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Mahmud A, Alahaideb R, Alshammary H, Alfawwaz A, Abanumay M, Alhelabi S, Alonazy A, Al-Zaibag M. AMBULATORY BLOOD PRESSURE PHENOTYPES, VASCULAR INFLAMMATION AND ARTERIAL STIFFNESS IN ESSENTIAL HYPERTENSION. J Hypertens 2021. [DOI: 10.1097/01.hjh.0000748064.61393.b5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mahmud A, Alahaideb R, Alshammary H, Abanumay M, Alfawwaz A, Alhelabi S, Alonazy A, Al-Zaibag M. Prevalence and clinical correlates of ambulatory blood pressure phenotypes in a Saudi hypertensive population. J Clin Hypertens (Greenwich) 2020; 22:2372-2376. [PMID: 32966678 PMCID: PMC8029960 DOI: 10.1111/jch.14059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 08/27/2020] [Accepted: 09/04/2020] [Indexed: 11/30/2022]
Abstract
International Guidelines recommend ambulatory blood pressure monitoring (ABPM) for the management of hypertension. ABPM phenotypes predict outcomes independent of office blood pressure (BP). The authors explored the prevalence and clinical correlates of ABPM phenotypes and relationship with office BP in Saudi patients (n = 428, mean age 53.5 ± 14.6, 55% male) referred to a Specialist Hypertension clinic in Riyadh, Saudi Arabia. ABPM phenotypes included sustained normotension (27%), masked hypertension, MHT(32%), sustained hypertension, SHT(52%), and white coat hypertension(2.6%). MHT was more prevalent using asleep than 24-hours (26.4% vs 12.9%, P < .01) or awake BP (26.4% vs 8.5%, P < .001) and observed in 85% of pre-hypertensive patients. Isolated nocturnal hypertension was more prevalent in MHT vs SHT (70% vs 30%, P < .001). Office BP overestimated control rates compared with ABPM (48% vs 12.9%, P < .001). Our study shows that one in three Saudi patients will be managed inappropriately if office BP alone was relied upon for management of hypertension.
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Affiliation(s)
- Azra Mahmud
- Hypertension Clinic, King Abdul Aziz Cardiac Center, King Abdul Aziz Medical City, National Guard Health Affairs/King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia
| | - Ruba Alahaideb
- Hypertension Clinic, King Abdul Aziz Cardiac Center, King Abdul Aziz Medical City, National Guard Health Affairs/King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia
| | - Haifa Alshammary
- Hypertension Clinic, King Abdul Aziz Cardiac Center, King Abdul Aziz Medical City, National Guard Health Affairs/King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia
| | - Mayar Abanumay
- Hypertension Clinic, King Abdul Aziz Cardiac Center, King Abdul Aziz Medical City, National Guard Health Affairs/King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia
| | - Afnan Alfawwaz
- Hypertension Clinic, King Abdul Aziz Cardiac Center, King Abdul Aziz Medical City, National Guard Health Affairs/King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia
| | - Sara Alhelabi
- Hypertension Clinic, King Abdul Aziz Cardiac Center, King Abdul Aziz Medical City, National Guard Health Affairs/King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia
| | - Amgad Alonazy
- Hypertension Clinic, King Abdul Aziz Cardiac Center, King Abdul Aziz Medical City, National Guard Health Affairs/King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia
| | - Muayed Al-Zaibag
- Hypertension Clinic, King Abdul Aziz Cardiac Center, King Abdul Aziz Medical City, National Guard Health Affairs/King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia
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