myocardial infarction, angina pectoris, heart failure, cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage, aortic dissection, peripheral arterial disease, hypertension, diabetes mellitus, hyperlipidemia, atrial fibrillation, chronic kidney disease, chronic obstructive pulmonary disease, sleep apnea syndrome, hyperuricemia
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who meet all the following criteria will be eligible for this study. 1) Patients with at least one history of the following cardiovascular diseases *1 or patients with at least one of the following cardiovascular risk factors *2 2) wrist circumference: 13.5-21.5cm *1: Cerebrovascular disease (cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage), myocardial infarction, angina pectoris, aortic dissection, peripheral arterial disease, or heart failure * 2: Diabetes mellitus, hyperlipidemia, hypertension (hypertension with antihypertensivetreatment or untreated hypertension with office BP>130/80 mmHg), chronic kidney disease (CKD), atrial fibrillation, sleep apnea syndrome, chronic obstructive pulmonary disease, hyperuricemia, or current smoking
Exclusion criteria
Exclusion criteria: Patients who meet the following exclusion criteria: 1) Shift worker (those who are engaged in night shifts more than 3 days a week) 2) Patients who have history of cerebrovascular disease (exclude asymptomatic and transient) within 6 months before enrollment. 3) Patients with chronic renal failure on hemodialysis 4) Other serious diseases (cancer, collagen disease, etc.). However, patients who have been confirmed to be in remission or cure of cancer can be registered. 5) Patients using a pacemaker
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Relationship between the average of wrist-measured nighttimeblood pressure values and the onset of major cardiovascular events Major cardiovascular events: total death, cardiovascular death, sudden death, ischemic heart disease (acute myocardial infarction, angina pectoris), cerebrovascular disease (cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage), aortic dissection, and hospitalization by heart failure, enhanced treatment of worsening heart failure symptoms | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Relationship between the average of wrist-measured nighttimeblood pressure values and the onset of the following diseases; New onset of atrial fibrillation, peripheral arterial disease, deterioration of renal function (including initiation of chronic dialysis), diabetes mellitus, or onset of gout attack 2) Relationship between the mean value of each wrist BP measurement point (2 o'clock, 3 o'clock, 4 o'clock, 4 hours after going to bed, morning, or evening) and the onset of cardiovascular disease 3) Relationship between the wrist BP changes (from baseline to 1-year-later) and the onset of cardiovascular event | — |
Countries
Japan
Contacts
Jichi Medical University School of Medicine Division of Cardiovascular, Medicine, Department of Medicine