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Associations Between Systolic Interarm Differences in Blood Pressure and Cardiovascular Disease Outcomes and Mortality : Individual Participant Data Meta-Analysis, Development and Validation of a Prognostic Algorithm: The INTERPRESS-IPD Collaboration
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- Clark, Christopher E. (författare)
- University of Exeter
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- Warren, Fiona C. (författare)
- University of Exeter
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- Boddy, Kate (författare)
- University of Exeter
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visa fler...
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- McDonagh, Sinead T.J. (författare)
- University of Exeter
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- Moore, Sarah F. (författare)
- University of Exeter
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- Goddard, John (författare)
- University of Exeter
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- Reed, Nigel (författare)
- University of Exeter
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- Turner, Malcolm (författare)
- University of Exeter
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- Alzamora, Maria Teresa (författare)
- Institut Universitari d’Investigació en Atenció Primària Jordi Gol
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- Ramos Blanes, Rafel (författare)
- Institut Universitari d’Investigació en Atenció Primària Jordi Gol,University of Girona
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- Chuang, Shao Yuan (författare)
- National Health Research Institutes Taiwan (NHRI)
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- Criqui, Michael (författare)
- University of California, San Diego
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- Dahl, Marie (författare)
- Viborg Regional Hospital,Aarhus University
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- Engström, Gunnar (författare)
- Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups
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- Erbel, Raimund (författare)
- University Hospital Essen
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- Espeland, Mark (författare)
- Wake Forest University
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- Ferrucci, Luigi (författare)
- National Institute on Aging, United States
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- Guerchet, Maëlenn (författare)
- University of Limoges
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- Hattersley, Andrew (författare)
- University of Exeter
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- Lahoz, Carlos (författare)
- University Hospital La Paz
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- McClelland, Robyn L. (författare)
- University of Washington
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- McDermott, Mary M. (författare)
- Northwestern University
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- Price, Jackie (författare)
- University of Edinburgh
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- Stoffers, Henri E. (författare)
- Maastricht University
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- Wang, Ji Guang (författare)
- Shanghai Jiao Tong University,Ruijin Hospital
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- Westerink, Jan (författare)
- University Medical Center Utrecht
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- White, James (författare)
- Cardiff University
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- Cloutier, Lyne (författare)
- University of Quebec at Trois-Rivières
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- Taylor, Rod S. (författare)
- University of Glasgow,University of Exeter
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- Shore, Angela C. (författare)
- Royal Devon & Exeter Hospital,University of Exeter
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- McManus, Richard J. (författare)
- University of Oxford
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- Aboyans, Victor (författare)
- University Hospital Of Limoges,University of Limoges
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- Campbell, John L. (författare)
- University of Exeter
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(creator_code:org_t)
- 2021
- 2021
- Engelska 12 s.
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Ingår i: Hypertension. - 1524-4563. ; 77:2, s. 650-661
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Systolic interarm differences in blood pressure have been associated with all-cause mortality and cardiovascular disease. We undertook individual participant data meta-analyses to (1) quantify independent associations of systolic interarm difference with mortality and cardiovascular events; (2) develop and validate prognostic models incorporating interarm difference, and (3) determine whether interarm difference remains associated with risk after adjustment for common cardiovascular risk scores. We searched for studies recording bilateral blood pressure and outcomes, established agreements with collaborating authors, and created a single international dataset: the Inter-arm Blood Pressure Difference - Individual Participant Data (INTERPRESS-IPD) Collaboration. Data were merged from 24 studies (53 827 participants). Systolic interarm difference was associated with all-cause and cardiovascular mortality: continuous hazard ratios 1.05 (95% CI, 1.02-1.08) and 1.06 (95% CI, 1.02-1.11), respectively, per 5 mm Hg systolic interarm difference. Hazard ratios for all-cause mortality increased with interarm difference magnitude from a ≥5 mm Hg threshold (hazard ratio, 1.07 [95% CI, 1.01-1.14]). Systolic interarm differences per 5 mm Hg were associated with cardiovascular events in people without preexisting disease, after adjustment for Atherosclerotic Cardiovascular Disease (hazard ratio, 1.04 [95% CI, 1.00-1.08]), Framingham (hazard ratio, 1.04 [95% CI, 1.01-1.08]), or QRISK cardiovascular disease risk algorithm version 2 (QRISK2) (hazard ratio, 1.12 [95% CI, 1.06-1.18]) cardiovascular risk scores. Our findings confirm that systolic interarm difference is associated with increased all-cause mortality, cardiovascular mortality, and cardiovascular events. Blood pressure should be measured in both arms during cardiovascular assessment. A systolic interarm difference of 10 mm Hg is proposed as the upper limit of normal. Registration: URL: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42015031227.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- blood pressure
- cardiovascular disease
- meta-analysis
- mortality
- risk
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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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, Sinead ...
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Moore, Sarah F.
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Goddard, John
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visa fler...
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Reed, Nigel
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Turner, Malcolm
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Alzamora, Maria ...
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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