The statistical analysis of treatment effects in 24-hour ambulatory blood pressure recordings.

This paper presents a statistical analysis of treatment effects in 24-hour ambulatory blood pressure recordings. The statistical models account for circadian rhythms, subject effects, and the effects of treatment with drugs or relaxation therapy. In view of the heterogeneity of the subjects, we fit a separate linear model to the data of each subject, use robust statistical procedures to estimate the parameters of the linear models, and trim the data on a subject by subject basis. We use a meta-analytical method to combine the results of all subjects in the study.

[1]  G. Weissmann THE WAITING OUTPATIENT. , 1964, Lancet.

[2]  S. R. Searle,et al.  The theory of linear models and multivariate analysis , 1981 .

[3]  M. Thompson,et al.  Loss of nocturnal decline in blood pressure after cardiac transplantation. , 1986, Circulation.

[4]  R. Mcdonald,et al.  Relaxation Therapy for Hypertension: Comparison of Effects With Concomitant Placebo, Diuretic, and ß-Blocker , 1986 .

[5]  E. Raftery,et al.  PATTERNS OF BLOOD-PRESSURE DURING CHRONIC ADMINISTRATION OF POSTGANGLIONIC SYMPATHETIC BLOCKING DRUGS FOR HYPERTENSION , 1976, The Lancet.

[6]  B. Gould,et al.  DOES PLACEBO LOWER BLOOD-PRESSURE? , 1981, The Lancet.

[7]  A. Sakaguchi,et al.  Home blood pressure and circadian variation of blood pressure in the evaluation of hypertensive patients. , 1981, Japanese circulation journal.

[8]  S. Rubler,et al.  Ambulatory blood pressure monitoring in diabetic males: A method for detecting blood pressure elevations undisclosed by conventional methods , 1982, Clinical cardiology.

[9]  E. Raftery,et al.  Physical activity and the circadian rhythm of blood pressure. , 1979, Clinical science.

[10]  A. Dupont,et al.  Nadolol in essential hypertension: effect on ambulatory blood pressure, renal haemodynamics and cardiac function. , 1985, British journal of clinical pharmacology.

[11]  H. Kraemer,et al.  Relaxation training. Blood pressure lowering during the working day. , 1982, Archives of general psychiatry.

[12]  A. J. Honour,et al.  VARIATION IN ARTERIAL PRESSURE THROUGHOUT THE DAY AND NIGHT. , 1964, Clinical science.

[13]  L Denby,et al.  A quantitative analysis of the effects of activity and time of day on the diurnal variations of blood pressure. , 1987, Journal of chronic diseases.

[14]  S G Blank,et al.  The influence of happiness, anger, and anxiety on the blood pressure of borderline hypertensives. , 1986, Psychosomatic medicine.

[15]  J. H. Carroll,et al.  A CLINICAL STUDY OF THE EFFECTS OF SLEEP AND REST ON BLOOD-PRESSURE , 1912 .

[16]  E. Raftery,et al.  CIRCADIAN VARIATION OF BLOOD-PRESSURE , 1978, The Lancet.

[17]  L. Hedges,et al.  Statistical Methods for Meta-Analysis , 1987 .

[18]  G Parati,et al.  Blood pressure variability in man: its relation to high blood pressure, age and baroreflex sensitivity. , 1980, Clinical science.

[19]  J. Ware Linear Models for the Analysis of Longitudinal Studies , 1985 .

[20]  W. Littler,et al.  Continuous ambulatory monitoring of blood pressure and assessment of cardiovascular reflexes in the elderly hypertensive. , 1984, Journal of hypertension.

[21]  U. de Faire,et al.  Monitoring 24-hour blood pressure in a drug trial. Evaluation of a noninvasive device. , 1985, Hypertension.

[22]  R M Flinn,et al.  Factors Determining Direct Arterial Pressure and Its Variability in Hypertensive Man , 1980, Hypertension.

[23]  J. Laragh,et al.  Situational Variations of Blood Pressure in Ambulatory Hypertensive Patients , 1982, Psychosomatic medicine.

[24]  K. D. Straub,et al.  Chronobiology of human blood pressure in the light of static (room-restricted) automatic monitoring. , 1984, Chronobiologia.

[25]  D. Mattingly,et al.  INTRACRANIAL HYPERTENSION AND STEROIDS. , 1964, Lancet.

[26]  B. T. Engel,et al.  Behavioral Treatment of High Blood Pressure. I. Analyses of Intra‐ and Interdaily Variations of Blood Pressure During A One‐Month, Baseline Period , 1981, Psychosomatic medicine.

[27]  P Sleight,et al.  Statistical analysis of the 24 hour blood pressure using pressure frequency histograms. , 1976, Postgraduate medical journal.

[28]  G. Calcagnini,et al.  Fully automated ambulatory blood pressure in the diagnosis and therapy of hypertension , 1983, Clinical cardiology.

[29]  R. Schneider,et al.  Twenty-four hour automatic monitoring of blood pressure and heart rate at work and at home. , 1975, American heart journal.

[30]  F Halberg,et al.  Cardiovascular reference data base for recognizing circadian mesor- and amplitude-hypertension in apparently healthy men. , 1984, Chronobiologia.

[31]  T. Ingall,et al.  SUPINE HYPERTENSION, BLOOD PRESSURE VARIABILITY AND CIRCADIAN RHYTHM IN AUTONOMIC FAILURE: THE ROLE OF AMBULATORY INTRA‐ARTERIAL MONITORING , 1984, Clinical and experimental pharmacology & physiology.

[32]  J. Laragh,et al.  Blood pressure during normal daily activities, sleep, and exercise. Comparison of values in normal and hypertensive subjects. , 1982, JAMA.

[33]  F. J. Ensell,et al.  ATMOSPHERIC OZONE AND FEMORAL FRACTURES , 1975, The Lancet.

[34]  M. Sokolow,et al.  The prognostic value of ambulatory blood pressures. , 1983, JAMA.

[35]  F Halberg,et al.  Inferential statistical methods for estimating and comparing cosinor parameters. , 1982, Chronobiologia.

[36]  L. Hill ON REST, SLEEP, AND WORK AND THE CONCOMITANT CHANGES IN THE CIRCULATION OF THE BLOOD. , 1898 .

[37]  H. Rüddel,et al.  The standardized mental stress test protocol: test-retest reliability and comparison with ambulatory blood pressure monitoring. , 1985, Psychophysiology.

[38]  C. Morris Parametric Empirical Bayes Inference: Theory and Applications , 1983 .

[39]  W. Littler Sleep and blood pressure: further observations. , 1979, American heart journal.

[40]  Bevan At,et al.  Direct arterial pressure recording in unrestricted man. , 1969 .

[41]  E B Raftery,et al.  Circadian variation of blood pressure in autonomic failure. , 1983, Circulation.

[42]  Søren Johansen Functional Relations, Random Coefficients, and Nonlinear Regression with Application to Kinetic Data , 1984 .

[43]  P. Sleight,et al.  Neural and humoral mechanisms involved in blood pressure variability. , 1984, Journal of hypertension.

[44]  S. Weisberg,et al.  Residuals and Influence in Regression , 1982 .

[45]  A. J. Honour,et al.  Variability of automatic blood pressure measurements over 24 hour periods. , 1969, Clinical science.

[46]  R. Watson,et al.  The influence of physical activity on arterial pressure during ambulatory recordings in man. , 1980, Clinical science.

[47]  K. Bachmann,et al.  [Blood-pressure telemetry. Continuous and direct measurement of blood pressure in everyday life and sport]. , 1970, Deutsche medizinische Wochenschrift.

[48]  A data-based method for bivariate outlier detection: application to automatic blood pressure recording devices. , 1987, Psychophysiology.

[49]  W. White,et al.  Effects of chronic nitrendipine on casual (office) and 24‐hour ambulatory blood pressure , 1985, Clinical pharmacology and therapeutics.

[50]  D. Bonaduce,et al.  Evaluation of the Efficacy of Slow‐Release Nifedipine in Systemic Hypertension by Ambulatory Intraarterial Blood Pressure Monitoring , 1985, Journal of cardiovascular pharmacology.

[51]  M. Sokolow,et al.  Preliminary studies relating portably recorded blood pressures to daily life events in patients with essential hypertension. , 1970, Bibliotheca psychiatrica.