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Maximum home blood pressure readings are associated with left atrial diameter in essential hypertensives

Journal of Human Hypertension volume 32, pages 432–439 (2018)Cite this article

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Abstract

We tested the hypothesis that the maximum value of home systolic BP (MSBP) is a marker of hypertensive target organ damage (TOD). We conducted a cross-sectional study of 220 hypertensives. The subjects performed HBP monitoring using a telemonitoring system and measured their HBP for 7 days. Mean, maximum, standard deviation, and coefficient of variation of SBPs were used as independent variables. Brachial–ankle pulse wave velocity, left ventricular mass index (LVMI), mean carotid intima–media thickness, and left atrial diameter index (LADI) were used as dependent variables. Mean and maximum SBPs were significantly associated with each TOD marker. MSBP showed a significantly stronger association with LADI compared to mean SBP (p = 0.0012) and a significant relationship with LADI independent of LVMI (p = 0.024). Our findings suggest that MSBP is associated with TOD measures, similar to mean SBP. These results may indicate that MSBP could be a target of intervention for patients with atrial fibrillation.

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Acknowledgements

We gratefully acknowledge Ms. Matsumoto, Ms. Okura, and Ms. Ochiai for their coordination and data management of this study and editorial assistance.

Funding

This work was supported by the Japanese Study Group for the Physiology and Management of Blood Pressure by Omron Healthcare Co., Ltd.

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Authors and Affiliations

  1. Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan

    Toshiki Kaihara

  2. Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan

    Toshiki Kaihara, Yuki Imaizumi, Kazuo Eguchi & Kazuomi Kario

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  1. Toshiki Kaihara
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  2. Yuki Imaizumi
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  3. Kazuo Eguchi
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  4. Kazuomi Kario
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Correspondence to Toshiki Kaihara.

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Kaihara, T., Imaizumi, Y., Eguchi, K. et al. Maximum home blood pressure readings are associated with left atrial diameter in essential hypertensives. J Hum Hypertens 32, 432–439 (2018). https://doi.org/10.1038/s41371-018-0060-3

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