Costantino Mancusi, Valeria Bisogni, Alessandro Maloberti, Maria Virginia Manzi, Valeria Visco, Marco Biolcati, Valentina Giani, Francesco Spannella, Silvia Monticone, Francesca Saladini, Giulia Rivasi, Giada Turrin, Giacomo Pucci, Martino Pengo, Fabio Bertacchini, Claudio Ferri, Guido Grassi, Maria Lorenza Muiesan
{"title":"家庭血压测量的准确性:ACCURAPRESS研究-意大利高血压学会(societ<s:1> Italiana dell'Ipertensione Arteriosa)青年研究小组的建议。","authors":"Costantino Mancusi, Valeria Bisogni, Alessandro Maloberti, Maria Virginia Manzi, Valeria Visco, Marco Biolcati, Valentina Giani, Francesco Spannella, Silvia Monticone, Francesca Saladini, Giulia Rivasi, Giada Turrin, Giacomo Pucci, Martino Pengo, Fabio Bertacchini, Claudio Ferri, Guido Grassi, Maria Lorenza Muiesan","doi":"10.1080/08037051.2022.2137461","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Home blood pressure monitoring (HBPM) might be considered a valid alternative to ambulatory blood pressure monitoring (ABPM) for both the diagnosis and management of hypertension. Correct information on how to perform HBPM are crucial for its reliability. The aim of the present survey was to assess if hypertensive patients followed current recommendation on how to correctly perform HBPM measurements.</p><p><strong>Materials and methods: </strong>The survey included 30 different items on how to perform the HBPM. It was developed by the 'Young Investigators' group of the Italian Society of Arterial Hypertension (SIIA) and it was administered during the office visit between May 2019 and December 2021.</p><p><strong>Results: </strong>A total of 643 hypertensive patients participated in the study. Main results show that, despite the rate of informed patients was relatively high (71% of the whole population), unacceptable number of patients did not follow indications on how to perform a correct HBPM. Patients who were informed on how to measure home BP had a significantly higher rate of correct position during measurement (78 vs. 22%, <i>p</i> < 0.01), avoidance of talking and moving during measurement (68 vs. 32%, <i>p</i> < 0.0001), and correct number and time interval between two measurements (85 vs. 15%, <i>p</i> < 0.001). More accurate measurements of home BP were associated with less prevalence of carotid plaque.</p><p><strong>Conclusions: </strong>Correct performance for HBPM is low among patients treated in Italian hypertension centers. These findings shed light on the importance of correct HBPM measurements for the detection of accurate BP values for the proper management of hypertensive patients.</p>","PeriodicalId":55591,"journal":{"name":"Blood Pressure","volume":"31 1","pages":"297-304"},"PeriodicalIF":2.3000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Accuracy of home blood pressure measurement: the ACCURAPRESS study - a proposal of Young Investigator Group of the Italian Hypertension Society (Società Italiana dell'Ipertensione Arteriosa).\",\"authors\":\"Costantino Mancusi, Valeria Bisogni, Alessandro Maloberti, Maria Virginia Manzi, Valeria Visco, Marco Biolcati, Valentina Giani, Francesco Spannella, Silvia Monticone, Francesca Saladini, Giulia Rivasi, Giada Turrin, Giacomo Pucci, Martino Pengo, Fabio Bertacchini, Claudio Ferri, Guido Grassi, Maria Lorenza Muiesan\",\"doi\":\"10.1080/08037051.2022.2137461\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Home blood pressure monitoring (HBPM) might be considered a valid alternative to ambulatory blood pressure monitoring (ABPM) for both the diagnosis and management of hypertension. Correct information on how to perform HBPM are crucial for its reliability. The aim of the present survey was to assess if hypertensive patients followed current recommendation on how to correctly perform HBPM measurements.</p><p><strong>Materials and methods: </strong>The survey included 30 different items on how to perform the HBPM. It was developed by the 'Young Investigators' group of the Italian Society of Arterial Hypertension (SIIA) and it was administered during the office visit between May 2019 and December 2021.</p><p><strong>Results: </strong>A total of 643 hypertensive patients participated in the study. Main results show that, despite the rate of informed patients was relatively high (71% of the whole population), unacceptable number of patients did not follow indications on how to perform a correct HBPM. Patients who were informed on how to measure home BP had a significantly higher rate of correct position during measurement (78 vs. 22%, <i>p</i> < 0.01), avoidance of talking and moving during measurement (68 vs. 32%, <i>p</i> < 0.0001), and correct number and time interval between two measurements (85 vs. 15%, <i>p</i> < 0.001). More accurate measurements of home BP were associated with less prevalence of carotid plaque.</p><p><strong>Conclusions: </strong>Correct performance for HBPM is low among patients treated in Italian hypertension centers. These findings shed light on the importance of correct HBPM measurements for the detection of accurate BP values for the proper management of hypertensive patients.</p>\",\"PeriodicalId\":55591,\"journal\":{\"name\":\"Blood Pressure\",\"volume\":\"31 1\",\"pages\":\"297-304\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2022-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Blood Pressure\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/08037051.2022.2137461\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PERIPHERAL VASCULAR DISEASE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Blood Pressure","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08037051.2022.2137461","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
引用次数: 2
摘要
目的:家庭血压监测(HBPM)可能被认为是一个有效的替代动态血压监测(ABPM)的诊断和管理高血压。关于如何执行HBPM的正确信息对其可靠性至关重要。本调查的目的是评估高血压患者是否遵循当前关于如何正确进行HBPM测量的建议。材料和方法:调查包括30个不同的项目如何执行HBPM。它由意大利动脉高血压学会(SIIA)的“青年调查员”小组开发,并在2019年5月至2021年12月的办公室访问期间进行管理。结果:共有643例高血压患者参与研究。主要结果显示,尽管知情患者的比例相对较高(占总人口的71%),但仍有不可接受的患者没有按照指征进行正确的HBPM。被告知如何测量家庭血压的患者在测量过程中正确体位的比例明显更高(78比22%,p p p p)。结论:在意大利高血压中心接受治疗的患者中,HBPM的正确表现较低。这些发现揭示了正确的HBPM测量对于检测准确的血压值对于高血压患者的正确管理的重要性。
Accuracy of home blood pressure measurement: the ACCURAPRESS study - a proposal of Young Investigator Group of the Italian Hypertension Society (Società Italiana dell'Ipertensione Arteriosa).
Purpose: Home blood pressure monitoring (HBPM) might be considered a valid alternative to ambulatory blood pressure monitoring (ABPM) for both the diagnosis and management of hypertension. Correct information on how to perform HBPM are crucial for its reliability. The aim of the present survey was to assess if hypertensive patients followed current recommendation on how to correctly perform HBPM measurements.
Materials and methods: The survey included 30 different items on how to perform the HBPM. It was developed by the 'Young Investigators' group of the Italian Society of Arterial Hypertension (SIIA) and it was administered during the office visit between May 2019 and December 2021.
Results: A total of 643 hypertensive patients participated in the study. Main results show that, despite the rate of informed patients was relatively high (71% of the whole population), unacceptable number of patients did not follow indications on how to perform a correct HBPM. Patients who were informed on how to measure home BP had a significantly higher rate of correct position during measurement (78 vs. 22%, p < 0.01), avoidance of talking and moving during measurement (68 vs. 32%, p < 0.0001), and correct number and time interval between two measurements (85 vs. 15%, p < 0.001). More accurate measurements of home BP were associated with less prevalence of carotid plaque.
Conclusions: Correct performance for HBPM is low among patients treated in Italian hypertension centers. These findings shed light on the importance of correct HBPM measurements for the detection of accurate BP values for the proper management of hypertensive patients.
期刊介绍:
For outstanding coverage of the latest advances in hypertension research, turn to Blood Pressure, a primary source for authoritative and timely information on all aspects of hypertension research and management.
Features include:
• Physiology and pathophysiology of blood pressure regulation
• Primary and secondary hypertension
• Cerebrovascular and cardiovascular complications of hypertension
• Detection, treatment and follow-up of hypertension
• Non pharmacological and pharmacological management
• Large outcome trials in hypertension.