Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study

Objectives. To examine masked hypertension persistence over 5 years. Methods. White-collar workers were recruited from three public organizations. Blood pressure (BP) was measured using Spacelabs 90207. Manually operated BP was defined as the mean of the first three readings taken at rest. Ambulato...

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Main Authors:	Trudel, Xavier, Milot, Alain, Brisson, Chantal
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2013
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877639/

id	pubmed-3877639
recordtype	oai_dc
spelling	pubmed-38776392014-01-19 Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study Trudel, Xavier Milot, Alain Brisson, Chantal Research Article Objectives. To examine masked hypertension persistence over 5 years. Methods. White-collar workers were recruited from three public organizations. Blood pressure (BP) was measured using Spacelabs 90207. Manually operated BP was defined as the mean of the first three readings taken at rest. Ambulatory BP was defined as the mean of the next readings taken every 15 minutes and recorded during working hours. BP was assessed three times over 5 years. Masked hypertension was defined as manually operated BP less than 140 and less than 90 mmHg and ambulatory BP at least 135 or at least 85 mmHg. Sustained hypertension was defined as manually operated BP at least 140 or at least 90 mmHg and ambulatory BP at least 135 or at least 85 mmHg or being treated for hypertension. Results. BP measurements were obtained from 1669 participants from whom 232 had masked hypertension at baseline. Persistence of masked hypertension was 38% and 18.5%, after 3 and 5 years, respectively. Progression to sustained hypertension was 26% and 37%, after 3 and 5 years, respectively. Conclusion. Among baseline masked hypertensives, one-third progressed to sustained hypertension and about one out of five remained masked after 5 years, potentially delaying diagnosis and treatment. Hindawi Publishing Corporation 2013 2013-12-17 /pmc/articles/PMC3877639/ /pubmed/24455208 http://dx.doi.org/10.1155/2013/836387 Text en Copyright © 2013 Xavier Trudel et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Trudel, Xavier Milot, Alain Brisson, Chantal
spellingShingle	Trudel, Xavier Milot, Alain Brisson, Chantal Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study
author_facet	Trudel, Xavier Milot, Alain Brisson, Chantal
author_sort	Trudel, Xavier
title	Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study
title_short	Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study
title_full	Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study
title_fullStr	Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study
title_full_unstemmed	Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study
title_sort	persistence and progression of masked hypertension: a 5-year prospective study
description	Objectives. To examine masked hypertension persistence over 5 years. Methods. White-collar workers were recruited from three public organizations. Blood pressure (BP) was measured using Spacelabs 90207. Manually operated BP was defined as the mean of the first three readings taken at rest. Ambulatory BP was defined as the mean of the next readings taken every 15 minutes and recorded during working hours. BP was assessed three times over 5 years. Masked hypertension was defined as manually operated BP less than 140 and less than 90 mmHg and ambulatory BP at least 135 or at least 85 mmHg. Sustained hypertension was defined as manually operated BP at least 140 or at least 90 mmHg and ambulatory BP at least 135 or at least 85 mmHg or being treated for hypertension. Results. BP measurements were obtained from 1669 participants from whom 232 had masked hypertension at baseline. Persistence of masked hypertension was 38% and 18.5%, after 3 and 5 years, respectively. Progression to sustained hypertension was 26% and 37%, after 3 and 5 years, respectively. Conclusion. Among baseline masked hypertensives, one-third progressed to sustained hypertension and about one out of five remained masked after 5 years, potentially delaying diagnosis and treatment.
publisher	Hindawi Publishing Corporation
publishDate	2013
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877639/
_version_	1612043154596298752

Persistence and Progression of Masked Hypertension: A 5-Year Prospective Study

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