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Home Blood Pressure and Preclinical Organ Damage

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Home Blood Pressure Monitoring

Part of the book series: Updates in Hypertension and Cardiovascular Protection ((UHCP))

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Abstract

We reviewed the literature regarding current evidence about associations between home blood pressure (BP) and preclinical target organ damage. Previous studies have identified associations between home BP values and various types of preclinical target organ damage, such as left ventricular hypertrophy (LVH), carotid atherosclerosis including carotid intima-media thickness and carotid plaque, renal function including urinary protein excretion and glomerular filtration rate, and pulse wave velocity or silent cerebrovascular lesions. Although the strength of these associations has been compared between home and conventional office BP values, and a closer association between home BP and LVH has been established, the findings are inconsistent and/or limited to identifying a closer association between home BP and preclinical organ damage other than LVH. Masked hypertension (MHT) is a subtype of hypertension characterized by BP values not showing hypertension in the office but being in the hypertensive range when measured out of the office. Few studies have examined the association between MHT determined by self-measured BP at home and preclinical target organ damage. Nonetheless, all of them identified significantly higher risk of preclinical target organ damage in patients with MHT than in individuals with normal BP values. These findings altogether indicate that individuals with advanced preclinical target organ damage and normal office BP values should measure their BP at home for the early detection of MHT.

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Author information

Authors and Affiliations

  1. Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan

    Takayoshi Ohkubo

  2. Tohoku Institute for Management of Blood Pressure, Sendai, Japan

    Takayoshi Ohkubo

  3. Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine (JMU), Tochigi, Japan

    Kazuomi Kario

  4. Department of Public Health Solutions, National Institute for Health and Welfare, Turku, Finland

    Teemu J. Niiranen

  5. Department of Medicine, Turku University Hospital and University of Turku, Turku, Finland

    Teemu J. Niiranen

  6. Department of Medicine, Columbia University Medical Center, New York, NY, USA

    Daichi Shimbo

  7. University of Milano-Bicocca, Milan, Italy

    Giuseppe Mancia

Authors
  1. Takayoshi Ohkubo
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  2. Kazuomi Kario
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  3. Teemu J. Niiranen
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  4. Daichi Shimbo
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  5. Giuseppe Mancia
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Corresponding author

Correspondence to Takayoshi Ohkubo .

Editor information

Editors and Affiliations

  1. Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece

    George S. Stergiou

  2. Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy, Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, Milano, Italy

    Gianfranco Parati

  3. University of Milano-Bicocca, Milano, Italy

    Giuseppe Mancia

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Ohkubo, T., Kario, K., Niiranen, T.J., Shimbo, D., Mancia, G. (2020). Home Blood Pressure and Preclinical Organ Damage. In: Stergiou, G., Parati, G., Mancia, G. (eds) Home Blood Pressure Monitoring. Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-030-23065-4_3

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  • DOI: https://doi.org/10.1007/978-3-030-23065-4_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23064-7

  • Online ISBN: 978-3-030-23065-4

  • eBook Packages: MedicineMedicine (R0)

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