Simplified blood pressure measurement approaches and implications for hypertension screening: the Atherosclerosis Risk in Communities study.

ABSTRACT:

Objectives

Averaging multiple blood pressure (BP) measurements is recommended for hypertension (HTN) screening but can be impractical, especially in resource-constrained settings. We aimed to explore the implications of fewer BP measurements on BP classification and subsequent cardiovascular disease (CVD) risk.

Methods

We studied 8905 middle-aged participants without diagnosed HTN and quantified misclassified HTN (≥140/90 mmHg) by simplified BP approaches (e.g. single 1st BP, single 2nd BP, mainly 1st but 2nd BP if 1st was in a certain range) vs. the reference standard of the average of 2nd and 3rd BP. We also assessed CVD risk related to HTN status.

Results

There were 823 participants classified as HTN by the standard approach. With single 1st BP, 2.8% of non-HTN wer

SUBMITTER: Lu Y 

PROVIDER: S-EPMC12414574 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature