Association of Office and Ambulatory Blood Pressure With Mortality and Cardiovascular Outcomes

Autor: Yang, Wen-Yi, Melgarejo, Jesus D, Thijs, Lutgarde, Zhang, Zhen-Yu, Boggia, Jose, Wei, Fang-Fei, Hansen, Tine W, Asayama, Kei, Ohkubo, Takayoshi, Jeppesen, Jorgen, Dolan, Eamon, Stolarz-Skrzypek, Katarzyna, Malyutina, Sofia, Casiglia, Edoardo, Lind, Lars, Filipovsky, Jan, Maestre, Gladys E, Li, Yan, Wang, Ji-Guang, Imai, Yutaka, Kawecka-Jaszcz, Kalina, Sandoya, Edgardo, Narkiewicz, Krzysztof, O'Brien, Eoin, Verhamme, Peter, Staessen, Jan A, Mujaj, B, Cauwenberghs, N, Kuznetsova, T, Yang, W-Y, Yu, C-G, Sheng, C-S, Huang, Q-F, Seidlerova, J, Ticha, M, Ibsen, H, Rasmussen, S, Torp-Pedersen, C, Pizzioli, A, Tikhonoff, V, Hashimoto, J, Hoshi, H, Inoue, R, Kikuya, M, Metoki, H, Obara, T, Satoh, H, Totsune, K, Gilis-Malinowska, N, Adamkiewicz-Piejko, A, Cwynar, M, Gasowski, J, Grodzicki, T, Lubaszewski, W, Olszanecka, A, Wizner, B, Wojciechowska, W, Zyczkowska, J, Nikitin, Y, Pello, E, Simonova, G, Voevoda, M, Andren, B, Berglund, L, Bjorklund-Bodegard, K, Zethelius, B, Bianchi, M, Moreira, V, Schettini, C, Schwedt, E, Senra, H
Přispěvatelé: RS: CARIM - R3.02 - Hypertension and target organ damage, RS: Carim - V02 Hypertension and target organ damage
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Ambulatory blood pressure
PREDICTION
Cost-Benefit Analysis
Population
Blood Pressure
01 natural sciences
03 medical and health sciences
0302 clinical medicine
Risk Factors
Internal medicine
Medicine
Humans
CORONARY-HEART-DISEASE
030212 general & internal medicine
Longitudinal Studies
0101 mathematics
Risk factor
education
International Database on Ambulatory Blood Pressure in Relation to Cardiovascular Outcomes (IDACO) Investigators
Stroke
Original Investigation
Proportional Hazards Models
RISK
education.field_of_study
HYPERTENSION
business.industry
Proportional hazards model
010102 general mathematics
Hazard ratio
Blood Pressure Determination
General Medicine
Blood Pressure Monitoring
Ambulatory

Middle Aged
medicine.disease
PREVENTION
Circadian Rhythm
PATTERN
Blood pressure
Cardiovascular Diseases
Cardiology
Female
business
Cohort study
Zdroj: JAMA-Journal of the American Medical Association, 322(5), 409-420. American Medical Association
ISSN: 0098-7484
Popis: IMPORTANCE: Blood pressure (BP) is a known risk factor for overall mortality and cardiovascular (CV)-specific fatal and nonfatal outcomes. It is uncertain which BP index is most strongly associated with these outcomes. OBJECTIVE: To evaluate the association of BP indexes with death and a composite CV event. DESIGN, SETTING, AND PARTICIPANTS: Longitudinal population-based cohort study of 11 135 adults from Europe, Asia, and South America with baseline observations collected from May 1988 to May 2010 (last follow-ups, August 2006-October 2016). EXPOSURES: Blood pressure measured by an observer or an automated office machine; measured for 24 hours, during the day or the night; and the dipping ratio (nighttime divided by daytime readings). MAIN OUTCOMES AND MEASURES: Multivariable-adjusted hazard ratios (HRs) expressed the risk of death or a CV event associated with BP increments of 20/10 mm Hg. Cardiovascular events included CV mortality combined with nonfatal coronary events, heart failure, and stroke. Improvement in model performance was assessed by the change in the area under the curve (AUC). RESULTS: Among 11 135 participants (median age, 54.7 years, 49.3% women), 2836 participants died (18.5 per 1000 person-years) and 2049 (13.4 per 1000 person-years) experienced a CV event over a median of 13.8 years of follow-up. Both end points were significantly associated with all single systolic BP indexes (P
Databáze: OpenAIRE