Risk Stratification by Ambulatory Blood Pressure Monitoring Across JNC Classes of Conventional Blood Pressure

Jana Brguljan-Hitij; Lutgarde Thijs; Yan Li; Tine W. Hansen; Jose Boggia; Yan-Ping Liu; Kei Asayama; Fang-Fei Wei; Kristina Bjorklund-Bodegard; Yu-Mei Gu; Takayoshi Ohkubo; Jorgen Jeppesen; Christian Torp-Pedersen; Eamon Dolan; Tatiana Kuznetsova; Katarzyna Stolarz-Skrzypek; Valerie Tikhonoff; Sofia Malyutina; Edoardo Casiglia; Yuri Nikitin; Lars Lind; Edgardo Sandoya; Kalina Kawecka-Jaszcz; Jan Filipovsky; Yutaka Imai; Jiguang Wang; Eoin O'Brien; Jan A. Staessen

doi:10.1093/ajh/hpu002

Risk Stratification by Ambulatory Blood Pressure Monitoring Across JNC Classes of Conventional Blood Pressure

Jana Brguljan-Hitij, Lutgarde Thijs, Yan Li, Tine W. Hansen, Jose Boggia, Yan-Ping Liu, Kei Asayama, Fang-Fei Wei, Kristina Bjorklund-Bodegard, Yu-Mei Gu, Takayoshi Ohkubo, Jorgen Jeppesen, Christian Torp-Pedersen, Eamon Dolan, Tatiana Kuznetsova, Katarzyna Stolarz-Skrzypek, Valerie Tikhonoff, Sofia Malyutina, Edoardo Casiglia, Yuri NikitinLars Lind, Edgardo Sandoya, Kalina Kawecka-Jaszcz, Jan Filipovsky, Yutaka Imai, Jiguang Wang, Eoin O'Brien, Jan A. Staessen^*

^*Corresponding author for this work

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

Abstract

BACKGROUND Guidelines propose classification of conventional blood pressure (CBP) into normotension (140/>90 mm Hg). METHODS To assess the potential differential contribution of ambulatory blood pressure (ABP) in predicting risk across CBP strata, we analyzed outcomes in 7,826 untreated people recruited from 11 populations. RESULTS During an 11.3-year period, 809 participants died (276 cardiovascular deaths) and 639, 383, and 225 experienced a cardiovascular, cardiac, or cerebrovascular event. Compared with normotension (n = 2,639), prehypertension (n = 3,076) carried higher risk (P = 0.13) across CBP categories. Of normotensive and prehypertensive participants, 7.5% and 29.3% had masked hypertension (daytime ABP >= 135/>= 85 mm Hg). Compared with true normotension (P

Original language	English
Pages (from-to)	956-965
Journal	American Journal of Hypertension
Volume	27
Issue number	7
DOIs	https://doi.org/10.1093/ajh/hpu002
Publication status	Published - Jul 2014

Keywords

ambulatory blood pressure monitoring
blood pressure
hypertension
masked hypertension
population science
prehypertension
risk stratification

Access to Document

10.1093/ajh/hpu002

Cite this

Brguljan-Hitij, J., Thijs, L., Li, Y., Hansen, T. W., Boggia, J., Liu, Y.-P., Asayama, K., Wei, F.-F., Bjorklund-Bodegard, K., Gu, Y.-M., Ohkubo, T., Jeppesen, J., Torp-Pedersen, C., Dolan, E., Kuznetsova, T., Stolarz-Skrzypek, K., Tikhonoff, V., Malyutina, S., Casiglia, E., ... Staessen, J. A. (2014). Risk Stratification by Ambulatory Blood Pressure Monitoring Across JNC Classes of Conventional Blood Pressure. American Journal of Hypertension, 27(7), 956-965. https://doi.org/10.1093/ajh/hpu002

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title = "Risk Stratification by Ambulatory Blood Pressure Monitoring Across JNC Classes of Conventional Blood Pressure",

abstract = "BACKGROUND Guidelines propose classification of conventional blood pressure (CBP) into normotension (140/>90 mm Hg). METHODS To assess the potential differential contribution of ambulatory blood pressure (ABP) in predicting risk across CBP strata, we analyzed outcomes in 7,826 untreated people recruited from 11 populations. RESULTS During an 11.3-year period, 809 participants died (276 cardiovascular deaths) and 639, 383, and 225 experienced a cardiovascular, cardiac, or cerebrovascular event. Compared with normotension (n = 2,639), prehypertension (n = 3,076) carried higher risk (P = 0.13) across CBP categories. Of normotensive and prehypertensive participants, 7.5% and 29.3% had masked hypertension (daytime ABP >= 135/>= 85 mm Hg). Compared with true normotension (P ",

keywords = "ambulatory blood pressure monitoring, blood pressure, hypertension, masked hypertension, population science, prehypertension, risk stratification",

author = "Jana Brguljan-Hitij and Lutgarde Thijs and Yan Li and Hansen, {Tine W.} and Jose Boggia and Yan-Ping Liu and Kei Asayama and Fang-Fei Wei and Kristina Bjorklund-Bodegard and Yu-Mei Gu and Takayoshi Ohkubo and Jorgen Jeppesen and Christian Torp-Pedersen and Eamon Dolan and Tatiana Kuznetsova and Katarzyna Stolarz-Skrzypek and Valerie Tikhonoff and Sofia Malyutina and Edoardo Casiglia and Yuri Nikitin and Lars Lind and Edgardo Sandoya and Kalina Kawecka-Jaszcz and Jan Filipovsky and Yutaka Imai and Jiguang Wang and Eoin O'Brien and Staessen, {Jan A.}",

year = "2014",

month = jul,

doi = "10.1093/ajh/hpu002",

language = "English",

volume = "27",

pages = "956--965",

journal = "American Journal of Hypertension",

issn = "0895-7061",

publisher = "Oxford University Press",

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Brguljan-Hitij, J, Thijs, L, Li, Y, Hansen, TW, Boggia, J, Liu, Y-P, Asayama, K, Wei, F-F, Bjorklund-Bodegard, K, Gu, Y-M, Ohkubo, T, Jeppesen, J, Torp-Pedersen, C, Dolan, E, Kuznetsova, T, Stolarz-Skrzypek, K, Tikhonoff, V, Malyutina, S, Casiglia, E, Nikitin, Y, Lind, L, Sandoya, E, Kawecka-Jaszcz, K, Filipovsky, J, Imai, Y, Wang, J, O'Brien, E & Staessen, JA 2014, 'Risk Stratification by Ambulatory Blood Pressure Monitoring Across JNC Classes of Conventional Blood Pressure', American Journal of Hypertension, vol. 27, no. 7, pp. 956-965. https://doi.org/10.1093/ajh/hpu002

TY - JOUR

T1 - Risk Stratification by Ambulatory Blood Pressure Monitoring Across JNC Classes of Conventional Blood Pressure

AU - Brguljan-Hitij, Jana

AU - Thijs, Lutgarde

AU - Li, Yan

AU - Hansen, Tine W.

AU - Boggia, Jose

AU - Liu, Yan-Ping

AU - Asayama, Kei

AU - Wei, Fang-Fei

AU - Bjorklund-Bodegard, Kristina

AU - Gu, Yu-Mei

AU - Ohkubo, Takayoshi

AU - Jeppesen, Jorgen

AU - Torp-Pedersen, Christian

AU - Dolan, Eamon

AU - Kuznetsova, Tatiana

AU - Stolarz-Skrzypek, Katarzyna

AU - Tikhonoff, Valerie

AU - Malyutina, Sofia

AU - Casiglia, Edoardo

AU - Nikitin, Yuri

AU - Lind, Lars

AU - Sandoya, Edgardo

AU - Kawecka-Jaszcz, Kalina

AU - Filipovsky, Jan

AU - Imai, Yutaka

AU - Wang, Jiguang

AU - O'Brien, Eoin

AU - Staessen, Jan A.

PY - 2014/7

Y1 - 2014/7

N2 - BACKGROUND Guidelines propose classification of conventional blood pressure (CBP) into normotension (140/>90 mm Hg). METHODS To assess the potential differential contribution of ambulatory blood pressure (ABP) in predicting risk across CBP strata, we analyzed outcomes in 7,826 untreated people recruited from 11 populations. RESULTS During an 11.3-year period, 809 participants died (276 cardiovascular deaths) and 639, 383, and 225 experienced a cardiovascular, cardiac, or cerebrovascular event. Compared with normotension (n = 2,639), prehypertension (n = 3,076) carried higher risk (P = 0.13) across CBP categories. Of normotensive and prehypertensive participants, 7.5% and 29.3% had masked hypertension (daytime ABP >= 135/>= 85 mm Hg). Compared with true normotension (P

AB - BACKGROUND Guidelines propose classification of conventional blood pressure (CBP) into normotension (140/>90 mm Hg). METHODS To assess the potential differential contribution of ambulatory blood pressure (ABP) in predicting risk across CBP strata, we analyzed outcomes in 7,826 untreated people recruited from 11 populations. RESULTS During an 11.3-year period, 809 participants died (276 cardiovascular deaths) and 639, 383, and 225 experienced a cardiovascular, cardiac, or cerebrovascular event. Compared with normotension (n = 2,639), prehypertension (n = 3,076) carried higher risk (P = 0.13) across CBP categories. Of normotensive and prehypertensive participants, 7.5% and 29.3% had masked hypertension (daytime ABP >= 135/>= 85 mm Hg). Compared with true normotension (P

KW - ambulatory blood pressure monitoring

KW - blood pressure

KW - hypertension

KW - masked hypertension

KW - population science

KW - prehypertension

KW - risk stratification

U2 - 10.1093/ajh/hpu002

DO - 10.1093/ajh/hpu002

M3 - Article

C2 - 24572704

SN - 0895-7061

VL - 27

SP - 956

EP - 965

JO - American Journal of Hypertension

JF - American Journal of Hypertension

IS - 7

ER -