Difference in evening home blood pressure between before dinner and at bedtime in Japanese elderly hypertensive patients

作者：Fujiwara Takeshi; Hoshide Satoshi; Nishizawa Masafumi; Matsuo Takefumi; Kario Kazuomi

来源：Journal of Clinical Hypertension, 2017, 19(7): 731-739.

DOI：10.1111/jch.12985

<jats:title>Abstract</jats:title><jats:p>The authors evaluated the differences between evening home blood pressure (<jats:styled-content style="fixed-case">HBP</jats:styled-content>) readings taken before dinner and those taken at bedtime, which were documented in a European and a Japanese guideline, respectively. Forty‐eight patients (mean age, 76.4 years) measured their evening <jats:styled-content style="fixed-case">HBP</jats:styled-content> twice each day (two measurements both before dinner and at bedtime) for 14 days. The authors defined the at‐bedtime (B) minus the before‐dinner (D) systolic <jats:styled-content style="fixed-case">HBP</jats:styled-content> as the B‐D difference. The mean B‐D difference was −8.7 mm Hg (<jats:italic>P</jats:italic>&lt;.001). The depressor effect of bathing was significantly prolonged for 120 minutes. The B‐D difference with alcohol consumption was significantly greater than that without alcohol. In the linear mixed model analysis, time after bathing ≤120 minutes and alcohol consumption were significantly associated with the B‐D difference after adjustment with covariates. There was a marked difference between evening <jats:styled-content style="fixed-case">HBP</jats:styled-content> values. When patients' evening <jats:styled-content style="fixed-case">HBP</jats:styled-content> is measured according to the guidelines, their daily activities should be considered.</jats:p>

• 出版日期2017-7