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Masked Hypertension: Whom and How to Screen?

  • D. Edmund AnsteyEmail author
  • Nathalie Moise
  • Ian Kronish
  • Marwah Abdalla
Implementation to Increase Blood Pressure Control: What Works? (Jeffrey Brettler and Kristi Reynolds, Section Editors)
  • 67 Downloads
Part of the following topical collections:
  1. Topical Collection on Implementation to Increase Blood Pressure Control: What Works?

Abstract

Purpose of Review

To review issues regarding the practical implementation of screening strategies for masked hypertension.

Recent Findings

Masked hypertension has been associated with an increased risk of cardiovascular disease events and all-cause mortality. Recent guidelines have encouraged practitioners to use out-of-clinic monitoring to detect masked hypertension in some situations. However, it is unclear from these guidelines who should be screened or how to best measure out-of-office blood pressure. In this review, challenges to screening strategies for masked hypertension, and factors that should be considered when deciding to screen using ambulatory or home blood pressure monitoring.

Summary

Masked hypertension is an important clinical phenotype to detect. Future research is needed in order to develop optimal screening strategies, and to understand population level implications of using ambulatory or home blood pressure monitoring on blood pressure control.

Keywords

Hypertension Masked hypertension Out-of-office monitoring Blood pressure Blood pressure control Population health 

Notes

Funding

MA receives support through 18AMFDP34380732 from the American Heart Association.

NM receives support through NHLBI (R01 HL141609-01).

IK receives support through the Agency for Healthcare Research and Quality (R01 HS-024262).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • D. Edmund Anstey
    • 1
    Email author
  • Nathalie Moise
    • 1
  • Ian Kronish
    • 1
  • Marwah Abdalla
    • 1
  1. 1.Division of Cardiology, Center for Behavioral Cardiovascular HealthColumbia University Medical CenterNew YorkUSA

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