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Outcome-Driven Thre...
Outcome-Driven Thresholds for Ambulatory Blood Pressure Based on the New American College of Cardiology/American Heart Association Classification of Hypertension
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- Cheng, Yi-Bang (author)
- 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
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- Thijs, Lutgarde (author)
- Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
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- Zhang, Zhen-Yu (author)
- Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
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- Kikuya, Masahiro (author)
- Teikyo Univ, Dept Hyg & Publ Hlth, Sch Med, Tokyo, Japan
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- Yang, Wen-Yi (author)
- Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
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- Melgarejo, Jesus D. (author)
- Univ Zulia, Lab Neurociencias, Maracaibo, Venezuela; Univ Zulia, Inst Enfermedades Cardiovasc, Maracaibo, Venezuela
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- Boggia, Jose (author)
- Univ Republica, Hosp Clin, Ctr Nefrol, Montevideo, Uruguay; Univ Republica, Hosp Clin, Dept Fisiopatol, Montevideo, Uruguay
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- Wei, Fang-Fei (author)
- Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
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- Hansen, Tine W. (author)
- Steno Diabet Ctr, Gentofte, Denmark;Ctr Hlth, Gentofte, Capital Region, Denmark
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- Yu, Cai-Guo (author)
- Univ Leuven, Res Unit Hypertens & Cardiovasc Epidemiol, KU Leuven, Dept Cardiovasc Sci, Leuven, Belgium
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- Asayama, Kei (author)
- Teikyo Univ, Dept Hyg & Publ Hlth, Sch Med, Tokyo, Japan;Tohoku Inst Management Blood Pressure, Dept Planning Drug Dev & Clin Evaluat, Sendai, Miyagi, Japan
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- Ohkubo, Takayoshi (author)
- Teikyo Univ, Dept Hyg & Publ Hlth, Sch Med, Tokyo, Japan;Tohoku Inst Management Blood Pressure, Dept Planning Drug Dev & Clin Evaluat, Sendai, Miyagi, Japan
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- Dolan, Eamon (author)
- Stroke & Hypertens Unit, Dublin, Ireland
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- Stolarz-Skrzypek, Katarzyna (author)
- Jagiellonian Univ, Med Coll, Dept Cardiol Intervent Electrocardiol & Hypertens, Krakow, Poland
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- Malyutina, Sofia (author)
- Russian Acad Sci, Inst Internal & Prevent Med, Inst Cytol & Genet, Siberian Branch, Novosibirsk, Russia
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- Casiglia, Edoardo (author)
- Univ Padua, Dept Med, Padua, Italy
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- Lind, Lars (author)
- Uppsala universitet,Geriatrik,Uppsala Univ, Sect Geriatr, Dept Publ Hlth & Caring Sci, Uppsala, Sweden
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- Filipovsky, Jan (author)
- Charles Univ Prague, Fac Med, Plzen, Czech Republic
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- Maestre, Gladys E. (author)
- 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
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- Imai, Yutaka (author)
- Tohoku Inst Management Blood Pressure, Dept Planning Drug Dev & Clin Evaluat, Sendai, Miyagi, Japan
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- Kawecka-Jaszcz, Kalina (author)
- Jagiellonian Univ, Med Coll, Dept Cardiol Intervent Electrocardiol & Hypertens, Krakow, Poland
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- Sandoya, Edgardo (author)
- Asociac Espanola Primera Socorros Mutuos, Montevideo, Uruguay
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- Narkiewicz, Krzysztof (author)
- Med Univ Gdansk, Dept Hypertens & Diabetol, Hypertens Unit, Gdansk, Poland
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- Li, Yan (author)
- 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
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- O'Brien, Eoin (author)
- Univ Coll Dublin, Conway Inst Biomol & Biomed Res, Dublin, Ireland
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- Wang, Ji-Guang (author)
- 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
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- Staessen, Jan A. (author)
- 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
- English.
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In: Hypertension. - 0194-911X .- 1524-4563. ; 74:4, s. 776-783
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- blood pressure monitoring
- ambulatory
- hypertension
- United States
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Cheng, Yi-Bang
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Thijs, Lutgarde
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Zhang, Zhen-Yu
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Kikuya, Masahiro
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Yang, Wen-Yi
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Melgarejo, Jesus ...
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show more...
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Boggia, Jose
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Wei, Fang-Fei
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Hansen, Tine W.
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Yu, Cai-Guo
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Asayama, Kei
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Ohkubo, Takayosh ...
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Dolan, Eamon
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Stolarz-Skrzypek ...
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Malyutina, Sofia
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Casiglia, Edoard ...
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Lind, Lars
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Filipovsky, Jan
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Maestre, Gladys ...
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Imai, Yutaka
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Kawecka-Jaszcz, ...
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Sandoya, Edgardo
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Narkiewicz, Krzy ...
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Li, Yan
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O'Brien, Eoin
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Wang, Ji-Guang
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Staessen, Jan A.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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Hypertension
- By the university
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Uppsala University