Continuous assessment and research on enhanced blood pressure control – CareBP study

Diagnostic Value of Ambulatory Blood Pressure Monitoring for Hypertension in Private Cardiology Practice in Senegal

Hypertension is a major contributor to cardiovascular morbidity and mortality. Ambulatory blood pressure monitoring (ABPM) complements office blood pressure measurement by detecting white-coat hypertension, masked hypertension, and nocturnal blood pressure abnormalities, and this study aimed to assess its diagnostic value in the management of hypertension in private cardiology practice in Senegal. A prospective, descriptive, and analytical study was conducted from July to September 2024 at Clinique Urgence Cardio in Dakar, including patients aged 18 years or older with a valid 24-hour ABPM recording. Clinical, anthropometric, and treatment data, together with cardiovascular risk factors, were collected; office and ambulatory blood pressure measurements were compared; and logistic regression was used to identify factors associated with discordance between the two methods. Of the 104 patients assessed, 97 had valid ABPM recordings. The mean age was 53.2 ± 14.1 years, and women predominated. Cardiovascular risk factors included abdominal obesity (77.3%), known hypertension (54.6%), physical inactivity (43.3%), dyslipidemia (37.1%), and diabetes (16.5%). Mean office blood pressure was 145.7/91.4 mmHg, compared with 130.5/80.2 mmHg over 24 hours, 134.4/82.4 mmHg during daytime, and 125/75 mmHg during nighttime. ABPM identified sustained hypertension in 53.61% of patients, white-coat hypertension in 18.56%, masked hypertension in 9.28%, and normotension in 18.56%, with overall agreement between office and ambulatory measurements of 72.2%. Among patients with elevated office blood pressure, 25.7% had white-coat hypertension, while 33.3% of those with normal office blood pressure had masked hypertension. Non-dipping and reverse-dipping patterns were observed in 45.4% and 19.6% of patients, respectively, and discordance was independently associated with alcohol consumption (OR = 5.08; p = 0.007). ABPM improves the diagnostic classification of hypertension and reveals a high prevalence of discordant phenotypes and nocturnal blood pressure abnormalities, and wider use of ABPM may help optimize patient management in this setting.

EFFECTIVENESS OF PERIPHERAL HEART ACTION ON BODY COMPOSITION AND BLOOD PRESSURE IN PEOPLE WITH HIGH BLOOD PRESSURE

Optimizing Home Blood Pressure Monitoring Protocols in Older Adults: The Atherosclerosis Risk in Communities (ARIC) Study.

In this community-based cohort of older adults, HBPM provided stable BP estimates within three days (can be non-consecutive within an 8-day period) using morning and evening sessions with ≥2 readings each, supporting shorter, less burdensome HBPM protocols in clinical guidelines for hypertension management in older adults.

Early Screening of Diabetes Mellitus Through Blood Glucose Level Examination

Early detection of non-communicable diseases is essential to reduce the growing burden of diabetes mellitus and hypertension at the community level. This study aimed to identify individuals at risk through a community-based health screening program conducted at Graha Mas Residence. A descriptive observational design was applied. Twelve adult participants voluntarily underwent structured anamnesis, systolic blood pressure measurement, and random blood glucose (RBG) testing using a standard glucometer. Data were analyzed descriptively using frequency and percentage distributions. The results showed that 4 participants (33.3%) had RBG levels >150 mg/dl, while 5 participants (41.7%) had systolic blood pressure >140 mmHg. These findings indicate the presence of individuals at potential risk for metabolic and cardiovascular disorders within the community. Elevated random blood glucose levels suggest the need for further confirmatory testing, such as fasting plasma glucose or HbA1c measurement. Meanwhile, increased systolic blood pressure highlights the importance of early hypertension detection and management to prevent future cardiovascular complications. Although the sample size was limited, the proportion of abnormal findings underscores the relevance of community-based screening as a preventive strategy. Early identification allows timely health education, lifestyle modification, and referral to appropriate health services. Integrating routine screening with promotive and preventive interventions may contribute significantly to reducing the incidence and complications of diabetes and hypertension. In conclusion, community health screening is a feasible and practical approach for early risk detection of non-communicable diseases. Strengthening such programs at the local level may support broader public health efforts in controlling metabolic and cardiovascular risk factors.

Ambulatory blood pressure abnormalities and arterial stiffness in children with type 1 diabetes: the role of pulse wave velocity.

An Analytical Study of Heart Rate Variability in Newly Diagnosed Hypertensive Patients and Normotensive Subjects

It is concluded that hypertensive patients have sympathovagal imbalance with increased sympathetic activity and decreased parasympathetic as compared to normotensive subjects.