Electrocardiographic abnormalities and home blood pressure in treated elderly hypertensive patients: Japan home versus office blood pressure measurement evaluation in the elderly (J-HOME-Elderly) study

Taku Shibamiya, Taku Obara, Takayoshi Ohkubo, Takahiro Shinki, Kazuki Ishikura, Makoto Yoshida, Michihiro Satoh, Takanao Hashimoto, Azusa Hara, Hirohito Metoki, Ryusuke Inoue, Kei Asayama, Masahiro Kikuya, Yutaka Imai

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This study compares relationships between each of morning home blood pressure (BP), evening home BP and office BP with electrocardiographic (ECG) abnormalities among treated hypertensive Japanese patients. We defined ECG left ventricular hypertrophy (LVH) as Sokolow-Lyon voltage and/or Cornell voltage duration product. Abnormal T waves and ST segment depression were categorized based on the Minnesota code. Office BP was calculated as the mean of four readings taken during two visits. Morning and evening home BP were calculated as the mean of five readings measured once each morning and evening for 5 days, respectively. Multivariate analysis showed that ECG-LVH in 747 hypertensives (mean age: 72 years; women: 63%) was more closely associated with morning home BP than with either office or evening home BP. Even the first reading of morning home BP on day 1 was significantly associated with ECG-LVH independently of office BP. The association between home BP and ECG-LVH increased with the cumulative number of home BP measurements. The results for abnormal T waves were similar. Home and office BP did not significantly differ between patients with and without ST segment depression. Morning home BP was more closely associated with ECG-LVH and abnormal T waves than either office or evening home BP among treated hypertensive Japanese patients.

Original languageEnglish
Pages (from-to)670-677
Number of pages8
JournalHypertension Research
Volume33
Issue number7
DOIs
Publication statusPublished - 2010 Jan 1
Externally publishedYes

Fingerprint

Japan
Blood Pressure
Left Ventricular Hypertrophy
Reading
Multivariate Analysis

Keywords

  • Heart disease
  • left ventricular hypertrophy
  • T waves

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Electrocardiographic abnormalities and home blood pressure in treated elderly hypertensive patients : Japan home versus office blood pressure measurement evaluation in the elderly (J-HOME-Elderly) study. / Shibamiya, Taku; Obara, Taku; Ohkubo, Takayoshi; Shinki, Takahiro; Ishikura, Kazuki; Yoshida, Makoto; Satoh, Michihiro; Hashimoto, Takanao; Hara, Azusa; Metoki, Hirohito; Inoue, Ryusuke; Asayama, Kei; Kikuya, Masahiro; Imai, Yutaka.

In: Hypertension Research, Vol. 33, No. 7, 01.01.2010, p. 670-677.

Research output: Contribution to journalArticle

Shibamiya, T, Obara, T, Ohkubo, T, Shinki, T, Ishikura, K, Yoshida, M, Satoh, M, Hashimoto, T, Hara, A, Metoki, H, Inoue, R, Asayama, K, Kikuya, M & Imai, Y 2010, 'Electrocardiographic abnormalities and home blood pressure in treated elderly hypertensive patients: Japan home versus office blood pressure measurement evaluation in the elderly (J-HOME-Elderly) study', Hypertension Research, vol. 33, no. 7, pp. 670-677. https://doi.org/10.1038/hr.2010.55
Shibamiya, Taku ; Obara, Taku ; Ohkubo, Takayoshi ; Shinki, Takahiro ; Ishikura, Kazuki ; Yoshida, Makoto ; Satoh, Michihiro ; Hashimoto, Takanao ; Hara, Azusa ; Metoki, Hirohito ; Inoue, Ryusuke ; Asayama, Kei ; Kikuya, Masahiro ; Imai, Yutaka. / Electrocardiographic abnormalities and home blood pressure in treated elderly hypertensive patients : Japan home versus office blood pressure measurement evaluation in the elderly (J-HOME-Elderly) study. In: Hypertension Research. 2010 ; Vol. 33, No. 7. pp. 670-677.
@article{944cb4b0c7f54700b67392c2652a0d0d,
title = "Electrocardiographic abnormalities and home blood pressure in treated elderly hypertensive patients: Japan home versus office blood pressure measurement evaluation in the elderly (J-HOME-Elderly) study",
abstract = "This study compares relationships between each of morning home blood pressure (BP), evening home BP and office BP with electrocardiographic (ECG) abnormalities among treated hypertensive Japanese patients. We defined ECG left ventricular hypertrophy (LVH) as Sokolow-Lyon voltage and/or Cornell voltage duration product. Abnormal T waves and ST segment depression were categorized based on the Minnesota code. Office BP was calculated as the mean of four readings taken during two visits. Morning and evening home BP were calculated as the mean of five readings measured once each morning and evening for 5 days, respectively. Multivariate analysis showed that ECG-LVH in 747 hypertensives (mean age: 72 years; women: 63{\%}) was more closely associated with morning home BP than with either office or evening home BP. Even the first reading of morning home BP on day 1 was significantly associated with ECG-LVH independently of office BP. The association between home BP and ECG-LVH increased with the cumulative number of home BP measurements. The results for abnormal T waves were similar. Home and office BP did not significantly differ between patients with and without ST segment depression. Morning home BP was more closely associated with ECG-LVH and abnormal T waves than either office or evening home BP among treated hypertensive Japanese patients.",
keywords = "Heart disease, left ventricular hypertrophy, T waves",
author = "Taku Shibamiya and Taku Obara and Takayoshi Ohkubo and Takahiro Shinki and Kazuki Ishikura and Makoto Yoshida and Michihiro Satoh and Takanao Hashimoto and Azusa Hara and Hirohito Metoki and Ryusuke Inoue and Kei Asayama and Masahiro Kikuya and Yutaka Imai",
year = "2010",
month = "1",
day = "1",
doi = "10.1038/hr.2010.55",
language = "English",
volume = "33",
pages = "670--677",
journal = "Hypertension Research",
issn = "0916-9636",
publisher = "Nature Publishing Group",
number = "7",

}

TY - JOUR

T1 - Electrocardiographic abnormalities and home blood pressure in treated elderly hypertensive patients

T2 - Japan home versus office blood pressure measurement evaluation in the elderly (J-HOME-Elderly) study

AU - Shibamiya, Taku

AU - Obara, Taku

AU - Ohkubo, Takayoshi

AU - Shinki, Takahiro

AU - Ishikura, Kazuki

AU - Yoshida, Makoto

AU - Satoh, Michihiro

AU - Hashimoto, Takanao

AU - Hara, Azusa

AU - Metoki, Hirohito

AU - Inoue, Ryusuke

AU - Asayama, Kei

AU - Kikuya, Masahiro

AU - Imai, Yutaka

PY - 2010/1/1

Y1 - 2010/1/1

N2 - This study compares relationships between each of morning home blood pressure (BP), evening home BP and office BP with electrocardiographic (ECG) abnormalities among treated hypertensive Japanese patients. We defined ECG left ventricular hypertrophy (LVH) as Sokolow-Lyon voltage and/or Cornell voltage duration product. Abnormal T waves and ST segment depression were categorized based on the Minnesota code. Office BP was calculated as the mean of four readings taken during two visits. Morning and evening home BP were calculated as the mean of five readings measured once each morning and evening for 5 days, respectively. Multivariate analysis showed that ECG-LVH in 747 hypertensives (mean age: 72 years; women: 63%) was more closely associated with morning home BP than with either office or evening home BP. Even the first reading of morning home BP on day 1 was significantly associated with ECG-LVH independently of office BP. The association between home BP and ECG-LVH increased with the cumulative number of home BP measurements. The results for abnormal T waves were similar. Home and office BP did not significantly differ between patients with and without ST segment depression. Morning home BP was more closely associated with ECG-LVH and abnormal T waves than either office or evening home BP among treated hypertensive Japanese patients.

AB - This study compares relationships between each of morning home blood pressure (BP), evening home BP and office BP with electrocardiographic (ECG) abnormalities among treated hypertensive Japanese patients. We defined ECG left ventricular hypertrophy (LVH) as Sokolow-Lyon voltage and/or Cornell voltage duration product. Abnormal T waves and ST segment depression were categorized based on the Minnesota code. Office BP was calculated as the mean of four readings taken during two visits. Morning and evening home BP were calculated as the mean of five readings measured once each morning and evening for 5 days, respectively. Multivariate analysis showed that ECG-LVH in 747 hypertensives (mean age: 72 years; women: 63%) was more closely associated with morning home BP than with either office or evening home BP. Even the first reading of morning home BP on day 1 was significantly associated with ECG-LVH independently of office BP. The association between home BP and ECG-LVH increased with the cumulative number of home BP measurements. The results for abnormal T waves were similar. Home and office BP did not significantly differ between patients with and without ST segment depression. Morning home BP was more closely associated with ECG-LVH and abnormal T waves than either office or evening home BP among treated hypertensive Japanese patients.

KW - Heart disease

KW - left ventricular hypertrophy

KW - T waves

UR - http://www.scopus.com/inward/record.url?scp=77954377791&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954377791&partnerID=8YFLogxK

U2 - 10.1038/hr.2010.55

DO - 10.1038/hr.2010.55

M3 - Article

C2 - 20431591

AN - SCOPUS:77954377791

VL - 33

SP - 670

EP - 677

JO - Hypertension Research

JF - Hypertension Research

SN - 0916-9636

IS - 7

ER -