Publications by authors named "R Byfield"
Background: The impact of preventing hypertension and maintaining normal blood pressure (BP) on life expectancy and healthy life expectancy (HLE) among Black adults, who are disproportionately affected by hypertension, has not been quantified.
Methods: We used a discrete event simulation to estimate life expectancy and HLE among a cohort of Black adults from the Jackson Heart Study (n=4933) from age 20 to 100 years or until death. We modeled preventing hypertension as having BP <130/80 mm Hg and maintaining normal BP as having BP <120/80 mm Hg across the lifespan.
Background: Clinical inertia is common when blood pressure (BP) is high in the office. Little is known about the extent of clinical inertia after ambulatory BP monitoring (ABPM).
Methods: This was an electronic health record-based retrospective cohort study of patients with high office BP (≥140/90 mmHg) referred for ABPM at a medical center in New York City between 2016 and 2020.
The diagnosis and management of hypertension have been based primarily on blood pressure (BP) measurement in the office setting. Higher out-of-office BP is associated with increased risk of cardiovascular disease, independent of office BP. Home BP monitoring (HBPM) consists of the measurement of BP by a person outside of the office at home and is a validated approach for out-of-office BP measurement.
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- The study highlights the unknown long-term effects of hypertension in youth, despite its rising rates and high adult cardiovascular mortality.
- The Study of the Epidemiology of Pediatric Hypertension (SUPERHERO) aims to address past research limitations by gathering a large, diverse registry of youth with hypertension through standardized electronic health records.
- SUPERHERO focuses on improving cardiovascular outcomes and developing top-notch biomedical informatics methods for managing youth hypertension, with inclusion criteria for patients under 19 with specific hypertension disorders.