Diagnostic thresholds for ambulatory blood pressure moving lower: a review based on a meta-analysis-clinical implications

T.W. Hansen; M. Kikuya; L. Thijs; Y. Li; J. Boggia; K. Bjorklund-Bodegard; C. Torp-Pedersen; J. Jeppesen; H. Ibsen; J.A. Staessen

Diagnostic thresholds for ambulatory blood pressure moving lower: a review based on a meta-analysis-clinical implications

T.W. Hansen, M. Kikuya, L. Thijs, Y. Li, J. Boggia, K. Bjorklund-Bodegard, C. Torp-Pedersen, J. Jeppesen, H. Ibsen, J.A. Staessen

31 Citations (Scopus)

Abstract

Upper limits of normal ambulatory blood pressure (ABP) have been a matter of debate in recent years. Current diagnostic thresholds for ABP rely mainly on statistical parameters derived from reference populations. Recent findings from the International Database of Ambulatory Blood Pressure in Relation to Cardiovascular Outcome (IDACO) provide outcome-driven thresholds for ABP. Rounded systolic/diastolic thresholds for optimal ABP were found to be 115/75 mm Hg for 24 hours, 120/80 mm Hg for daytime, and 100/65 mm Hg for nighttime. The corresponding rounded thresholds for normal ABP were 125/75 mm Hg, 130/85 mm Hg, and 110/70 mm Hg, respectively, and those for ambulatory hypertension were 130/80 mm Hg, 140/85 mm Hg, and 120/70 mm Hg. However, in clinical practice, any diagnostic threshold for blood pressure needs to be assessed in the context of the patient's overall risk profile. The IDACO database is therefore being updated with additional population cohorts to enable the construction of multifactorial risk score charts, which also include ABP
Udgivelsesdato: 2008/5

Original language	English
Journal	Journal of Clinical Hypertension
Volume	10
Issue number	5
Pages (from-to)	377-381
Number of pages	4
ISSN	1524-6175
Publication status	Published - 2008

Cite this

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title = "Diagnostic thresholds for ambulatory blood pressure moving lower: a review based on a meta-analysis-clinical implications",

abstract = "Upper limits of normal ambulatory blood pressure (ABP) have been a matter of debate in recent years. Current diagnostic thresholds for ABP rely mainly on statistical parameters derived from reference populations. Recent findings from the International Database of Ambulatory Blood Pressure in Relation to Cardiovascular Outcome (IDACO) provide outcome-driven thresholds for ABP. Rounded systolic/diastolic thresholds for optimal ABP were found to be 115/75 mm Hg for 24 hours, 120/80 mm Hg for daytime, and 100/65 mm Hg for nighttime. The corresponding rounded thresholds for normal ABP were 125/75 mm Hg, 130/85 mm Hg, and 110/70 mm Hg, respectively, and those for ambulatory hypertension were 130/80 mm Hg, 140/85 mm Hg, and 120/70 mm Hg. However, in clinical practice, any diagnostic threshold for blood pressure needs to be assessed in the context of the patient's overall risk profile. The IDACO database is therefore being updated with additional population cohorts to enable the construction of multifactorial risk score charts, which also include ABP Udgivelsesdato: 2008/5",

author = "T.W. Hansen and M. Kikuya and L. Thijs and Y. Li and J. Boggia and K. Bjorklund-Bodegard and C. Torp-Pedersen and J. Jeppesen and H. Ibsen and J.A. Staessen",

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journal = "Journal of Clinical Hypertension",

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TY - JOUR

T1 - Diagnostic thresholds for ambulatory blood pressure moving lower: a review based on a meta-analysis-clinical implications

AU - Hansen, T.W.

AU - Kikuya, M.

AU - Thijs, L.

AU - Li, Y.

AU - Boggia, J.

AU - Bjorklund-Bodegard, K.

AU - Torp-Pedersen, C.

AU - Jeppesen, J.

AU - Ibsen, H.

AU - Staessen, J.A.

PY - 2008

Y1 - 2008

N2 - Upper limits of normal ambulatory blood pressure (ABP) have been a matter of debate in recent years. Current diagnostic thresholds for ABP rely mainly on statistical parameters derived from reference populations. Recent findings from the International Database of Ambulatory Blood Pressure in Relation to Cardiovascular Outcome (IDACO) provide outcome-driven thresholds for ABP. Rounded systolic/diastolic thresholds for optimal ABP were found to be 115/75 mm Hg for 24 hours, 120/80 mm Hg for daytime, and 100/65 mm Hg for nighttime. The corresponding rounded thresholds for normal ABP were 125/75 mm Hg, 130/85 mm Hg, and 110/70 mm Hg, respectively, and those for ambulatory hypertension were 130/80 mm Hg, 140/85 mm Hg, and 120/70 mm Hg. However, in clinical practice, any diagnostic threshold for blood pressure needs to be assessed in the context of the patient's overall risk profile. The IDACO database is therefore being updated with additional population cohorts to enable the construction of multifactorial risk score charts, which also include ABP Udgivelsesdato: 2008/5

AB - Upper limits of normal ambulatory blood pressure (ABP) have been a matter of debate in recent years. Current diagnostic thresholds for ABP rely mainly on statistical parameters derived from reference populations. Recent findings from the International Database of Ambulatory Blood Pressure in Relation to Cardiovascular Outcome (IDACO) provide outcome-driven thresholds for ABP. Rounded systolic/diastolic thresholds for optimal ABP were found to be 115/75 mm Hg for 24 hours, 120/80 mm Hg for daytime, and 100/65 mm Hg for nighttime. The corresponding rounded thresholds for normal ABP were 125/75 mm Hg, 130/85 mm Hg, and 110/70 mm Hg, respectively, and those for ambulatory hypertension were 130/80 mm Hg, 140/85 mm Hg, and 120/70 mm Hg. However, in clinical practice, any diagnostic threshold for blood pressure needs to be assessed in the context of the patient's overall risk profile. The IDACO database is therefore being updated with additional population cohorts to enable the construction of multifactorial risk score charts, which also include ABP Udgivelsesdato: 2008/5

M3 - Journal article

SN - 1524-6175

VL - 10

SP - 377

EP - 381

JO - Journal of Clinical Hypertension

JF - Journal of Clinical Hypertension

IS - 5

ER -