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OBJECTIVES: Masked hypertension (MH) is defined as normal office blood pressure (OBP) and elevated ambulatory (ABP) or home blood pressure (HBP). This study assessed MH identified by each of these two methods. METHODS: A retrospective analysis of cross-sectional data in treated and untreated adults from Greece, Finland and UK who had OBP, HBP and 24-h ABP measurements was performed. Dual MH was defined as normal OBP and elevated HBP and ABP, isolated ambulatory MH as normal OBP and HBP and elevated ABP and isolated home MH as normal OBP and ABP and elevated HBP. RESULTS: Of 1971 participants analyzed, 445 (23%) had MH on ABP and/or HBP (age 57.1 ± 10.8 years, men 55%, treated 49%). Among participants with any MH, 215 had dual MH (48%), 132 isolated ambulatory MH (30%) and 98 isolated home MH (22%). Moreover, 55% had high-normal, 35% normal and 10% optimal OBP. In logistic regression analysis isolated ambulatory MH was predicted by younger age (OR 0.35, P 

Original publication

DOI

10.1097/HJH.0000000000002270

Type

Journal article

Journal

J Hypertens

Publication Date

02/2020

Volume

38

Pages

218 - 223

Keywords

Adult, Aged, Blood Pressure, Blood Pressure Monitoring, Ambulatory, Cross-Sectional Studies, Female, Finland, Greece, Humans, Male, Masked Hypertension, Middle Aged, Phenotype, Retrospective Studies, United Kingdom