American journal of hypertension · 2026
Association of nocturnal hypertension, nondipping, and exaggerated morning surge with home blood pressure monitoring: the HI-JAMP study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tomitani Naoko, Hoshide Satoshi, Kario Kazuomi
Аннотация
BACKGROUND: Elevated nighttime blood pressure (BP), nocturnal nondipping, and exaggerated morning BP surge (MBPS) are established risk factors for cardiovascular events. These diurnal BP variability patterns can be assessed by ambulatory BP monitoring (ABPM) but not by conventional home BP monitors. We aimed to examine whether home BP data are associated with these BP variability patterns.
METHODS: Treated hypertensive participants in the HI-JAMP study underwent 24-hour ABPM followed by home BP monitoring (HBPM). Home BP was measured twice each morning and evening for 5 days using a multisensor device that also recorded room temperature. A total of 2248 participants with complete ABPM and HBPM data were analyzed.
RESULTS: Among 2248 participants, ABPM-defined nocturnal hypertension was present in 679 (30.2%), exaggerated MBPS in 171 (7.7%), and nocturnal nondipping in 969 (43.1%). Of these, 39 participants (1.8%) had both nocturnal hypertension and exaggerated MBPS. Nocturnal hypertension, exaggerated MBPS, and nondipping were each associated with elevated morning home systolic BP (SBP) of ≥135 mmHg measured by HBPM (odds ratios: 3.76, 2.00, and 1.33, respectively). Nocturnal hypertension (odds ratio: 1.84) and nondipping (odds ratio: 1.69) were associated with higher room temperature, whereas exaggerated MBPS (odds ratio: 1.86) was associated with lower room temperature, independent of elevated morning home SBP.
CONCLUSIONS: Individuals with high morning home BP were more likely to show abnormal diurnal BP variability. Incorporating room temperature into home BP assessments may provide additional context when interpreting home BP measurements.
CLINICAL TRIAL REGISTRATION: University Hospital Medical Information Network Clinical Trials Registry, UMIN000029151 (HI-JAMP study).
METHODS: Treated hypertensive participants in the HI-JAMP study underwent 24-hour ABPM followed by home BP monitoring (HBPM). Home BP was measured twice each morning and evening for 5 days using a multisensor device that also recorded room temperature. A total of 2248 participants with complete ABPM and HBPM data were analyzed.
RESULTS: Among 2248 participants, ABPM-defined nocturnal hypertension was present in 679 (30.2%), exaggerated MBPS in 171 (7.7%), and nocturnal nondipping in 969 (43.1%). Of these, 39 participants (1.8%) had both nocturnal hypertension and exaggerated MBPS. Nocturnal hypertension, exaggerated MBPS, and nondipping were each associated with elevated morning home systolic BP (SBP) of ≥135 mmHg measured by HBPM (odds ratios: 3.76, 2.00, and 1.33, respectively). Nocturnal hypertension (odds ratio: 1.84) and nondipping (odds ratio: 1.69) were associated with higher room temperature, whereas exaggerated MBPS (odds ratio: 1.86) was associated with lower room temperature, independent of elevated morning home SBP.
CONCLUSIONS: Individuals with high morning home BP were more likely to show abnormal diurnal BP variability. Incorporating room temperature into home BP assessments may provide additional context when interpreting home BP measurements.
CLINICAL TRIAL REGISTRATION: University Hospital Medical Information Network Clinical Trials Registry, UMIN000029151 (HI-JAMP study).