Journals / Gülhane Tıp Dergisi / 2014 / Cilt: 56 - Sayı: 4

Effects of first, early morning and last measurements on blood pressure total average in ambulatory blood pressure monitoring

Ambulatuar Kan basıncı Ölçümünde İlk, Sabah Erken ve Son Ölçümün Ortalama Kan Basıncına Etkisi

Pages
228–231
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Research results suggest that, the first measurement > 140 mmHg increases the probability of hypertension by 3.4 times when compared with those whose first measurement being < 140 mmHg

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The purpose of this study was to examine the effects of first, early morning and last measurements on daily average blood pressure during the ABPM.
📊
Key Findings & Data:Previously done 525 ABPM were analyzed, retrospectively. 66.7% of these measures were in male patients.
💡
Conclusion & Impact:Research results suggest that, the first measurement > 140 mmHg increases the probability of hypertension by 3.4 times when compared with those whose first measurement being < 140 mmHg
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The purpose of this study was to examine the effects of first, early morning and last measurements on daily average blood pressure during the ABPM. Previously done 525 ABPM were analyzed, retrospectively. 66.7% of these measures were in male patients. Mean age of all the patients was 43.3±16.1 years. Thirty-eight measurements per day every patient were planned. .The differences between the average of total measurements(n) and the average of n-1, n-2, n-3 which were calculated with the elimination of first, early morning and last measurements from total daily measurements were investigated. The mean of total average of all measurements (n) was 130.7±14.2/79.0±10.9 mmHg. The means of averages of first, early morning and last measurements were 140.5± 17.6/ 88.0±12.2, 134.3±18.3/ 81.9±13.4 and 135.2±19.4/ 82.9±13.5 mmHg respectively. The average of first, early morning and last measurements were statictically higher than the average of total measurements(n) realized during the day (p 135 mmhg, n=43, 16.8%), whereas hypertension ratio in the ones with systolic blood pressure > 140 mmHg (n=269) at the first measurement was (n=153, 56.9%). Research results suggest that, the first measurement > 140 mmHg increases the probability of hypertension by 3.4 times when compared with those whose first measurement being < 140 mmHg

Özet

Bu çalışmanın amacı AKBİ'de ilk, sabah erken ve son ölçümlerin günlük ortalama kan basıncı üzerine olan etkilerini araştırmaktır. Retrospektif olarak evvelce yapılmış 525 AKBİ incelendi. Bu ölçümlerin %66.7 si erkeklerdeki ölçümlerdi. Ölçümlerin yaş ortalaması 43.3 + 16.1 yıl idi Her AKBİ için günlük 38 ölçüm planlanmıştı Tüm ölçümlerin ortalaması (n) ile total ortalamadan ilk, son ve sabah erken ölçümlerin elimine edilmesi ile edilen n-1, n-2, n-3 ortalaması arasındaki farkı araştırdık. Tüm ölçümlerin ortalaması 130.7 + 14.2/79.0+10.9 mmHg idi. Monitörizasyonun ilk ölçümlerinin ortalaması 140.5+ 17.6/ 88.0+12.2 mmHg, sabah erken ölçümlerinin ortalaması 134.3+ 18.3/ 81.9+13.4 mmHg ve son ölçümlerin ortalaması ise 135.2 + 19.4/ 82.9+13.5 olarak bulundu. İlk, sabah erken ve son ölçümlerin hepsinin ortalaması tüm ölçümlerin(n) ortalamasından yüksekti(p 135 mmhg, n=43) oranı %16,8 iken, ilk ölçüm >140 mmHg olduğu durumda(n=269) tüm ölçümlerin ortalaması ile hipertansiyon (n=153) saptanma oranı %56.9 di. Çalışma sonuçlarına göre izlemin ilk ölçümünün >140 mmHg olması kişinin hipertansif çıkma ihtimalini ilk ölçümü <140 mmHg olanlara göre 3.4 kat arttırdığını telkin etmektedir

🔖

Cite This Article

ÖZTÜRK, K., BULUCU, F., KILIÇ, S., EYİ, Y. E., GEZER, M., AKSOY, Y. (2014). Effects of first, early morning and last measurements on blood pressure total average in ambulatory blood pressure monitoring. Gülhane Tıp Dergisi, Cilt: 56 - Sayı: 4, 228–231. https://ajindex.com/articles/214858

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Staessen JA, Beilin L, Parati G, Waeber B, White W. Task Force IV: Clinical use of ambulatory blood pressure monitoring—Participants of the 1999 Consensus Conference on Ambulatory Blood Pressure Monitoring. Blood Press Monit 1999;4:319–331
  2. Zanchetti A. The role of ambulatory blood pressure monitoring in clinical practice. Am J Hypertens 1997;10:1069– 1080
  3. Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med 1997;157:2413–2446
  4. O’Brien E, Coats A, Owens P, Petrie J, Padfield PL, Littler WA, et al. Use and interpretation of ambulatory blood pressure monitoring: Recommendations of the British hypertension society. BMJ 2000;320:1128–1134
  5. Pickering T. Recommendations for the use of home (self) and ambulatory blood pressure monitoring: American Society of Hypertension Ad Hoc Panel. Am J Hyperten 1996;9:1–11
  6. Sheps SG, Clement DL, Pickering TG, Krakoff LR, White WB, Messerli FH, et al. Ambulatory blood pressure monitoring: Hypertensive Diseases Committee, American College of Cardiology. J Am Coll Cardiol. 1994; 23:1511– 1513
  7. Mancia G, Sega R, Bravi C, De Vito G et al. Ambulatory blood pressure normality: results from the PAMELA study: J Hypertension. 1995;13:1377-90
  8. Kario K. Morning surge in blood pressure and cardiovascular risk: evidence and perspectives. Hypertension. 2010;56:765-73 9. Hansen TW, Li Y, Boggia J, Thijs L, Richart T, Staessen JA Predictive role of the nighttime blood pressure. Hypertension. 2011;57:3-10 10. Owens P, Atkins N, O'Brien E. Diagnosis of White Coat Hypertension by Ambulatory Blood Pressure Monitoring. Hypertension. 1999;34:267-72
  9. Hodgkinson JA, Sheppard JP, Heneghan C, Martin U et al. Accuracy of ambulatory blood pressure monitors: a systematic review of validation studies. J Hypertension. 2013;31:239-50 12. Mallion JM, de Gaudemaris R, Baguet JP, Azzouzi L, Quesada JL, Sauzeau C, et al. Acceptability and tolerance of ambulatory blood pressure measurement in the hypertensive patient. Blood Press Monit 1996; 1:197–203
  10. Pickering TG. Morning hypertension. J Clin Hypertens (Greenwich) 2007;9:224-8
  11. T. E. Strandberg and V. Salomaa. White coat effect, blood pressure and mortality in men: prospective cohort study European Heart Journal 2000;21:1714-1718 15. Verberk WJ, Kessels AGH, de Leeuw PW. Prevalence, causes, and conseq