{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:16:56Z","timestamp":1792700216002,"version":"4.5.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2017,2,2]]},"abstract":"\n Background<\/jats:title>\n \n Cardiovascular morbidity and mortality was reduced by 25% when blood pressure (\n BP<\/jats:styled-content>\n ) was targeted to 120\u00a0mm\u00a0Hg systolic compared with 140\u00a0mm\u00a0Hg systolic in Systolic Blood Pressure Intervention Trial (SPRINT); however,\n BP<\/jats:styled-content>\n was measured using a research technique.\n SPRINT<\/jats:styled-content>\n specified 5\u00a0minutes of seated rest in a quiet room followed by 3 oscillometric measurements without an observer in the room. The relationship of this research\u2010grade methodology to routine\n BP<\/jats:styled-content>\n measurements is not known.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n Among 275 people with chronic kidney disease who had\n BP<\/jats:styled-content>\n <140\/90\u00a0mm\u00a0Hg when they came to the clinic, we measured\n BP<\/jats:styled-content>\n as in\n SPRINT<\/jats:styled-content>\n and recorded\n BP<\/jats:styled-content>\n on the same day without specification of seated rest. Compared with routine measurement, the research\u2010grade systolic\n BP<\/jats:styled-content>\n was 12.7\u00a0mm\u00a0Hg lower with wide limits of agreement (\u221246.1 to 20.7\u00a0mm\u00a0Hg). Research grade systolic\n BP<\/jats:styled-content>\n was 7.9\u00a0mm\u00a0Hg lower than daytime ambulatory systolic\n BP<\/jats:styled-content>\n and had wide agreement limits (\u221233.2 to 17.4\u00a0mm\u00a0Hg). Whereas the routine, research\u2010grade, and daytime ambulatory systolic\n BP<\/jats:styled-content>\n were all related to echocardiographic left ventricular hypertrophy, the strength of the relationship between research\u2010grade and daytime ambulatory systolic\n BP<\/jats:styled-content>\n to left\u00a0ventricular hypertrophy was similar and stronger than the strength of the relationship between routine systolic\n BP<\/jats:styled-content>\n and left ventricular hypertrophy.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Taken together, these results suggest that translation of the\n SPRINT<\/jats:styled-content>\n results will require measurement of\n BP<\/jats:styled-content>\n as performed in that trial. Instead of an algebraic manipulation of routine clinic measurements, the\n SPRINT<\/jats:styled-content>\n methodology of\n BP<\/jats:styled-content>\n measurement would be needed at minimum if implementation of the\n SPRINT<\/jats:styled-content>\n results were to be deployed in the population at large.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.116.004536","type":"journal-article","created":{"date-parts":[[2017,2,4]],"date-time":"2017-02-04T01:10:44Z","timestamp":1486170644000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":121,"title":["Implications of Blood Pressure Measurement Technique for Implementation of Systolic Blood Pressure Intervention Trial (SPRINT)"],"prefix":"10.1161","volume":"6","author":[{"given":"Rajiv","family":"Agarwal","sequence":"first","affiliation":[{"name":"Indiana University School of Medicine and Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, IN"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1511939"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.7050"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2015030243"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00126097-200208000-00006"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00126097-200104000-00007"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(03)00085-4"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.115.07052"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.58.6.1072"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(86)90771-X"},{"key":"e_1_3_4_12_2","first-page":"55","article-title":"Evaluation of three devices for self\u2010measurement of blood pressure according to the revised British Hypertension Society Protocol: the Omron HEM\u2010705CP, Philips HP5332, and Nissei DS\u2010175","volume":"1","author":"O'Brien E","year":"1996","unstructured":"O'Brien E, Mee F, Atkins N, Thomas M. Evaluation of three devices for self\u2010measurement of blood pressure according to the revised British Hypertension Society Protocol: the Omron HEM\u2010705CP, Philips HP5332, and Nissei DS\u2010175. Blood Press Monit. 1996;1:55\u201361.","journal-title":"Blood Press Monit"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-199106000-00016"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2016.02.066"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d286"},{"key":"e_1_3_4_17_2","first-page":"484","article-title":"Blood pressure rising: differences between current clinical and recommended measurement techniques","volume":"5","author":"Burgess SE","year":"2011","unstructured":"Burgess SE, MacLaughlin EJ, Smith PA, Salcido A, Benton TJ. Blood pressure rising: differences between current clinical and recommended measurement techniques. J Am Soc Hypertens. 2011;5:484\u2013488.","journal-title":"J Am Soc Hypertens"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e3283577b05"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1001286"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60852-1"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/MBP.0b013e3280858d5b"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.116.004536","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T10:55:22Z","timestamp":1715597722000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.116.004536"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,2]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2,2]]}},"alternative-id":["10.1161\/JAHA.116.004536"],"URL":"https:\/\/doi.org\/10.1161\/jaha.116.004536","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,2]]},"assertion":[{"value":"2016-08-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-12-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-02-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e004536"}}