Impact of home and clinical blood pressure variability on arteriosclerosis and metabolic indicators: a prospective multicenter registry study
Blood pressure variability (BPV) represents an independent predictor of cardiovascular disease, distinct from mean blood pressure (BP). While home BP monitoring is widely recommended, the associations between home BPV and vascular, metabolic, and inflammatory markers remain unclear. We aimed to clar...
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| Vydáno v: | Clinical hypertension Ročník 31; číslo 1; s. e37 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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Korea (South)
대한고혈압학회
2025
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| ISSN: | 2056-5909, 2635-6325, 2056-5909 |
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| Abstract | Blood pressure variability (BPV) represents an independent predictor of cardiovascular disease, distinct from mean blood pressure (BP). While home BP monitoring is widely recommended, the associations between home BPV and vascular, metabolic, and inflammatory markers remain unclear. We aimed to clarify these associations.
We analyzed 519 hypertensive patients from a prospective multicenter registry. Home BPV was assessed using standard deviation, coefficient of variation (CV), average real variability, variability independent of the mean, and range. Patients were stratified by the median CV of home systolic BP (SBP). We used Pearson correlation coefficients to evaluate the relationships between home BPV and office BPV, metabolic parameters, and arterial stiffness indices.
Based on stratification by the CV of home SBP, the high-BPV group was characterized by older age, a greater proportion of women, and a lower body mass index compared with the low-BPV group. Correlations between home and office BP were stronger for mean values than for variability indices. Home systolic BPV indices correlated positively with high-sensitivity C-reactive protein (
= 0.11-0.12,
< 0.05) and with arterial stiffness parameters, particularly the second systolic peak (
= 0.23-0.35,
≤ 0.01), but not with lipid or glucose profiles. Home diastolic BPV indices exhibited weaker and inconsistent associations.
Home systolic BPV showed consistent associations with vascular inflammation and arterial stiffness, but not with metabolic parameters. These findings support home BPV as a distinct cardiovascular risk marker with potential relevance for risk stratification and preventive management.
ClinicalTrials.gov Identifier: NCT06394934. |
|---|---|
| AbstractList | Background: Blood pressure variability (BPV) represents an independent predictor of cardiovascular disease, distinct from mean blood pressure (BP). While home BP monitoring is widely recommended, the associations between home BPV and vascular, metabolic, and inflammatory markers remain unclear. We aimed to clarify these associations.
Methods: We analyzed 519 hypertensive patients from a prospective multicenter registry. Home BPV was assessed using standard deviation, coefficient of variation (CV), average real variability, variability independent of the mean, and range. Patients were stratified by the median CV of home systolic BP (SBP). We used Pearson correlation coefficients to evaluate the relationships between home BPV and office BPV, metabolic parameters, and arterial stiffness indices.
Results: Based on stratification by the CV of home SBP, the high-BPV group was characterized by older age, a greater proportion of women, and a lower body mass index compared with the low-BPV group. Correlations between home and office BP were stronger for mean values than for variability indices. Home systolic BPV indices correlated positively with high-sensitivity C-reactive protein (r = 0.11–0.12, P < 0.05) and with arterial stiffness parameters, particularly the second systolic peak (r = 0.23–0.35, P ≤ 0.01), but not with lipid or glucose profiles. Home diastolic BPV indices exhibited weaker and inconsistent associations.
Conclusions: Home systolic BPV showed consistent associations with vascular inflammation and arterial stiffness, but not with metabolic parameters. These findings support home BPV as a distinct cardiovascular risk marker with potential relevance for risk stratification and preventive management.
Trial Registration: ClinicalTrials.gov Identifier: NCT06394934 KCI Citation Count: 0 Blood pressure variability (BPV) represents an independent predictor of cardiovascular disease, distinct from mean blood pressure (BP). While home BP monitoring is widely recommended, the associations between home BPV and vascular, metabolic, and inflammatory markers remain unclear. We aimed to clarify these associations.BackgroundBlood pressure variability (BPV) represents an independent predictor of cardiovascular disease, distinct from mean blood pressure (BP). While home BP monitoring is widely recommended, the associations between home BPV and vascular, metabolic, and inflammatory markers remain unclear. We aimed to clarify these associations.We analyzed 519 hypertensive patients from a prospective multicenter registry. Home BPV was assessed using standard deviation, coefficient of variation (CV), average real variability, variability independent of the mean, and range. Patients were stratified by the median CV of home systolic BP (SBP). We used Pearson correlation coefficients to evaluate the relationships between home BPV and office BPV, metabolic parameters, and arterial stiffness indices.MethodsWe analyzed 519 hypertensive patients from a prospective multicenter registry. Home BPV was assessed using standard deviation, coefficient of variation (CV), average real variability, variability independent of the mean, and range. Patients were stratified by the median CV of home systolic BP (SBP). We used Pearson correlation coefficients to evaluate the relationships between home BPV and office BPV, metabolic parameters, and arterial stiffness indices.Based on stratification by the CV of home SBP, the high-BPV group was characterized by older age, a greater proportion of women, and a lower body mass index compared with the low-BPV group. Correlations between home and office BP were stronger for mean values than for variability indices. Home systolic BPV indices correlated positively with high-sensitivity C-reactive protein (r = 0.11-0.12, P < 0.05) and with arterial stiffness parameters, particularly the second systolic peak (r = 0.23-0.35, P ≤ 0.01), but not with lipid or glucose profiles. Home diastolic BPV indices exhibited weaker and inconsistent associations.ResultsBased on stratification by the CV of home SBP, the high-BPV group was characterized by older age, a greater proportion of women, and a lower body mass index compared with the low-BPV group. Correlations between home and office BP were stronger for mean values than for variability indices. Home systolic BPV indices correlated positively with high-sensitivity C-reactive protein (r = 0.11-0.12, P < 0.05) and with arterial stiffness parameters, particularly the second systolic peak (r = 0.23-0.35, P ≤ 0.01), but not with lipid or glucose profiles. Home diastolic BPV indices exhibited weaker and inconsistent associations.Home systolic BPV showed consistent associations with vascular inflammation and arterial stiffness, but not with metabolic parameters. These findings support home BPV as a distinct cardiovascular risk marker with potential relevance for risk stratification and preventive management.ConclusionsHome systolic BPV showed consistent associations with vascular inflammation and arterial stiffness, but not with metabolic parameters. These findings support home BPV as a distinct cardiovascular risk marker with potential relevance for risk stratification and preventive management.ClinicalTrials.gov Identifier: NCT06394934.Trial RegistrationClinicalTrials.gov Identifier: NCT06394934. Blood pressure variability (BPV) represents an independent predictor of cardiovascular disease, distinct from mean blood pressure (BP). While home BP monitoring is widely recommended, the associations between home BPV and vascular, metabolic, and inflammatory markers remain unclear. We aimed to clarify these associations. We analyzed 519 hypertensive patients from a prospective multicenter registry. Home BPV was assessed using standard deviation, coefficient of variation (CV), average real variability, variability independent of the mean, and range. Patients were stratified by the median CV of home systolic BP (SBP). We used Pearson correlation coefficients to evaluate the relationships between home BPV and office BPV, metabolic parameters, and arterial stiffness indices. Based on stratification by the CV of home SBP, the high-BPV group was characterized by older age, a greater proportion of women, and a lower body mass index compared with the low-BPV group. Correlations between home and office BP were stronger for mean values than for variability indices. Home systolic BPV indices correlated positively with high-sensitivity C-reactive protein ( = 0.11-0.12, < 0.05) and with arterial stiffness parameters, particularly the second systolic peak ( = 0.23-0.35, ≤ 0.01), but not with lipid or glucose profiles. Home diastolic BPV indices exhibited weaker and inconsistent associations. Home systolic BPV showed consistent associations with vascular inflammation and arterial stiffness, but not with metabolic parameters. These findings support home BPV as a distinct cardiovascular risk marker with potential relevance for risk stratification and preventive management. ClinicalTrials.gov Identifier: NCT06394934. |
| Author | Kim, Mi-Na Joo, Hyung Joon Cho, Dong-Hyuk Oh, Se Won Kim, Eung Ju Shin, Seung Yong Yu, Ha Young Cho, Kyung-Hee Cha, Jung-Joon Park, Jae Hyoung |
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| Cites_doi | 10.1161/HYPERTENSIONAHA.111.171645 10.1253/circj.72.293 10.1038/ajh.2010.94 10.1097/00004872-200311000-00024 10.1097/00004872-199816070-00010 10.1161/HYPERTENSIONAHA.111.178657 10.1038/s41440-021-00818-8 10.1253/circj.CJ-14-0027 10.1016/S0895-7061(97)00117-9 10.1291/hypres.31.2137 10.1136/bmj.i4098 10.1016/S0140-6736(10)60308-X 10.1161/HYPERTENSIONAHA.116.08427 10.1097/HJH.0000000000001810 10.1038/hr.2012.122 10.1093/eurheartj/ehae178 10.1161/JAHA.122.029297 10.1161/HYPERTENSIONAHA.107.104620 10.3109/10641963.2012.681087 10.1093/ajh/hpx183 10.1161/HYPERTENSIONAHA.120.15026 10.1038/srep21303 10.1097/HJH.0000000000000772 10.1038/sj.jhh.1002023 |
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| Title | Impact of home and clinical blood pressure variability on arteriosclerosis and metabolic indicators: a prospective multicenter registry study |
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