The Korean journal of internal medicine

  • 제33권1호
  • /
  • Pages.113-120
  • /
  • 2018
  • /
  • 1226-3303(pISSN)
  • /
  • 2005-6648(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지
DOI QR코드

DOI QR Code

Diagnostic accuracy of manual office blood pressure measurement in ambulatory hypertensive patients in Korea

  • Kim, Sehun (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Park, Jin Joo (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Lee, Seung-Ah (Department of Internal Medicine, National Medical Center) ;
  • Cho, Youngjin (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Yoon, Yeonyee E. (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Oh, Il-Young (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Yoon, Chang-Hwan (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Suh, Jung-Won (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Cho, Young-Seok (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Youn, Tae-Jin (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Cho, Goo-Yeong (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Chae, In-Ho (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Lee, Hae-Young (Department of Internal Medicine, Seoul National University Hospital) ;
  • Shin, Jinho (Department of Internal Medicine, Hanyang University Seoul Hospital) ;
  • Park, Sungha (Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine) ;
  • Choi, Dong-Ju (Department of Internal Medicine, Seoul National University Bundang Hospital)
  • 투고 : 2016.05.11
  • 심사 : 2016.10.05
  • 발행 : 2018.01.01
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: Currently, office blood pressure (OBP) is the most widely used method of measuring blood pressure (BP) in daily clinical practice. However, data on the diagnostic accuracy of OBP in reference to ambulatory blood pressure (ABP) are scarce in Korea. Methods: In retrospective and prospective cohorts, manual OBP and ABP measurements were compared among ambulatory hypertensive patients. Hypertension was defined as systolic OBP ${\geq}$ 140 mmHg and/or diastolic OBP ${\geq}$ 90 mmHg, and systolic ABP ${\geq}$ 130 mmHg and/or diastolic ABP ${\geq}$ 80 mmHg. Results: In the retrospective cohort (n = 903), the mean $OBP_1$ (before ABP measurement) was higher than ABP in both systolic ($138{\pm}17mmHg$ vs. $123{\pm}13mmHg$, p < 0.001) and diastolic ($84{\pm}12mmHg$ vs. $78{\pm}11mmHg$, p < 0.001) measurements. Interestingly, there was only a weak correlation between OBP and ABP ($r^2=0.038$, p < 0.001). The overall discordance rate of OBP compared to ABP, which is the reference method for measuring BP, was 43.9%. The prospective cohort (n = 57) showed similar results. In a subgroup analysis, male patients had higher false negative results (masked or under-treated hypertension) than did female patients (26.1% vs. 17.8%, p = 0.003), whereas female patients had a higher false positive rate (white-coat or over-treated hypertension) than did male patients (28.7% vs. 15.2%, p < 0.001). Conclusions: The diagnostic accuracy of manual OBP is low in reference to ABP. Men and women have different patterns of discordance. These findings indicate that management of hypertensive patients with manual OBP measurements may be suboptimal and encourages the use of ABP in ambulatory hypertensive patients.

키워드

과제정보

연구 과제 주관 기관 : Centers for Disease Control and Prevention

참고문헌

  1. Kannel WB. Some lessons in cardiovascular epidemiology from Framingham. Am J Cardiol 1976;37:269-282. https://doi.org/10.1016/0002-9149(76)90323-4
  2. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation 1998;97:1837-1847. https://doi.org/10.1161/01.CIR.97.18.1837
  3. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R; Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002;360:1903-1913. https://doi.org/10.1016/S0140-6736(02)11911-8
  4. James PA, Oparil S, Carter BL, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311:507-520. https://doi.org/10.1001/jama.2013.284427
  5. Lee HY, Park JB. The Korean Society of Hypertension guidelines for the management of hypertension in 2013: its essentials and key points. Pulse (Basel) 2015;3:21-28. https://doi.org/10.1159/000381994
  6. Coogan N, Marra A, Lomonaco EA. Assessing accurate BP measurement: size and technique matter! Nursing 2015;45:16-18.
  7. Myers MG. The great myth of office blood pressure measurement. J Hypertens 2012;30:1894-1898. https://doi.org/10.1097/HJH.0b013e3283577b05
  8. Vinyoles E, Camafort M, Domenech M, Coca A, Sobrino J; ESTHEN group investigators. Prevalence of masked uncontrolled hypertension according to the number of office blood pressure measurements. Rev Clin Esp 2015;215:425-430. https://doi.org/10.1016/j.rce.2015.06.007
  9. Campbell NR, Culleton BW, McKay DW. Misclassification of blood pressure by usual measurement in ambulatory physician practices. Am J Hypertens 2005;18:1522-1527. https://doi.org/10.1016/j.amjhyper.2005.05.002
  10. Little P, Barnett J, Barnsley L, Marjoram J, Fitzgerald-Barron A, Mant D. Comparison of agreement between different measures of blood pressure in primary care and daytime ambulatory blood pressure. BMJ 2002;325:254. https://doi.org/10.1136/bmj.325.7358.254
  11. Parati G, Stergiou G, O'Brien E, et al. European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring. J Hypertens 2014;32:1359-1366. https://doi.org/10.1097/HJH.0000000000000221
  12. Smulyan H, Safar ME. Blood pressure measurement: retrospective and prospective views. Am J Hypertens 2011;24:628-634. https://doi.org/10.1038/ajh.2011.22
  13. Krause T, Lovibond K, Caulfield M, McCormack T, Williams B; Guideline Development Group. Management of hypertension: summary of NICE guidance. BMJ 2011;343:d4891. https://doi.org/10.1136/bmj.d4891
  14. Shimamoto K, Ando K, Fujita T, et al. The Japanese Society of Hypertension guidelines for the management of hypertension (JSH 2014). Hypertens Res 2014;37:253-390. https://doi.org/10.1038/hr.2014.20
  15. Daskalopoulou SS, Rabi DM, Zarnke KB, et al. The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension. Can J Cardiol 2015;31:549-568. https://doi.org/10.1016/j.cjca.2015.02.016
  16. Kim SG. Clinical implications of ambulatory and home blood pressure monitoring. Korean Circ J 2010;40:423-431. https://doi.org/10.4070/kcj.2010.40.9.423
  17. Yoo WS, Park HJ, Lee EY, Choi SK. A representative value for 24-hour monitored ambulatory blood pressure. J Korean Med Sci 1986;1:59-62. https://doi.org/10.3346/jkms.1986.1.1.59
  18. O'Brien E, Parati G, Stergiou G, et al. European Society of Hypertension position paper on ambulatory blood pressure monitoring. J Hypertens 2013;31:1731-1768. https://doi.org/10.1097/HJH.0b013e328363e964
  19. Mancia G, Fagard R, Narkiewicz K, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 2013;31:1281-1357. https://doi.org/10.1097/01.hjh.0000431740.32696.cc
  20. O'Brien E, Asmar R, Beilin L, et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens 2003;21:821-848. https://doi.org/10.1097/00004872-200305000-00001
  21. Sebo P, Pechere-Bertschi A, Herrmann FR, Haller DM, Bovier P. Blood pressure measurements are unreliable to diagnose hypertension in primary care. J Hypertens 2014;32:509-517. https://doi.org/10.1097/HJH.0000000000000058
  22. Sendra-Lillo J, Sabater-Hernandez D, Sendra-Ortola A, Martinez-Martinez F. Agreement between community pharmacy, physician's office, and home blood pressure measurement methods: the PALMERA study. Am J Hypertens 2012;25:290-296. https://doi.org/10.1038/ajh.2011.207
  23. Banegas JR, Ruilope LM, de la Sierra A, et al. High prevalence of masked uncontrolled hypertension in people with treated hypertension. Eur Heart J 2014;35:3304-3312. https://doi.org/10.1093/eurheartj/ehu016
  24. Hwang ES, Choi KJ, Kang DH, et al. Prevalence, predictive factor, and clinical significance of white-coat hypertension and masked hypertension in Korean hypertensive patients. Korean J Intern Med 2007;22:256-262. https://doi.org/10.3904/kjim.2007.22.4.256
  25. Conen D, Aeschbacher S, Thijs L, et al. Age-specific differences between conventional and ambulatory daytime blood pressure values. Hypertension 2014;64:1073-1079. https://doi.org/10.1161/HYPERTENSIONAHA.114.03957
  26. Ohkubo T, Kikuya M, Metoki H, et al. Prognosis of "masked" hypertension and "white-coat" hypertension detected by 24-h ambulatory blood pressure monitoring 10-year follow-up from the Ohasama study. J Am Coll Cardiol 2005;46:508-515. https://doi.org/10.1016/j.jacc.2005.03.070
  27. Clement DL, De Buyzere ML, De Bacquer DA, et al. Prognostic value of ambulatory blood-pressure recordings in patients with treated hypertension. N Engl J Med 2003;348:2407-2415. https://doi.org/10.1056/NEJMoa022273
  28. Salles GF, Leite NC, Pereira BB, Nascimento EM, Cardoso CR. Prognostic impact of clinic and ambulatory blood pressure components in high-risk type 2 diabetic patients: the Rio de Janeiro type 2 diabetes cohort study. J Hypertens 2013;31:2176-2186. https://doi.org/10.1097/HJH.0b013e328364103f

피인용 문헌

  1. Comparison of multiple blood pressure frequency methods with optimum blood pressure measurement among Iranian individuals vol.25, pp.1, 2018, https://doi.org/10.4103/jrms.jrms_129_19