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Sökning: onr:"swepub:oai:DiVA.org:uu-395430" > Outcome-Driven Thre...

Outcome-Driven Thresholds for Ambulatory Blood Pressure Based on the New American College of Cardiology/American Heart Association Classification of Hypertension

Cheng, Yi-Bang (författare)
Shanghai Jiao Tong Univ, Sch Med, Ctr Epidemiol Studies & Clin Trials, Shanghai, Peoples R China; Shanghai Jiao Tong Univ, Shanghai Inst Hypertens, Shanghai Key Lab Hypertens, Ctr Vasc Evaluat,Ruijin Hosp,Sch Med, Shanghai, Peoples R China
Thijs, Lutgarde (författare)
Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
Zhang, Zhen-Yu (författare)
Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
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Kikuya, Masahiro (författare)
Teikyo Univ, Dept Hyg & Publ Hlth, Sch Med, Tokyo, Japan
Yang, Wen-Yi (författare)
Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
Melgarejo, Jesus D. (författare)
Univ Zulia, Lab Neurociencias, Maracaibo, Venezuela; Univ Zulia, Inst Enfermedades Cardiovasc, Maracaibo, Venezuela
Boggia, Jose (författare)
Univ Republica, Hosp Clin, Ctr Nefrol, Montevideo, Uruguay; Univ Republica, Hosp Clin, Dept Fisiopatol, Montevideo, Uruguay
Wei, Fang-Fei (författare)
Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
Hansen, Tine W. (författare)
Steno Diabet Ctr, Gentofte, Denmark;Ctr Hlth, Gentofte, Capital Region, Denmark
Yu, Cai-Guo (författare)
Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
Asayama, Kei (författare)
Teikyo Univ, Dept Hyg & Publ Hlth, Sch Med, Tokyo, Japan;Tohoku Inst Management Blood Pressure, Dept Planning Drug Dev & Clin Evaluat, Sendai, Miyagi, Japan
Ohkubo, Takayoshi (författare)
Teikyo Univ, Dept Hyg & Publ Hlth, Sch Med, Tokyo, Japan;Tohoku Inst Management Blood Pressure, Dept Planning Drug Dev & Clin Evaluat, Sendai, Miyagi, Japan
Dolan, Eamon (författare)
Stroke & Hypertens Unit, Dublin, Ireland
Stolarz-Skrzypek, Katarzyna (författare)
Jagiellonian Univ, Med Coll, Dept Cardiol Intervent Electrocardiol & Hypertens, Krakow, Poland
Malyutina, Sofia (författare)
Russian Acad Sci, Inst Internal & Prevent Med, Inst Cytol & Genet, Siberian Branch, Novosibirsk, Russia
Casiglia, Edoardo (författare)
Univ Padua, Dept Med, Padua, Italy
Lind, Lars (författare)
Uppsala universitet,Geriatrik,Uppsala Univ, Sect Geriatr, Dept Publ Hlth & Caring Sci, Uppsala, Sweden
Filipovsky, Jan (författare)
Charles Univ Prague, Fac Med, Plzen, Czech Republic
Maestre, Gladys E. (författare)
Univ Zulia, Lab Neurociencias, Maracaibo, Venezuela; Univ Zulia, Inst Enfermedades Cardiovasc, Maracaibo, Venezuela; Univ Texas Rio Grande Valley, Sch Med, Dept Neurosci, Brownsville, TX USA; Univ Texas Rio Grande Valley, Sch Med, Dept Human Genet, Brownsville, TX USA
Imai, Yutaka (författare)
Tohoku Inst Management Blood Pressure, Dept Planning Drug Dev & Clin Evaluat, Sendai, Miyagi, Japan
Kawecka-Jaszcz, Kalina (författare)
Jagiellonian Univ, Med Coll, Dept Cardiol Intervent Electrocardiol & Hypertens, Krakow, Poland
Sandoya, Edgardo (författare)
Asociac Espanola Primera Socorros Mutuos, Montevideo, Uruguay
Narkiewicz, Krzysztof (författare)
Med Univ Gdansk, Dept Hypertens & Diabetol, Hypertens Unit, Gdansk, Poland
Li, Yan (författare)
Shanghai Jiao Tong Univ, Sch Med, Ctr Epidemiol Studies & Clin Trials, Shanghai, Peoples R China; Shanghai Jiao Tong Univ, Shanghai Inst Hypertens, Shanghai Key Lab Hypertens, Ctr Vasc Evaluat,Ruijin Hosp,Sch Med, Shanghai, Peoples R China
O'Brien, Eoin (författare)
Univ Coll Dublin, Conway Inst Biomol & Biomed Res, Dublin, Ireland
Wang, Ji-Guang (författare)
Shanghai Jiao Tong Univ, Sch Med, Ctr Epidemiol Studies & Clin Trials, Shanghai, Peoples R China; Shanghai Jiao Tong Univ, Shanghai Inst Hypertens, Shanghai Key Lab Hypertens, Ctr Vasc Evaluat,Ruijin Hosp,Sch Med, Shanghai, Peoples R China
Staessen, Jan A. (författare)
Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium; Maastricht Univ, Cardiovasc Res Inst Maastricht, Maastricht, Netherlands
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 (creator_code:org_t)
2019
2019
Engelska.
Ingår i: Hypertension. - 0194-911X .- 1524-4563. ; 74:4, s. 776-783
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • The new American College of Cardiology/American Heart Association guideline reclassified office blood pressure and proposed thresholds for ambulatory blood pressure (ABP). We derived outcome-driven ABP thresholds corresponding with the new office blood pressure categories. We performed 24-hour ABP monitoring in 11 152 participants (48.9% women; mean age, 53.0 years) representative of 13 populations. We determined ABP thresholds resulting in multivariable-adjusted 10-year risks similar to those associated with elevated office blood pressure (120/80 mm Hg) and stages 1 and 2 of office hypertension (130/80 and 140/90 mm Hg). Over 13.9 years (median), 2728 (rate per 1000 person-years, 17.9) people died, 1033 (6.8) from cardiovascular disease; furthermore, 1988 (13.8), 893 (6.0), and 795 (5.4) cardiovascular and coronary events and strokes occurred. Using a composite cardiovascular end point, systolic/diastolic outcome-driven thresholds indicating elevated 24-hour, daytime, and nighttime ABP were 117.9/75.2, 121.4/79.6, and 105.3/66.2 mm Hg. For stages 1 and 2 ambulatory hypertension, thresholds were 123.3/75.2 and 128.7/80.7 mm Hg for 24-hour ABP, 128.5/79.6 and 135.6/87.1 mm Hg for daytime ABP, and 111.7/66.2 and 118.1/72.5 mm Hg for nighttime ABP. ABP thresholds derived from other end points were similar. After rounding, approximate thresholds for elevated 24-hour, daytime, and nighttime ABP were 120/75, 120/80, and 105/65 mm Hg, and for stages 1 and 2, ambulatory hypertension 125/75 and 130/80 mm Hg, 130/80 and 135/85 mm Hg, and 110/65 and 120/70 mm Hg. Outcome-driven ABP thresholds corresponding to elevated blood pressure and stages 1 and 2 of hypertension are similar to those proposed by the current American College of Cardiology/American Heart Association guideline.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

blood pressure monitoring
ambulatory
hypertension
United States

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