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The prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study
Atrial fibrillation (AF) is prevalent in individuals with essential hypertension (HTN). Masked hypertension occurs in up to 15% of the general population and is associated with adverse clinical outcome. The aim of the current study was to evaluate the prevalence of masked hypertension in apparently...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10275900/ https://www.ncbi.nlm.nih.gov/pubmed/37328567 http://dx.doi.org/10.1038/s41598-023-36853-3 |
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author | Ayalon-Dangur, Irit Ofer-Shiber, Shachaf Shochat, Tzippy Genin, Irina Arlyuk, Maya Grossman, Alon |
author_facet | Ayalon-Dangur, Irit Ofer-Shiber, Shachaf Shochat, Tzippy Genin, Irina Arlyuk, Maya Grossman, Alon |
author_sort | Ayalon-Dangur, Irit |
collection | PubMed |
description | Atrial fibrillation (AF) is prevalent in individuals with essential hypertension (HTN). Masked hypertension occurs in up to 15% of the general population and is associated with adverse clinical outcome. The aim of the current study was to evaluate the prevalence of masked hypertension in apparently normotensive individuals with lone AF. A cross sectional analytical study performed at the Rabin Medical Center included all patients > 18 years who visited the emergency department (ED) in the years 2018–2021 with idiopathic AF, had normal blood pressure (BP) values during their ED visit and did not have a history of hypertension or current use of anti-hypertensives. Ambulatory blood pressure monitoring (ABPM) was performed in all eligible patients within 30 days from ED visit. Data collected included information from the ED visit and data extracted from the monitoring device. A total of 1258 patients were screened for eligibility, of which 40 were included in the analysis. The average age was 53.4 ± 16 years, 28 patients (70%) were males. Overall, 18 individuals (46%) had abnormal BP values according to the 2017 ACC/AHA guidelines for the diagnosis of hypertension. Of these, 12 had abnormal 24-h BP average (≥ 125/75 mmHg), one had isolated daytime abnormal average (≥ 130/80 mmHg) and 11 had isolated night time abnormal average (≥ 110/65 mmHg). Masked hypertension is prevalent in patients with lone AF without a diagnosis of HTN and performing ABPM in such individuals should be strongly considered. |
format | Online Article Text |
id | pubmed-10275900 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-102759002023-06-18 The prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study Ayalon-Dangur, Irit Ofer-Shiber, Shachaf Shochat, Tzippy Genin, Irina Arlyuk, Maya Grossman, Alon Sci Rep Article Atrial fibrillation (AF) is prevalent in individuals with essential hypertension (HTN). Masked hypertension occurs in up to 15% of the general population and is associated with adverse clinical outcome. The aim of the current study was to evaluate the prevalence of masked hypertension in apparently normotensive individuals with lone AF. A cross sectional analytical study performed at the Rabin Medical Center included all patients > 18 years who visited the emergency department (ED) in the years 2018–2021 with idiopathic AF, had normal blood pressure (BP) values during their ED visit and did not have a history of hypertension or current use of anti-hypertensives. Ambulatory blood pressure monitoring (ABPM) was performed in all eligible patients within 30 days from ED visit. Data collected included information from the ED visit and data extracted from the monitoring device. A total of 1258 patients were screened for eligibility, of which 40 were included in the analysis. The average age was 53.4 ± 16 years, 28 patients (70%) were males. Overall, 18 individuals (46%) had abnormal BP values according to the 2017 ACC/AHA guidelines for the diagnosis of hypertension. Of these, 12 had abnormal 24-h BP average (≥ 125/75 mmHg), one had isolated daytime abnormal average (≥ 130/80 mmHg) and 11 had isolated night time abnormal average (≥ 110/65 mmHg). Masked hypertension is prevalent in patients with lone AF without a diagnosis of HTN and performing ABPM in such individuals should be strongly considered. Nature Publishing Group UK 2023-06-16 /pmc/articles/PMC10275900/ /pubmed/37328567 http://dx.doi.org/10.1038/s41598-023-36853-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Ayalon-Dangur, Irit Ofer-Shiber, Shachaf Shochat, Tzippy Genin, Irina Arlyuk, Maya Grossman, Alon The prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study |
title | The prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study |
title_full | The prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study |
title_fullStr | The prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study |
title_full_unstemmed | The prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study |
title_short | The prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study |
title_sort | prevalence of masked hypertension in patients with lone atrial fibrillation: a cross sectional analytical study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10275900/ https://www.ncbi.nlm.nih.gov/pubmed/37328567 http://dx.doi.org/10.1038/s41598-023-36853-3 |
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