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Ambulatory Blood Pressure Monitoring in Individuals with HIV: A Systematic Review and Meta-Analysis

Author

Listed:
  • Shia T Kent
  • Samantha G Bromfield
  • Greer A Burkholder
  • Louise Falzon
  • Suzanne Oparil
  • Edgar T Overton
  • Michael J Mugavero
  • Joseph E Schwartz
  • Daichi Shimbo
  • Paul Muntner

Abstract

Introduction: Abnormal diurnal blood pressure (BP) rhythms may contribute to the high cardiovascular disease risk in HIV-positive (HIV+) individuals. To synthesize the current literature on ambulatory BP monitoring (ABPM) in HIV+ individuals, a systematic literature review and meta-analysis were performed. Methods: Medical databases were searched through November 11, 2015 for studies that reported ABPM results in HIV+ individuals. Data were extracted by 2 reviewers and pooled differences between HIV+ and HIV-negative (HIV-) individuals in clinic BP and ABPM measures were calculated using random-effects inverse variance weighted models. Results: Of 597 abstracts reviewed, 8 studies with HIV+ cohorts met the inclusion criteria. The 420 HIV+ and 714 HIV- individuals in 7 studies with HIV- comparison groups were pooled for analyses. The pooled absolute nocturnal systolic and diastolic BP declines were 3.16% (95% confidence interval [CI]: 1.13%, 5.20%) and 2.92% (95% CI: 1.64%, 4.19%) less, respectively, in HIV+ versus HIV- individuals. The pooled odds ratio for non-dipping systolic BP (nocturnal systolic BP decline

Suggested Citation

  • Shia T Kent & Samantha G Bromfield & Greer A Burkholder & Louise Falzon & Suzanne Oparil & Edgar T Overton & Michael J Mugavero & Joseph E Schwartz & Daichi Shimbo & Paul Muntner, 2016. "Ambulatory Blood Pressure Monitoring in Individuals with HIV: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-17, February.
    • Handle: RePEc:plo:pone00:0148920
    DOI: 10.1371/journal.pone.0148920
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