{"id":"bb77c8d48448","type":"article","url":"https://hartvaat.nl/2026/01/22/verschil-tussen-klinische-en-ambulante-bloeddruk-en-valrisico-bij-ouderen/","title":"Verschil tussen klinische en ambulante bloeddruk en valrisico bij ouderen","title_en":"Association of Clinic Blood Pressure and Out-of-Clinic Blood Pressure Difference With Falls Among Older Adults With Hypertension","category":"hypertensie","category_label":"Hypertensie","professions":["cardioloog","huisarts","internist"],"tags":["acuut-hartfalen","ambulante-bloeddrukmeting","bisoprolol","bloeddrukbehandeling","dubbele-trombocytenremming","perifeer-vaatlijden","sacubitril-valsartan"],"journal":"Hypertension","doi":"https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.125.25783","source_url":"https://doi.org/https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.125.25783","authors":["Daichi Shimbo"],"significance":6,"published":"2026-01-22","source_date":"2026-01-22","image":"","kennis":["https://hartvaat.nl/kennis/hypertensie/bloeddrukmeting-thuismeting-abpm/","https://hartvaat.nl/kennis/hypertensie/hypertensie-en-ckd/"],"congress":"","summary_en":"This study showed that the difference between clinic and out-of-office blood pressure is not associated with increased falls in older hypertensive adults, addressing a common barrier to antihypertensive treatment intensification.","created":"2026-07-03T10:25:31Z","updated":"2026-07-03T18:38:16Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Angst voor vallen belemmert intensivering van antihypertensiva bij ouderen. Klinische bloeddrukmeting kan verschillen van ambulante metingen. Deze studie onderzocht het verband tussen dit verschil en het valrisico bij oudere hypertensieve patiënten.","abstract_original":"Hypertension, Volume 83, Issue 3, Page e25783, March 1, 2026. BACKGROUND:A barrier to intensification of antihypertensive medication among older adults with hypertension is the perceived risk of falls. Blood pressure (BP) measured in the clinic setting is primarily used to decide whether antihypertensive medication should be intensified. Scarce data exist on whether a lower out-of-clinic BP relative to in-clinic BP is associated with an increased risk of falls among older adults with hypertension.METHODS:The sample included 630 participants, enrolled from May 2019 to November 2022 from Kaiser Permanente Southern California, who were aged ≥65 years, had hypertension, were taking antihypertensive medication, and had not experienced a serious fall injury since their last clinic visit. The primary exposure was quartiles (Qs) of the difference between clinic systolic BP from the electronic health record and awake systolic BP on ambulatory BP monitoring. The primary outcome was time to the f"}