Diagnostic Thresholds for Ambulatory Blood Pressure Moving Lower: a Review Based on a Meta-analysis-clinical Implications

Overview

Journal J Clin Hypertens (Greenwich)

Specialty Cardiology & Vascular Diseases

Date 2008 May 6

PMID 18453797

Citations 10

Authors

Tine W Hansen

Masahiro Kikuya

Lutgarde Thijs

Yan Li

Jose Boggia

Kristina Bjorklund-Bodegard

Christian Torp-Pedersen

Jorgen Jeppesen

Hans Ibsen

Jan A Staessen

Affiliations

Soon will be listed here.

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.

Citing Articles

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