Maximum home systolic blood pressure is a marker of carotid atherosclerosis

Toshiki Kaihara1,2, Satoshi Hoshide2, Naoko Tomitani2

  • 1Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.

Insights

Maximum home systolic blood pressure (SBP) is a significant risk factor for hypertensive target organ damage. Measuring maximum SBP alongside mean SBP can improve risk assessment for cardiovascular complications.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Clinical Measurement

Background:

  • Blood pressure (BP) variability is a recognized clinical parameter.
  • Maximum home systolic blood pressure (SBP) has emerged as a key indicator of BP variability.
  • The role of maximum SBP as a risk factor for hypertensive target organ damage (TOD) requires further investigation.

Purpose of the Study:

  • To investigate the hypothesis that maximum home SBP is an independent risk factor for hypertensive target organ damage (TOD).
  • To compare the association of maximum SBP with TOD markers against mean SBP.

Main Methods:

  • A cross-sectional study involving 4,310 participants with at least one cardiovascular risk factor.
  • Home BP was monitored for 14 consecutive days.
  • Mean and maximum home SBP were analyzed as independent variables against TOD markers: left ventricular mass index (LVMI), brachial-ankle pulse wave velocity (baPWV), carotid intima-media thickness (CIMT), and urine albumin creatinine ratio (UACR).

Main Results:

  • Both mean and maximum home SBP were significantly associated with all assessed TOD markers.
  • Maximum home SBP showed a statistically stronger association with carotid intima-media thickness (CIMT) compared to mean SBP (p<0.001).

Conclusions:

  • Maximum home SBP is a clinically significant parameter in assessing hypertensive target organ damage.
  • Routine measurement of maximum home SBP, in addition to mean home SBP, is recommended for comprehensive cardiovascular risk evaluation.

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