Ambulatory blood pressure monitoring (AMAD) in 24 hours is a strong predictor of death from all causes or cardiovascular disease than clinical BP measurements, the study said, published in The New England journal of Medicine (NEJM).
The results of the study also showed that masked hypertension (hypertension) is a BP increase in self-control and normal blood pressure when measured at the doctor – is associated with the highest risk of mortality, but it is not detected only by measuring blood pressure in the doctor’s office. The so-called white coat hypertension, where blood pressure rises when measured in the clinic was also associated with increased risk of death.
The researchers analyzed data from 63 910 adult patients Spanish centers to provide primary health care from 2004 to 2014. The participants had to comply with recommended indications for ambulatory monitoring of blood pressure, including the alleged presence of white coat hypertension, resistant or refractory hypertension, hypertension and increased risk of labile or borderline hypertension.
Patients were measured of AD in a clinical setting, and then within 24 hours they were monitoring the HELL out-patient. During the observation period (average 4.7 years) from the 3808 1295 of the deceased patients died from cardiovascular disease.
The results showed that the 24-hour systolic BP was more closely associated with mortality from all causes than clinical systolic blood pressure. Masked hypertension was more significantly associated with mortality from all causes than stable AG or AH “white coats”. Indicators of cardiovascular mortality was similar to mortality from all causes.
“The data show that the AMAD is much more informative with respect to risk of death than clinical measurement. Another significant result is the fact that masked hypertension is associated with the highest risk of death,” concluded the authors.