Rheumatoid arthritis

Ambulatory Blood Pressure in Patients With Rheumatoid Arthritis: Association With Immune Activation

J RheumatolPublished Cross-sectional study

Authors' conclusion

Despite similar office measurements, 24-hour and nocturnal SBP measurements were higher in patients with RA than in control participants and were strongly associated with inflammation.

Study context

Population
Patients with rheumatoid arthritis (RA) and control participants wearing an ambulatory blood pressure (BP) monitor
Participants
46 vs 23
Exposure
RA vs control participants
  • RAn = 46
  • Controln = 23reference
Outcome
Ambulatory 24-hour BP and its association with immune activation

Main finding

As reported in the abstract

Median 24-hour ambulatory SBP

P = 0.01

Observational data: associations, not effects.

Further findings

Median diurnal ambulatory SBP

P = 0.003

Median nocturnal ambulatory SBP

P = 0.002

Nocturnal DBP

P = 0.02

Nocturnal BP dipping

P = 0.02

Nocturnal diastolic BP (DBP)

Other DBP measurements were similar

Association with inflammatory mediators (RA)

In RA, higher 24-hour and nocturnal systolic BP (SBPs) and less nocturnal dipping strongly correlated with a wide range of inflammatory mediators
  • Spearman correlation

Original publication

Ambulatory Blood Pressure in Patients With Rheumatoid Arthritis: Association With Immune Activation. J Rheumatol. Published 15 May 2024. doi:10.3899/jrheum.2024-0205

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