Prognostic Significance of Electrocardiographic Voltages and Their Serial Changes in Elderly With Systolic Hypertension
Autor: | Peter W. de Leeuw, Hilde Celis, Lutgarde Thijs, Gastone Leonetti, John Webster, Willem H. Birkenhäger, Yair Yodfat, Cinzia Sarti, Christopher J. Bulpitt, Jan A. Staessen, Robert Fagard, Jaakko Tuomilehto |
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Rok vydání: | 2004 |
Předmět: |
Male
medicine.medical_specialty Systole Systolic hypertension Left ventricular hypertrophy Electrocardiography Double-Blind Method Internal medicine Internal Medicine medicine Humans Prospective cohort study Stroke Antihypertensive Agents Aged Proportional Hazards Models medicine.diagnostic_test Proportional hazards model business.industry Nitrendipine Middle Aged Prognosis medicine.disease Blood pressure Cardiovascular Diseases Hypertension Cardiology Female business Follow-Up Studies |
Zdroj: | Hypertension. 44:459-464 |
ISSN: | 1524-4563 0194-911X |
DOI: | 10.1161/01.hyp.0000142169.17298.54 |
Popis: | The aim of the present study was to assess the prognostic value of ECG voltages at baseline and their serial changes during follow-up in a large prospective study with standardized follow-up and strictly defined end points. Patients who were 60 years old or older, with systolic blood pressure of 160 to 219 mm Hg and diastolic pressure P ≤0.01 for all). A 1-mV decrease in electrocardiographic voltages during follow-up independently predicted a lower incidence of cardiac events (relative hazard rate: 0.86; P ≤0.05), but not of stroke or mortality. In conclusion, electrocardiographic voltages at baseline and their serial changes during follow-up predict subsequent events in older patients with systolic hypertension. |
Databáze: | OpenAIRE |
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