Open AccessDiagnostic Thresholds for Ambulatory Blood Pressure Moving Lower: A Review Based on a Meta‐Analysis—Clinical Implications
Author(s) -
Hansen Tine W.,
Kikuya Masahiro,
Thijs Lutgarde,
Li Yan,
Boggia José,
BjörklundBodegârd Kristina,
TorpPedersen Christian,
Jeppesen Jørgen,
Ibsen Hans,
Staessen Jan A.
Publication year - 2008
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/j.1751-7176.2008.07681.x
Subject(s) - medicine , ambulatory blood pressure , ambulatory , blood pressure , context (archaeology) , clinical practice , cardiology , diastole , population , physical therapy , paleontology , environmental health , biology
Upper limits of normal ambulatory blood pressure (ABP) have been a matter of debate in recent years. Current diagnostic thresholds for ABP rely mainly on statistical parameters derived from reference populations. Recent findings from the International Database of Ambulatory Blood Pressure in Relation to Cardiovascular Outcome (IDACO) provide outcome‐driven thresholds for ABP. Rounded systolic/diastolic thresholds for optimal ABP were found to be 115/75 mm Hg for 24 hours, 120/80 mm Hg for daytime, and 100/65 mm Hg for nighttime. The corresponding rounded thresholds for normal ABP were 125/75 mm Hg, 130/85 mm Hg, and 110/70 mm Hg, respectively, and those for ambulatory hypertension were 130/80 mm Hg, 140/85 mm Hg, and 120/70 mm Hg. However, in clinical practice, any diagnostic threshold for blood pressure needs to be assessed in the context of the patient's overall risk profile. The IDACO database is therefore being updated with additional population cohorts to enable the construction of multifactorial risk score charts, which also include ABP.