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Mean blood pressure

MedGen UID:
98447
•Concept ID:
C0428886
•
Finding
Synonyms: Arterial Pressure, Mean; Arterial Pressures, Mean; Mean Arterial Pressure; Mean Arterial Pressures; Pressure, Mean Arterial; Pressures, Mean Arterial
SNOMED CT: Mean blood pressure (6797001); MBP - mean blood pressure (6797001)

Definition

A blood pressure that refers to the average over a cardiac cycle [from SNOMEDCT_US]

Professional guidelines

PubMed

Haemodynamic assessment and management of hypotension in the preterm.
Mullaly R, El-Khuffash AF
Arch Dis Child Fetal Neonatal Ed 2024 Feb 19;109(2):120-127. doi: 10.1136/archdischild-2022-324935. PMID: 37173119
Current approach to masked hypertension: From diagnosis to clinical management.
Dolan E, James K
Clin Exp Pharmacol Physiol 2017 Dec;44(12):1272-1278. Epub 2017 Sep 26 doi: 10.1111/1440-1681.12190. PMID: 24283851
Evaluation and treatment of hypertension.
Chou CM
Rheum Dis Clin North Am 1999 Aug;25(3):521-37. doi: 10.1016/s0889-857x(05)70085-5. PMID: 10467627

Recent clinical studies

Etiology

24-Hour Blood Pressure Variability Via Ambulatory Monitoring and Risk for Probable Dementia in the SPRINT Trial.
Sible IJ, Nation DA
J Prev Alzheimers Dis 2024;11(3):684-692. doi: 10.14283/jpad.2024.35. PMID: 38706284Free PMC Article
Blood Pressure Variability and Heart Failure Hospitalization: Results From the Women's Health Initiative.
Haring B, Hunt RP, Manson JE, LaMonte MJ, Klein L, Allison MA, Wild RA, Wallace RB, Shadyab AH, Breathett K, Eaton C, Wassertheil-Smoller S, Shimbo D
Am J Prev Med 2022 Sep;63(3):410-418. Epub 2022 May 4 doi: 10.1016/j.amepre.2022.03.007. PMID: 35525685
Arterial Stiffness and Coronary Ischemia: New Aspects and Paradigms.
Vallée A, Cinaud A, Protogerou A, Zhang Y, Topouchian J, Safar ME, Blacher J
Curr Hypertens Rep 2020 Jan 10;22(1):5. doi: 10.1007/s11906-019-1006-z. PMID: 31925555
Contemporary prediction of preeclampsia.
Scazzocchio E, Figueras F
Curr Opin Obstet Gynecol 2011 Apr;23(2):65-71. doi: 10.1097/GCO.0b013e328344579c. PMID: 21386680
Prognostic significance of visit-to-visit variability, maximum systolic blood pressure, and episodic hypertension.
Rothwell PM, Howard SC, Dolan E, O'Brien E, Dobson JE, Dahlöf B, Sever PS, Poulter NR
Lancet 2010 Mar 13;375(9718):895-905. doi: 10.1016/S0140-6736(10)60308-X. PMID: 20226988

Diagnosis

Haemodynamic assessment and management of hypotension in the preterm.
Mullaly R, El-Khuffash AF
Arch Dis Child Fetal Neonatal Ed 2024 Feb 19;109(2):120-127. doi: 10.1136/archdischild-2022-324935. PMID: 37173119
Contemporary prediction of preeclampsia.
Scazzocchio E, Figueras F
Curr Opin Obstet Gynecol 2011 Apr;23(2):65-71. doi: 10.1097/GCO.0b013e328344579c. PMID: 21386680
Prognostic significance of visit-to-visit variability, maximum systolic blood pressure, and episodic hypertension.
Rothwell PM, Howard SC, Dolan E, O'Brien E, Dobson JE, Dahlöf B, Sever PS, Poulter NR
Lancet 2010 Mar 13;375(9718):895-905. doi: 10.1016/S0140-6736(10)60308-X. PMID: 20226988
Abdominal aortic aneurysm.
Prisant LM, Mondy JS 3rd
J Clin Hypertens (Greenwich) 2004 Feb;6(2):85-9. doi: 10.1111/j.1524-6175.2004.02838.x. PMID: 14872146Free PMC Article
Blood pressure behaviour during physical activity.
Palatini P
Sports Med 1988 Jun;5(6):353-74. doi: 10.2165/00007256-198805060-00002. PMID: 3041529

Therapy

Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial.
McManus RJ, Little P, Stuart B, Morton K, Raftery J, Kelly J, Bradbury K, Zhang J, Zhu S, Murray E, May CR, Mair FS, Michie S, Smith P, Band R, Ogburn E, Allen J, Rice C, Nuttall J, Williams B, Yardley L; HOME BP investigators
BMJ 2021 Jan 19;372:m4858. doi: 10.1136/bmj.m4858. PMID: 33468518Free PMC Article
What Should We Do about Low Blood Pressure in Preterm Infants.
Dempsey EM
Neonatology 2017;111(4):402-407. Epub 2017 May 25 doi: 10.1159/000460603. PMID: 28538235
Blood pressure variability and cardiovascular disease: systematic review and meta-analysis.
Stevens SL, Wood S, Koshiaris C, Law K, Glasziou P, Stevens RJ, McManus RJ
BMJ 2016 Aug 9;354:i4098. doi: 10.1136/bmj.i4098. PMID: 27511067Free PMC Article
Effects of intensive blood pressure lowering on cardiovascular and renal outcomes: updated systematic review and meta-analysis.
Xie X, Atkins E, Lv J, Bennett A, Neal B, Ninomiya T, Woodward M, MacMahon S, Turnbull F, Hillis GS, Chalmers J, Mant J, Salam A, Rahimi K, Perkovic V, Rodgers A
Lancet 2016 Jan 30;387(10017):435-43. Epub 2015 Nov 7 doi: 10.1016/S0140-6736(15)00805-3. PMID: 26559744
Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group.
UK Prospective Diabetes Study Group
BMJ 1998 Sep 12;317(7160):703-13. PMID: 9732337Free PMC Article

Prognosis

Blood pressure variability and cardiovascular disease: systematic review and meta-analysis.
Stevens SL, Wood S, Koshiaris C, Law K, Glasziou P, Stevens RJ, McManus RJ
BMJ 2016 Aug 9;354:i4098. doi: 10.1136/bmj.i4098. PMID: 27511067Free PMC Article
China Kadoorie Biobank of 0.5 million people: survey methods, baseline characteristics and long-term follow-up.
Chen Z, Chen J, Collins R, Guo Y, Peto R, Wu F, Li L; China Kadoorie Biobank (CKB) collaborative group
Int J Epidemiol 2011 Dec;40(6):1652-66. Epub 2011 Sep 21 doi: 10.1093/ije/dyr120. PMID: 22158673Free PMC Article
Treatment of hypertension in patients 80 years of age or older.
Beckett NS, Peters R, Fletcher AE, Staessen JA, Liu L, Dumitrascu D, Stoyanovsky V, Antikainen RL, Nikitin Y, Anderson C, Belhani A, Forette F, Rajkumar C, Thijs L, Banya W, Bulpitt CJ; HYVET Study Group
N Engl J Med 2008 May 1;358(18):1887-98. Epub 2008 Mar 31 doi: 10.1056/NEJMoa0801369. PMID: 18378519
Norepinephrine plus dobutamine versus epinephrine alone for management of septic shock: a randomised trial.
Annane D, Vignon P, Renault A, Bollaert PE, Charpentier C, Martin C, Troché G, Ricard JD, Nitenberg G, Papazian L, Azoulay E, Bellissant E; CATS Study Group
Lancet 2007 Aug 25;370(9588):676-84. doi: 10.1016/S0140-6736(07)61344-0. PMID: 17720019
Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group.
UK Prospective Diabetes Study Group
BMJ 1998 Sep 12;317(7160):703-13. PMID: 9732337Free PMC Article

Clinical prediction guides

24-Hour Blood Pressure Variability Via Ambulatory Monitoring and Risk for Probable Dementia in the SPRINT Trial.
Sible IJ, Nation DA
J Prev Alzheimers Dis 2024;11(3):684-692. doi: 10.14283/jpad.2024.35. PMID: 38706284Free PMC Article
Is there any relation between arterial stiffness and insomnia? A challenging question.
Sunbul EA, Sunbul M, Tastekin N, Ozben B, Sayar N, Gulec H
Sleep Breath 2022 Mar;26(1):333-338. Epub 2021 Jul 24 doi: 10.1007/s11325-021-02445-6. PMID: 34302608
Heterogeneity of prognostic studies of 24-hour blood pressure variability: systematic review and meta-analysis.
Taylor KS, Heneghan CJ, Stevens RJ, Adams EC, Nunan D, Ward A
PLoS One 2015;10(5):e0126375. Epub 2015 May 18 doi: 10.1371/journal.pone.0126375. PMID: 25984791Free PMC Article
Prognostic significance of the morning blood pressure surge in clinical practice: a systematic review.
Sheppard JP, Hodgkinson J, Riley R, Martin U, Bayliss S, McManus RJ
Am J Hypertens 2015 Jan;28(1):30-41. Epub 2014 Oct 14 doi: 10.1093/ajh/hpu104. PMID: 25315474Free PMC Article
Trends in hypertension prevalence (1990-2005) and mean blood pressure (1975-2005) in Portugal: a systematic review.
Pereira M, Carreira H, Vales C, Rocha V, Azevedo A, Lunet N
Blood Press 2012 Aug;21(4):220-6. Epub 2012 Mar 27 doi: 10.3109/08037051.2012.666380. PMID: 22452311

Recent systematic reviews

Blood Pressure and Heart Rate Variability and the Impact on Pregnancy Outcomes: A Systematic Review.
Wilson MG, Bone JN, Mistry HD, Slade LJ, Singer J, von Dadelszen P, Magee LA
J Am Heart Assoc 2024 Mar 5;13(5):e032636. Epub 2024 Feb 27 doi: 10.1161/JAHA.123.032636. PMID: 38410988Free PMC Article
Multiparameters associated to successful weaning from VA ECMO in adult patients with cardiogenic shock or cardiac arrest: Systematic review and meta-analysis.
Burgos LM, Seoane L, Diez M, Baro Vila RC, Furmento JF, Vrancic M, Aissaoui N
Ann Card Anaesth 2023 Jan-Mar;26(1):4-11. doi: 10.4103/aca.aca_79_22. PMID: 36722581Free PMC Article
High versus low blood pressure targets for cardiac surgery while on cardiopulmonary bypass.
Kotani Y, Kataoka Y, Izawa J, Fujioka S, Yoshida T, Kumasawa J, Kwong JS
Cochrane Database Syst Rev 2022 Nov 30;11(11):CD013494. doi: 10.1002/14651858.CD013494.pub2. PMID: 36448514Free PMC Article
Blood pressure variability and cardiovascular disease: systematic review and meta-analysis.
Stevens SL, Wood S, Koshiaris C, Law K, Glasziou P, Stevens RJ, McManus RJ
BMJ 2016 Aug 9;354:i4098. doi: 10.1136/bmj.i4098. PMID: 27511067Free PMC Article
Effects of intensive blood pressure lowering on cardiovascular and renal outcomes: updated systematic review and meta-analysis.
Xie X, Atkins E, Lv J, Bennett A, Neal B, Ninomiya T, Woodward M, MacMahon S, Turnbull F, Hillis GS, Chalmers J, Mant J, Salam A, Rahimi K, Perkovic V, Rodgers A
Lancet 2016 Jan 30;387(10017):435-43. Epub 2015 Nov 7 doi: 10.1016/S0140-6736(15)00805-3. PMID: 26559744

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