Related Experiment Video
Updated: Jun 17, 2025
05:51
Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
17.4K
Blood Pressure Time in Target Range and its Impact on Clinical Outcomes
Astefanos Al-Dalakta1, Chadi Tabaja1, Issam Motairek1
1Department of Internal Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Current Cardiology Reports
|August 14, 2024
Summary
Achieving higher blood pressure (BP) time in target range significantly reduces cardiovascular risks, including heart failure and stroke. This metric offers valuable insights for hypertension management and patient outcomes.
Area of Science:
- Cardiology
- Hypertension Management
- Preventive Medicine
Background:
- Blood pressure (BP) management is crucial for cardiovascular health.
- Traditional BP metrics may not fully capture long-term cardiovascular risk.
- The concept of time in therapeutic range is gaining traction in managing chronic conditions.
Purpose of the Study:
- To review the concept of time in target range for blood pressure (BP) management.
- To explore methods for calculating BP time in target range.
- To assess its implications for patient outcomes and clinical care.
Main Methods:
- Analysis of recent post-hoc studies from clinical trials.
- Review of observational studies on BP management.
- Exploration of BP time in target range calculation and its correlation with outcomes.
Main Results:
- Higher BP time in target range is linked to reduced risks of major adverse cardiovascular events (MACE), including heart failure, stroke, myocardial infarction, and all-cause mortality.
- Increased time in target range also lowers the risk of atrial fibrillation and dementia.
- BP time in target range is a novel metric providing valuable insights into BP control and clinical outcomes.
Conclusions:
- BP time in target range is a significant predictor of cardiovascular outcomes across diverse patient populations.
- Further prospective trials and real-world studies are needed to fully establish its clinical application.
- Integrating continuous BP monitoring via wearable devices could enhance the utility of this metric in hypertension management.
Keywords:
Cardiovascular diseaseCardiovascular disease preventionCardiovascular outcomesHypertensionTime in target rangeTime in therapeutic rangeMore Related Videos
Related Concept Videos
01:28Factors affecting Blood pressure
3.1K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.1K
01:25Errors occurring during blood pressure monitoring
646
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
646
01:17Measurement of Blood Pressure
900
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
900
01:15Assessment of blood pressure in brachial artery(one-step method)
565
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
565
01:15Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
49
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
49
01:28Special considerations while measuring blood pressure
711
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
711