fatal plus nonfatal cardiovascular events occurred. Among untreated subjects (n=5007), cardiovascular risk was higher in those with white-coat hypertension (adjusted hazard ratio 1.42; 95% CI [1.06-1.91]; P=0.02), masked hypertension (1.55; 95% CI [1.12-2.14]; P
Original languageEnglish
Pages (from-to)675-682
Number of pages8
JournalHypertension
Volume63
Issue number4
DOIs
Publication statusPublished - Apr 2014

Keywords

  • cardiovascular diseases
  • home blood pressure monitoring
  • masked hypertension
  • meta-analysis
  • prognosis
  • white-coat hypertension

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