Home-measured blood pressure is more strongly associated with electrocardiographic left ventricular hypertrophy than is clinic blood pressure: the finn-home study

ABSTRACT Electrocardiographic evidence of left ventricular hypertrophy (ECG-LVH) has a grave prognostic significance in hypertensive patients. The purpose of our study was to assess whether

ECG-LVH is more strongly associated with home-measured blood pressure (BP) than with clinic BP, and whether the correlation between home BP and ECG-LVH increases with the number of home

measurements performed. We studied a representative sample of the general adult population (1989 subjects 45–74 years of age) in Finland. Subjects included in the study underwent a clinical

interview, electrocardiography and measurement of clinic BP (mean of two clinic measurements) and home BP (mean of 14 duplicate home measurements performed during 1 week). Home BP correlated

significantly better than clinic BP with the Sokolow–Lyon voltage (home/clinic systolic: _r_=0.23/0.22, _P_=0.60; diastolic: _r_=0.17/0.12, _P_=0.009), Cornell voltage (systolic:

_r_=0.30/0.25, _P_=0.004; diastolic: _r_=0.21/0.12, _P_<0.001) and Cornell product (systolic: _r_=0.30/0.24, _P_=0.001; diastolic _r_=0.22/0.14, _P_<0.001) criteria of ECG-LVH. The

correlation between home BP and ECG-LVH increased slightly with the number of home measurements, but even the mean of the initial two home BP measurements correlated equally well (systolic

BP), or better (diastolic BP) with ECG-LVH than did clinic BP. In conclusion, home BP measurement allows us to obtain a large number of measurements that have a strong association with

ECG-LVH. Our data support the application of home BP measurement in clinical practice. Access through your institution Buy or subscribe This is a preview of subscription content, access via

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  Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Health and Functional Capacity, National Public Health Institute, Helsinki/Turku, Finland T J Niiranen, A M

Jula, H Karanko & A Reunanen * Department of Medicine, Turku University Hospital, Turku, Finland I M Kantola Authors * T J Niiranen View author publications You can also search for this

author inPubMed Google Scholar * A M Jula View author publications You can also search for this author inPubMed Google Scholar * I M Kantola View author publications You can also search for

this author inPubMed Google Scholar * H Karanko View author publications You can also search for this author inPubMed Google Scholar * A Reunanen View author publications You can also search

for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to T J Niiranen. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Niiranen,

T., Jula, A., Kantola, I. _et al._ Home-measured blood pressure is more strongly associated with electrocardiographic left ventricular hypertrophy than is clinic blood pressure: the

Finn-HOME study. _J Hum Hypertens_ 21, 788–794 (2007). https://doi.org/10.1038/sj.jhh.1002192 Download citation * Received: 09 October 2006 * Revised: 14 February 2007 * Accepted: 20

February 2007 * Published: 19 July 2007 * Issue Date: 01 October 2007 * DOI: https://doi.org/10.1038/sj.jhh.1002192 SHARE THIS ARTICLE Anyone you share the following link with will be able

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initiative KEYWORDS * home blood pressure measurement * electrocardiography * left ventricular hypertrophy * blood pressure measurement