Left ventricular hypertrophy by Sokolow-Lyon voltage criterion predicts mortality in overweight hypertensive subjects.

Abstract:

:In view of the low sensitivity of Sokolow-Lyon voltage criteria in the assessment of electrocardiographic left ventricular hypertrophy (ECG LVH) in overweight subjects, we determined its clinical utility in 1840 lean and 3555 overweight subjects with hypertension. They were followed prospectively over an average of 11 years by the Department of Health and Social Security Hypertension Care Computer Project. LVH was determined at baseline using the Sokolow-Lyon criterion that is, the amplitude voltage SV1+(max RV5 or RV6) > or =3.5 mV. Overweight status was defined as body mass index (BMI) > or =25 kg m(-2). Prevalence of ECG LVH was 16% in lean and 12% in overweight women, 35 and 20% in lean and overweight men. For each 0.1 mV increase in ECG voltage as a continuous variable, the age and sex adjusted risk of stroke, coronary heart disease and cardiovascular disease (CVD) mortality increased significantly by 3.0, 1.5 and 1.8% in overweight subjects and by 2.8, 1.8 and 2.4% in lean subjects. After additional adjustments for smoking, blood glucose and serum cholesterol concentration in a subgroup of 654 lean and 1281 overweight subjects with complete information on these variables, an increasing voltage still significantly predicted stroke and CVD mortality in overweight subjects. The excess high risk of dying was evident especially in women with LVH in the highest BMI quartiles. When ECG detects LVH in overweight subjects, it is a good predictor of mortality despite the lower sensitivity in this group.

journal_name

J Hum Hypertens

authors

Antikainen RL,Grodzicki T,Beevers DG,Webster J,Jokelainen JJ,Bulpitt CJ

doi

10.1038/jhh.2008.102

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

20-6

issue

1

eissn

0950-9240

issn

1476-5527

pii

jhh2008102

journal_volume

23

pub_type

杂志文章,多中心研究
  • Comparative effects of amlodipine and felodipine ER on office and ambulatory blood pressure in patients with mild to moderate hypertension. Danish Multicentre Group.

    abstract::The anti-hypertensive efficacy and safety of extended-release (ER) felodipine (5, 10 or 20 mg) and amlodipine (5 or 10 mg) once daily were compared in patients with mild to moderate essential hypertension in a double-blind, double-dummy, randomised, comparative study. One hundred and eighteen patients were randomised ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Høegholm A,Wiinberg N,Rasmussen E,Nielsen PE

    更新日期:1995-03-01 00:00:00

  • Resistant hypertension, obstructive sleep apnoea and aldosterone.

    abstract::Obstructive sleep apnoea (OSA) and hypertension commonly coexist. Observational studies indicate that untreated OSA is strongly associated with an increased risk of prevalent hypertension, whereas prospective studies of normotensive cohorts suggest that OSA may increase the risk of incident hypertension. Randomized ev...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2011.47

    authors: Dudenbostel T,Calhoun DA

    更新日期:2012-05-01 00:00:00

  • Increased expression of miR-33a in monocytes from Mexican hypertensive patients in elevated carotid intima-media thickness.

    abstract::miR-33a has been described as a key regulator in the initiation and progression of atherosclerosis. However, its role in arterial hypertension (HTA) has not been elucidated. Therefore, the aim of this study was to determine the association between the expression of miR-33a (5p and 3p) and the carotid intima-media thic...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-018-0102-x

    authors: Torres-Paz YE,Huesca-Gómez C,Sánchez-Muñoz F,Martínez-Alvarado R,Soto ME,Torres-Tamayo M,Fuentevilla-Álvarez G,Gamboa R

    更新日期:2018-10-01 00:00:00

  • Blood pressure in young adults with and without a paternal history of premature coronary heart disease in Europe: the EARS Study. European Arteriosclerosis Study.

    abstract:OBJECTIVE:The European Arteriosclerosis Study (EARS) was designed to identify variables which discriminate subjects with a paternal history of premature coronary heart disease (CHD) from controls and to study the distribution of these variables across Europe. In this article we report on the blood pressure (BP) data. ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Masana L,Farinaro E,De Henauw S,Nicaud V

    更新日期:1996-04-01 00:00:00

  • Physiopharmacological approach to mechanical factors of hypertension in the atherosclerotic process.

    abstract::Hypertension may influence the atherosclerotic process of large arteries via pressure and shear forces. The pressure force dilates and stiffens arteries because of the non-linear elastic behaviour of arterial walls. This partly explains the increased diameter and decreased compliance of the brachial artery in hyperten...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Simon AC,Pithois-Merli I,Levenson J

    更新日期:1991-08-01 00:00:00

  • Effect of oral calcium supplementation on blood pressure in patients with previously untreated hypertension: a randomised, double-blind, placebo-controlled, crossover study.

    abstract::It has been claimed that calcium lowers BP. The present randomised, double-blind, placebo-controlled crossover study is the first to investigate the effect on BP of a high oral dose of calcium given for a long period to patients with previously untreated hypertension. Elemental calcium (2 g) was administered for 12 we...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Galløe AM,Graudal N,Møller J,Bro H,Jørgensen M,Christensen HR

    更新日期:1993-02-01 00:00:00

  • Abnormalities of rheology and coagulation in hypertension.

    abstract::While the arterial tree is exposed to increased pressure flow, paradoxically the complications of hypertension are mainly thrombotic rather than haemorrhage. Improved techniques have allowed the identification of haemorrheological indices, coagulation factors and markers of arteriolar endothelial and platelet dysfunct...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Lip GY,Beevers DG

    更新日期:1994-09-01 00:00:00

  • For how many days should blood pressure be measured at home in older patients before steady levels are obtained?

    abstract::This study investigated the period of time that blood pressure (BP) should be measured at home in older patients in order to obtain steady BP values. Thirty-six men and 38 women (> or =60 years) were recruited at one family practice. At one office visit the family physician measured supine, sitting and standing BPs th...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000517

    authors: Celis H,De Cort P,Fagard R,Thijs L,Staessen JA

    更新日期:1997-10-01 00:00:00

  • Hypertensive epigenetics: from DNA methylation to microRNAs.

    abstract::The major epigenetic features of mammalian cells include DNA methylation, posttranslational histone modifications and RNA-based mechanisms including those controlled by small non-coding RNAs (microRNAs (miRNAs)). An important aspect of epigenetic mechanisms is that they are potentially reversible and may be influenced...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2014.132

    authors: Wang J,Gong L,Tan Y,Hui R,Wang Y

    更新日期:2015-10-01 00:00:00

  • In vivo and in vitro studies of the role of HDL in platelet activation in normotensive and hypertensive subjects.

    abstract::The influence of high density lipoproteins (HDL) on platelet function were examined in vivo and in vitro. Intraplatelet, ionised calcium concentrations ([Ca2+]i) were measured using the fluorescent dye Quin-2. In vitro, platelet responses to AVP were measured in the presence or absence of HDL. Pre-treating platelets f...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Graham D,Simpson HD,Dominiczak AF,Caslake M,Davies DL,Kenyon CJ

    更新日期:1995-09-01 00:00:00

  • Sagittal abdominal diameter is associated with insulin sensitivity in Chinese hypertensive patients and their siblings.

    abstract::The purpose of the study is to observe the relation between anthropometric measurements, focusing on sagittal abdominal diameter (SAD), and insulin sensitivity indices in Chinese hypertensive patients and their siblings. In total, 907 participants, 537 hypertensive and 370 nonhypertensive, from 311 Taiwanese families ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,多中心研究

    doi:10.1038/sj.jhh.1001532

    authors: Hwu CM,Hsiao CF,Sheu WH,Pei D,Tai TY,Quertermous T,Rodriguez B,Pratt R,Chen YD,Ho LT

    更新日期:2003-03-01 00:00:00

  • Prevalence, awareness, treatment, and control of hypertension in the Czech Republic. Results of two nationwide cross-sectional surveys in 1997/1998 and 2000/2001, Czech Post-MONICA Study.

    abstract::Hypertension is an easily diagnosed and eminently modifiable risk factor for the development of all clinical manifestations of atherosclerosis. Despite the availability of a simple, non-invasive, and rather accurate method of measuring blood pressure (BP), and overwhelming evidence that reducing BP effectively prevent...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001686

    authors: Cífková R,Skodová Z,Lánská V,Adámková V,Novozámská E,Jozífová M,Plásková M,Hejl Z,Petrzílková Z,Galovcová M,Palous D

    更新日期:2004-08-01 00:00:00

  • Distribution of blood pressure and prevalence of hypertension in Tehran adult population: Tehran Lipid and Glucose Study (TLGS), 1999-2000.

    abstract::The purpose of this study was to estimate the current prevalence and distribution of hypertension in an adult Tehranian population. Data were collected for 3343 men and 5148 women aged 20-69 years in the Tehran Lipid and Glucose Study (TLGS), which is a cross-sectional phase of a large epidemiologic study, first estab...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001399

    authors: Azizi F,Ghanbarian A,Madjid M,Rahmani M

    更新日期:2002-05-01 00:00:00

  • The association between total homocysteine and blood pressure in two independent Chinese populations.

    abstract::Hypertension and hyperhomocystinemia have a joint effect on the risk of stroke. We aimed to evaluate the relationship between plasma total homocysteine (tHcy) and blood pressure in two independent Chinese populations. Four thousand five hundred and fifty-five participants who underwent health examinations between Marc...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-019-0288-6

    authors: Weng H,Li Y,Fan F,Yang H,Zhou G,Sun P,Liu S,Yi T,Huo Y,Li J

    更新日期:2020-09-01 00:00:00

  • Comparison of cilazapril and nifedipine retard on ambulatory blood pressure, metabolic, rheological and platelet function in hypertensive patients.

    abstract::In a 12 week randomised, double-blind study, a total of 31 patients with a sitting DBP of between 95 and 115 mmHg were enrolled for comparison of the antihypertensive, metabolic and antiplatelet effects of the drugs cilazapril and nifedipine retard. A two week placebo treatment was given before either cilazapril (2.5 ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Ding YA,Law HW,Chou TC

    更新日期:1994-02-01 00:00:00

  • Microalbuminuria in essential hypertension.

    abstract::The prevalence of microalbuminuria in patients with essential hypertension ranges between 10 and 25%. The level of albuminuria is highly correlated with arterial pressure and more closely ambulatory arterial pressure. The interaction between albuminuria and arterial pressure is clearly enhanced by overweight and smoki...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Mimran A,Ribstein J

    更新日期:1996-10-01 00:00:00

  • Pre-awakening diastolic hypotension in treated hypertensive patients: prevalence and predictors.

    abstract::In the pre-awakening hours, diastolic blood pressure (DBP) is normally at its lowest, and diastolic hypotension is a risk factor for cardiac ischemia. We investigated pre-awakening DBP values and its predictors in treated hypertensive patients who underwent ambulatory blood pressure monitoring. The pre-awakening perio...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2015.80

    authors: Zheng KH,Serné EH,Kooter AJ,Smulders YM

    更新日期:2016-05-01 00:00:00

  • Ambulatory pulse pressure as a novel predictor for long-term prognosis in essential hypertensive patients.

    abstract::The prognostic value of ambulatory blood pressure (BP) monitoring for long-term prognosis varies in recent studies. The study aimed to investigate the role of ambulatory BP parameters in mortality and cardiovascular (CV) events in hypertensive patients. A series of 412 participants (59.3 ± 4.0 years) who received ambu...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2010.80

    authors: Kao YT,Huang CC,Leu HB,Wu TC,Huang PH,Lin SJ,Chen JW

    更新日期:2011-07-01 00:00:00

  • Trends of hypertension prevalence, awareness, treatment and control in rural areas of northern China during 1991-2011.

    abstract::This study aims to investigate the trends in prevalence, awareness, treatment and control of hypertension among rural residents aged 35-74 years in northern China during the country's rapid economic development from 1991 to 2011. Two surveys, conducted in 1991 and 2011, included 2196 and 1939 participants aged 35-74 y...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2013.44

    authors: Wang J,Ning X,Yang L,Lu H,Tu J,Jin W,Zhang W,Su TC

    更新日期:2014-01-01 00:00:00

  • High blood pressure in the Western Isles: a comparative study with Dundee.

    abstract::A screening programme for cardiovascular risk factors in men aged 50-59 was undertaken in North Uist, and the results compared with an age- and sex-matched control group from Dundee screened as part of the Scottish Heart Health Study. Blood pressure levels were higher in the Islanders than in controls (148 +/- 20/89 +...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Lafferty ME,Isles CG,MacLeod JA,McLenachan JM,Lever AF,Tunstall-Pedoe H,Smith WC

    更新日期:1988-08-01 00:00:00

  • Ethnic differences in the renal dopamine response to an oral salt load.

    abstract::Dopamine is a natriuretic hormone which is synthesised within the kidney. We have previously found that some ethnic groups (e.g. British Caucasians and Thais) show strong positive correlations between 24 h urinary sodium and dopamine outputs. However no such relationship was found in Iranians and black West Africans. ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Critchley JA,Sriwatanakul K,Charuchinda C,Balali-Mood M,Boye GL,Chan TY,Brocklesby NC,Lee MR

    更新日期:1990-04-01 00:00:00

  • Ambulatory blood pressure monitoring: from research to clinical practice.

    abstract::Evidence from the medical literature is reviewed to indicate that ambulatory monitoring of blood pressure (ABPM) is a better predictor of target organ damage and clinical outcome in the hypertensive patient than clinic measurements of blood pressure (BP). A re-analysis of the documented BPs from the placebo limb of th...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Padfield PL,Benediktsson R

    更新日期:1995-06-01 00:00:00

  • Strategies for prevention of adult hypertension and cardiovascular risk behaviour in childhood. An Australian perspective.

    abstract::This paper addresses approaches to evaluating the importance of different childhood behaviours on subsequent risk of high blood pressure and related cardiovascular risk factors and outlines results of a randomised controlled trial of nutrition and exercise interventions in schoolchildren. Clustering of cardiovascular ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Beilin L,Burke V,Milligan R

    更新日期:1996-02-01 00:00:00

  • Quality of life in hypertension.

    abstract::Mild to moderate hypertension is usually asymptomatic and therefore the impact on quality of life and side-effects of the antihypertensive treatment can have a negative effect on treatment compliance. A number of comparative studies have addressed quality of life issues with various antihypertensive agents, and the re...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Os I

    更新日期:1994-09-01 00:00:00

  • Spironolactone reduces severity of obstructive sleep apnoea in patients with resistant hypertension: a preliminary report.

    abstract::Obstructive sleep apnoea (OSA) and hyperaldosteronism are very common in subjects with resistant hypertension. We hypothesized that aldosterone-mediated chronic fluid retention may influence OSA severity in patients with resistant hypertension. We tested this in an open-label evaluation by assessing the changes in the...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1038/jhh.2009.96

    authors: Gaddam K,Pimenta E,Thomas SJ,Cofield SS,Oparil S,Harding SM,Calhoun DA

    更新日期:2010-08-01 00:00:00

  • Higher urinary albumin excretion is associated with abnormal erythrocyte Na(+)/Li(+) countertransport (SLC) in non-modulating essential hypertensives and offspring of hypertensive parents.

    abstract::Non-modulating is a highly reproducible type of sodium-sensitive hypertension. The aim of this study was to evaluate in non-modulating individuals the erythrocyte sodium-lithium countertransport (SLC) abnormalities, which have been mentioned as a marker of non-modulation, and the association with increased microalbumi...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001358

    authors: Sánchez RA,Giannone C,Masnatta LD,Baglivo HP,Ramírez AJ

    更新日期:2002-03-01 00:00:00

  • Social network, presence of cardiovascular events and mortality in hypertensive patients.

    abstract::The aim of this study was to ascertain the relationship between social network and the appearance of mortality (cardiovascular events (CVEs)) in patients with arterial hypertension (AHT). This is a cohort study of 236 patients with a 9-year follow-up. Measurements included age, sex, blood pressure (BP), diabetes, hype...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.116

    authors: Menéndez-Villalva C,Gamarra-Mondelo MT,Alonso-Fachado A,Naveira-Castelo A,Montes-Martínez A

    更新日期:2015-07-01 00:00:00

  • Arterial waveform parameters in a large, population-based sample of adults: relationships with ethnicity and lifestyle factors.

    abstract::This corrects the article DOI: 10.1038/jhh.2016.78. ...

    journal_title:Journal of human hypertension

    pub_type: 已发布勘误

    doi:10.1038/jhh.2017.60

    authors: Sluyter JD,Hughes AD,Thom S,Lowe A,Camargo CA Jr,Hametner B,Wassertheurer S,Parker KH,Scragg RKR

    更新日期:2017-11-01 00:00:00

  • Trends in coronary artery disease and associated risk factors in sub-Saharan Africans.

    abstract::It has been suggested that the prevalence of coronary artery disease (CAD) is steadily increasing in sub-Saharan Africa. To address this issue, we conducted a Medline search of English language articles on cardiovascular diseases-and specifically CAD in Africa- from 1966 to 1997. The prevalence of CAD and related comp...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001562

    authors: Akinboboye O,Idris O,Akinboboye O,Akinkugbe O

    更新日期:2003-06-01 00:00:00

  • The importance of the renin-angiotensin system in cardiovascular disease.

    abstract::The renin-angiotensin system is central to the pathophysiology of a number of cardiovascular disorders. Most obviously this is so with renin secreting tumours, but the system is of central importance in other disorders such as scleroderma renal crisis and most cases of malignant hypertension. Activation of the renin-a...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/sj.jhh.1000638

    authors: Nicholls MG,Richards AM,Agarwal M

    更新日期:1998-05-01 00:00:00