Sökning: onr:"swepub:oai:lup.lub.lu.se:b90ef90d-068c-46b1-bb24-abadee196659" >
Higher Arm Versus L...
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Clark, Christopher E.University of Exeter
(författare)
Higher Arm Versus Lower Arm Systolic Blood Pressure and Cardiovascular Outcomes : a Meta-Analysis of Individual Participant Data From the INTERPRESS-IPD Collaboration
- Artikel/kapitelEngelska2022
Förlag, utgivningsår, omfång ...
Nummerbeteckningar
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LIBRIS-ID:oai:lup.lub.lu.se:b90ef90d-068c-46b1-bb24-abadee196659
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https://lup.lub.lu.se/record/b90ef90d-068c-46b1-bb24-abadee196659URI
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https://doi.org/10.1161/HYPERTENSIONAHA.121.18921DOI
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Språk:engelska
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Sammanfattning på:engelska
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Klassifikation
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Ämneskategori:art swepub-publicationtype
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Ämneskategori:ref swepub-contenttype
Anmärkningar
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BACKGROUND: Guidelines recommend measuring blood pressure (BP) in both arms, adopting the higher arm readings for diagnosis and management. Data to support this recommendation are lacking. We evaluated associations of higher and lower arm systolic BPs with diagnostic and treatment thresholds, and prognosis in hypertension, using data from the Inter-arm Blood Pressure Difference - Individual Participant Data Collaboration. METHODS: One-stage multivariable Cox regression models, stratified by study, were used to examine associations of higher or lower reading arm BPs with cardiovascular mortality, all-cause mortality, and cardiovascular events, in individual participant data meta-analyses pooled from 23 cohorts. Cardiovascular events were modelled for Framingham and atherosclerotic cardiovascular disease risk scores. Model fit was compared throughout using Akaike information criteria. Proportions reclassified across guideline recommended intervention thresholds were also compared. RESULTS: We analyzed 53 172 participants: mean age 60 years; 48% female. Higher arm BP, compared with lower arm, reclassified 12% of participants at either 130 or 140 mm Hg systolic BP thresholds (both P<0.001). Higher arm BP models fitted better for all-cause mortality, cardiovascular mortality, and cardiovascular events (all P<0.001). Higher arm BP models better predicted cardiovascular events with Framingham and atherosclerotic cardiovascular disease risk scores (both P<0.001) and reclassified 4.6% and 3.5% of participants respectively to higher risk categories compared with lower arm BPs). CONCLUSIONS: Using BP from higher instead of lower reading arms reclassified 12% of people over thresholds used to diagnose hypertension. All prediction models performed better when using the higher arm BP. Both arms should be measured for accurate diagnosis and management of hypertension.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Warren, Fiona C.University of Exeter
(författare)
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Boddy, KateUniversity of Exeter
(författare)
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McDonagh, Sinéad T.J.University of Exeter
(författare)
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Moore, Sarah F.University of Exeter
(författare)
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Teresa Alzamora, Maria
(författare)
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Ramos Blanes, Rafel
(författare)
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Chuang, Shao YuanNational Health Research Institutes Taiwan (NHRI)
(författare)
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Criqui, Michael H.University of California, San Diego
(författare)
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Dahl, MarieViborg Regional Hospital
(författare)
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Engström, GunnarLund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups(Swepub:lu)smi-gen
(författare)
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Erbel, RaimundUniversity Hospital Essen
(författare)
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Espeland, MarkWake Forest University
(författare)
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Ferrucci, LuigiNational Institute on Aging, United States
(författare)
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Guerchet, MaëlennUniversity of Limoges
(författare)
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Hattersley, AndrewUniversity of Exeter
(författare)
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Lahoz, CarlosUniversity Hospital La Paz
(författare)
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McClelland, Robyn L.
(författare)
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McDermott, Mary M.Northwestern University Feinberg School of Medicine
(författare)
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Price, JackieUniversity of Edinburgh
(författare)
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Stoffers, Henri E.Maastricht University
(författare)
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Wang, Ji GuangShanghai Jiao Tong University
(författare)
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Westerink, JanUniversity Medical Center Utrecht
(författare)
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White, James
(författare)
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Cloutier, LyneUniversity of Glasgow,University of Quebec at Trois-Rivières
(författare)
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Taylor, Rod S.University of Exeter
(författare)
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Shore, Angela C.University of Exeter
(författare)
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McManus, Richard J.University of Oxford
(författare)
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Aboyans, VictorUniversity of Limoges,Dupuytren University Hospital
(författare)
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Campbell, John L.University of Exeter
(författare)
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University of ExeterNational Health Research Institutes Taiwan (NHRI)
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Hypertension79:10, s. 2328-23350194-911X
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Till lärosätets databas
- Av författaren/redakt...
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Clark, Christoph ...
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Warren, Fiona C.
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Boddy, Kate
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McDonagh, Sinéad ...
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Moore, Sarah F.
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Teresa Alzamora, ...
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visa fler...
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Ramos Blanes, Ra ...
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Chuang, Shao Yua ...
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Criqui, Michael ...
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Dahl, Marie
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Engström, Gunnar
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Erbel, Raimund
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Espeland, Mark
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Ferrucci, Luigi
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Guerchet, Maëlen ...
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Hattersley, Andr ...
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Lahoz, Carlos
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McClelland, Roby ...
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McDermott, Mary ...
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Price, Jackie
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Stoffers, Henri ...
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Wang, Ji Guang
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Westerink, Jan
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White, James
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Cloutier, Lyne
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Taylor, Rod S.
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Shore, Angela C.
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McManus, Richard ...
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Aboyans, Victor
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Campbell, John L ...
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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Hypertension
- Av lärosätet
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Lunds universitet