Impact of miscuffing during home blood pressure measurement on the prevalence of masked hypertension

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dc.contributor.author Mourad, Jean-Jacques
dc.contributor.author Lopez-Sublet, Marilucy
dc.contributor.author Bahous, Sola-Aoun
dc.contributor.author Villeneuve, Frederic
dc.contributor.author Jaboureck, Olivier
dc.contributor.author Dourmap-Collas, Caroline
dc.contributor.author Denolle, Thierry
dc.contributor.author Fourcade, Jacques
dc.contributor.author Baguet, Jean-Philippe
dc.date.accessioned 2019-06-07T08:25:09Z
dc.date.available 2019-06-07T08:25:09Z
dc.date.copyright 2013 en_US
dc.date.issued 2019-06-07
dc.identifier.issn 1941-7225 en_US
dc.identifier.uri http://hdl.handle.net/10725/10752
dc.description.abstract BACKGROUND Masked hypertension has been associated with obesity. However, because most studies do not mention the specific cuff size used for home measurements, masked hypertension prevalence may have been overestimated in obese patients because of undersized cuffs. In this prospective, observational study, the effect of miscuffing on hypertension status was evaluated in patients with large arms. METHODS Fifty-three patients with an upper-arm circumference >33cm, undergoing treatment for mild-to-moderate hypertension, took 2 sets of home blood pressure (BP) measurements (standard vs. large cuff) using the validated Microlife BP A100 Plus automated device. RESULTS Mean BP was 143/85mm Hg at the office using a large cuff, 141/84mm Hg at home using a standard cuff, and 134/80mm Hg at home using a large cuff. Standard vs. large cuff home BP mean differences were 6.9mm Hg (95% confidence interval (CI) = 4.7–9.2; P < 0.0001) for systolic BP and 4.0mm Hg (95% CI = 2.4–5.5; P < 0.0001) for diastolic BP. Hypertension status differed significantly between standard vs. large cuffs: sustained hypertension (56.6% vs. 41.5%, respectively; P = 0.002), controlled hypertension (20.8% vs. 28.3%, respectively; P = 0.04), white coat hypertension (7.5% vs. 22.6%, respectively; P = 0.002), masked hypertension (15.1% vs. 7.5%, respectively; P = 0.04). CONCLUSIONS In patients with large arms, use of an appropriately sized large cuff for home BP measurements led to a 2-fold reduction in masked hypertension. Regarding clinical and epidemiological implications, future studies investigating masked hypertension should specify cuff size for home BP measurements. The low market availability and increased cost of large cuffs should also be addressed. en_US
dc.language.iso en en_US
dc.title Impact of miscuffing during home blood pressure measurement on the prevalence of masked hypertension en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 200803754 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal American Journal of Hypertension, en_US
dc.journal.volume 26 en_US
dc.journal.issue 10 en_US
dc.article.pages 1205-1209 en_US
dc.keywords Blood pressure en_US
dc.keywords Blood pressure determination en_US
dc.keywords Cuff size en_US
dc.keywords Diagnostic errors en_US
dc.keywords Hypertension en_US
dc.keywords Masked hypertension en_US
dc.keywords Obesity en_US
dc.keywords White coat hypertension en_US
dc.identifier.doi https://doi.org/10.1093/ajh/hpt084 en_US
dc.identifier.ctation Mourad, J. J., Lopez-Sublet, M., Aoun-Bahous, S., Villeneuve, F., Jaboureck, O., Dourmap-Collas, C., ... & Baguet, J. P. (2013). Impact of miscuffing during home blood pressure measurement on the prevalence of masked hypertension. American journal of hypertension, 26(10), 1205-1209. en_US
dc.author.email sola.bahous@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://academic.oup.com/ajh/article/26/10/1205/2743112 en_US
dc.orcid.id https://orcid.org/0000-0002-7159-7559 en_US
dc.author.affiliation Lebanese American University en_US

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