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Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study.

Abstract

OBJECTIVES

To evaluate the current status of blood pressure (BP) control as measured at home and in the office, as well as to clarify and compare the prevalence and characteristics of isolated uncontrolled hypertension as measured at home (home hypertension) and in the office (office hypertension).

DESIGN

A cross-sectional study.

SETTING

Primary care offices in Japan.

PARTICIPANTS

A sample of 3400 patients with essential hypertension (mean age, 66 years; males, 45%) receiving antihypertensive treatment.

RESULTS

Overall, the mean home systolic BP (SBP)/diastolic BP (DBP) was 140/82 mmHg, and the mean office SBP/DBP was 143/81 mmHg. Of the 3400 subjects, 19% had controlled hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 23% had isolated uncontrolled home hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 15% had isolated uncontrolled office hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), and 43% had uncontrolled hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP >/= 140/90 mmHg). Compared to controlled hypertension, factors associated with isolated uncontrolled home hypertension included obesity, relatively higher office SBP, habitual drinking, and the use of two or more prescribed antihypertensive drugs. Compared to uncontrolled hypertension, factors associated with isolated uncontrolled office hypertension included female gender, lower body mass index, and relatively lower office SBP.

CONCLUSIONS

The use of all four, three of four, or all three predictive factors might be useful for the clinician to suspect isolated uncontrolled home or office hypertension.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Clinical Pharmacology and Therapeutics, Graduate School of Pharmaceutical Science and Medicine, Tohoku University, 980-8574 Sendai, Japan.

    , , , , , , , ,

    Source

    Journal of hypertension 23:9 2005 Sep pg 1653-60

    MeSH

    Aged
    Antihypertensive Agents
    Blood Pressure
    Blood Pressure Determination
    Blood Pressure Monitoring, Ambulatory
    Cross-Sectional Studies
    Female
    Humans
    Hypertension
    Japan
    Male
    Middle Aged
    Office Visits
    Physicians
    Prevalence

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    16093909

    Citation

    Obara, Taku, et al. "Isolated Uncontrolled Hypertension at Home and in the Office Among Treated Hypertensive Patients From the J-HOME Study." Journal of Hypertension, vol. 23, no. 9, 2005, pp. 1653-60.
    Obara T, Ohkubo T, Funahashi J, et al. Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study. J Hypertens. 2005;23(9):1653-60.
    Obara, T., Ohkubo, T., Funahashi, J., Kikuya, M., Asayama, K., Metoki, H., ... Imai, Y. (2005). Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study. Journal of Hypertension, 23(9), pp. 1653-60.
    Obara T, et al. Isolated Uncontrolled Hypertension at Home and in the Office Among Treated Hypertensive Patients From the J-HOME Study. J Hypertens. 2005;23(9):1653-60. PubMed PMID: 16093909.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Isolated uncontrolled hypertension at home and in the office among treated hypertensive patients from the J-HOME study. AU - Obara,Taku, AU - Ohkubo,Takayoshi, AU - Funahashi,Jin, AU - Kikuya,Masahiro, AU - Asayama,Kei, AU - Metoki,Hirohito, AU - Oikawa,Takuya, AU - Hashimoto,Junichiro, AU - Totsune,Kazuhito, AU - Imai,Yutaka, PY - 2005/8/12/pubmed PY - 2005/11/9/medline PY - 2005/8/12/entrez SP - 1653 EP - 60 JF - Journal of hypertension JO - J. Hypertens. VL - 23 IS - 9 N2 - OBJECTIVES: To evaluate the current status of blood pressure (BP) control as measured at home and in the office, as well as to clarify and compare the prevalence and characteristics of isolated uncontrolled hypertension as measured at home (home hypertension) and in the office (office hypertension). DESIGN: A cross-sectional study. SETTING: Primary care offices in Japan. PARTICIPANTS: A sample of 3400 patients with essential hypertension (mean age, 66 years; males, 45%) receiving antihypertensive treatment. RESULTS: Overall, the mean home systolic BP (SBP)/diastolic BP (DBP) was 140/82 mmHg, and the mean office SBP/DBP was 143/81 mmHg. Of the 3400 subjects, 19% had controlled hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 23% had isolated uncontrolled home hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP < 140/90 mmHg), 15% had isolated uncontrolled office hypertension (home SBP/DBP < 135/85 mmHg and office SBP/DBP < 140/90 mmHg), and 43% had uncontrolled hypertension (home SBP/DBP >/= 135/85 mmHg and office SBP/DBP >/= 140/90 mmHg). Compared to controlled hypertension, factors associated with isolated uncontrolled home hypertension included obesity, relatively higher office SBP, habitual drinking, and the use of two or more prescribed antihypertensive drugs. Compared to uncontrolled hypertension, factors associated with isolated uncontrolled office hypertension included female gender, lower body mass index, and relatively lower office SBP. CONCLUSIONS: The use of all four, three of four, or all three predictive factors might be useful for the clinician to suspect isolated uncontrolled home or office hypertension. SN - 0263-6352 UR - https://www.unboundmedicine.com/medline/citation/16093909/Isolated_uncontrolled_hypertension_at_home_and_in_the_office_among_treated_hypertensive_patients_from_the_J_HOME_study_ L2 - http://Insights.ovid.com/pubmed?pmid=16093909 DB - PRIME DP - Unbound Medicine ER -