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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of miscuffing during home blood pressure measurement on the prevalence of masked hypertension
American Journal of Hypertension, Volume 26, No. 10, Year 2013
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Description
BACKGROUNDMasked hypertension has been associated with obesity. However, because most studies do not mention the specific cuff size used for home measurements, masked hypertension prevalence may have been overestimated in obese patients because of undersized cuffs. In this prospective, observational study, the effect of miscuffing on hypertension status was evaluated in patients with large arms.METHODSFifty-three patients with an upper-arm circumference >33cm, undergoing treatment for mild-to-moderate hypertension, took 2 sets of home blood pressure (BP) measurements (standard vs. large cuff) using the validated Microlife BP A100 Plus automated device.RESULTSMean BP was 143/85mm Hg at the office using a large cuff, 141/84mm Hg at home using a standard cuff, and 134/80mm Hg at home using a large cuff. Standard vs. large cuff home BP mean differences were 6.9mm Hg (95% confidence interval (CI) = 4.7-9.2; P < 0.0001) for systolic BP and 4.0mm Hg (95% CI = 2.4-5.5; P < 0.0001) for diastolic BP. Hypertension status differed significantly between standard vs. large cuffs: sustained hypertension (56.6% vs. 41.5%, respectively; P = 0.002), controlled hypertension (20.8% vs. 28.3%, respectively; P = 0.04), white coat hypertension (7.5% vs. 22.6%, respectively; P = 0.002), masked hypertension (15.1% vs. 7.5%, respectively; P = 0.04).CONCLUSIONSIn patients with large arms, use of an appropriately sized large cuff for home BP measurements led to a 2-fold reduction in masked hypertension. Regarding clinical and epidemiological implications, future studies investigating masked hypertension should specify cuff size for home BP measurements. The low market availability and increased cost of large cuffs should also be addressed. © American Journal of Hypertension, Ltd 2013. All rights reserved.
Authors & Co-Authors
Mourad, Jean Jacques
France, Bobigny
Hopital Avicenne
Lopez-Sublet, Marilucy
France, Bobigny
Hopital Avicenne
Bahous, Sola Aoun
Lebanon, Beirut
Saint George Hospital University Medical Center
Villeneuve, Frédéric
France, Paris
Hôpital Universitaire Pitié Salpêtrière
Jaboureck, Olivier
France, Douai
Douai Hospital
Dourmap-Collas, Caroline
France, Rennes
Hôpital Pontchaillou
Dénolle, Thierry
Unknown Affiliation
Fourcade, Jacques
Unknown Affiliation
Baguet, Jean Philippe
France, La Tronche
Hôpital A. Michallon Chu Grenoble
Statistics
Citations: 27
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1093/ajh/hpt084
ISSN:
08957061
e-ISSN:
19417225
Research Areas
Noncommunicable Diseases
Study Design
Cross Sectional Study
Cohort Study