{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T10:37:45Z","timestamp":1777545465076,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JRSM Cardiovascular Disease"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypotension is a common clinical finding in diabetic patients on anti-hypertensive medications. In the absence of clearly defined and documented hypotensive episodes, clinicians are faced with the challenge of modifying antihypertensive medication in potentially symptomatic diabetic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the value of ambulatory blood pressure monitor (ABPM) in diagnosing hypotensive episodes in hypertensive diabetic patients with medication-controlled blood pressure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>The records of all hypertensive diabetic patients with medication-controlled were obtained between 2017 and 2018. Patients\u2019 demographic data, comorbid conditions, hypotensive symptoms and echocardiography results were obtained and compared to office-based blood pressure and ABPM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 926 patients screened in the department of medicine outpatient clinics, 231 patients had diabetes and hypertension and were taking antihypertension medications, so only 86 patients were recruited. Using 24\u2009h ABPM, hypotensive events were documented in 65 (75.6%) patients without correlated hypotensive symptoms in the patient sheet. Patients who had hypotensive episodes recorded by ABPM tended to have these between 5 and 10 a.m. and were significantly older \u2013 60.71 versus 58.76 ( P\u2009=\u2009.022) \u2013 and more likely to have lower ejection fractions by echocardiography 46.31 versus 62.85 (EF) ( P\u2009&lt;\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In treated hypertensive diabetic patients with antihypertensive medication, ABPM may be beneficial in capturing bouts of asymptomatic (silent) hypotension readings that occur in the out-of-hospital setting. Diabetic patients with controlled hypertension based on office reading showed a significant number of asymptomatic hypotensive readings detected with ambulatory BP monitoring that can have a role in following up such patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2048004020930883","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T22:44:22Z","timestamp":1592261062000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Value of ambulatory blood pressure measurement in diagnosing hypotension in hypertensive diabetic patients with medication-controlled BP"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1093-5876","authenticated-orcid":false,"given":"Kamal","family":"Alghalayini","sequence":"first","affiliation":[{"name":"Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"bibr1-2048004020930883","unstructured":"International Diabetes Federation. IDF diabetes atlas: sixth edition, www.idf.org\/diabetesatlas\/download-book (accessed 20 July 2014)."},{"key":"bibr2-2048004020930883","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2011.35.4.348"},{"key":"bibr3-2048004020930883","doi-asserted-by":"crossref","unstructured":"Tyrberg M, Melander A, L\u00f6vestam-Adrian M, et\u00a0al. 2007.\u00a0\n                      Retinopathy in subjects with impaired fasting glucose: the NANSY-Eye baseline report.\n                      \u00a0Jul 21.","DOI":"10.1111\/j.1463-1326.2007.00759.x"},{"key":"bibr4-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e3281fc975a"},{"key":"bibr5-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.12.1410"},{"key":"bibr6-2048004020930883","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5359.120691"},{"key":"bibr7-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-53491-0.00022-5"},{"key":"bibr8-2048004020930883","first-page":"72","volume":"107","author":"Farrell C","year":"2014","journal-title":"Ir Med J"},{"key":"bibr9-2048004020930883","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2527"},{"key":"bibr10-2048004020930883","first-page":"4","volume":"1","author":"El Bakkali1 M","year":"2013","journal-title":"J Cardiovasc Dis"},{"key":"bibr11-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(08)70088-7"},{"key":"bibr12-2048004020930883","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb01248.x"},{"key":"bibr13-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1159\/000141920"},{"key":"bibr14-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2007.02.023"},{"key":"bibr15-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2008.81"},{"key":"bibr16-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1001732"},{"key":"bibr17-2048004020930883","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v5.i1.17"},{"key":"bibr18-2048004020930883","first-page":"8","volume":"86","author":"Serov VA","year":"2014","journal-title":"Ter Arkh"},{"key":"bibr19-2048004020930883","first-page":"275","volume":"125","author":"Mudaliar S.","year":"2007","journal-title":"Ind J Med Res"},{"key":"bibr20-2048004020930883","volume":"55","author":"Clement M","year":"2009","journal-title":"Can Fam Physician"},{"key":"bibr21-2048004020930883","doi-asserted-by":"publisher","DOI":"10.2165\/11594650-000000000-00000"},{"key":"bibr22-2048004020930883","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.77a.09118"},{"key":"bibr23-2048004020930883","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-1389"},{"key":"bibr24-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12258"},{"key":"bibr25-2048004020930883","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1990.00390190152026"}],"container-title":["JRSM Cardiovascular Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2048004020930883","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2048004020930883","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2048004020930883","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:33:20Z","timestamp":1777397600000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2048004020930883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":25,"alternative-id":["10.1177\/2048004020930883"],"URL":"https:\/\/doi.org\/10.1177\/2048004020930883","relation":{},"ISSN":["2048-0040","2048-0040"],"issn-type":[{"value":"2048-0040","type":"print"},{"value":"2048-0040","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"2048004020930883"}}