Impact of transiently elevated diastolic pressure on cause of death: 29-year follow-up from the General Practice Hypertension Study Group.

Abstract:

OBJECTIVES:High blood pressure is known to be associated with higher cardiovascular risk. The emphasis has shifted over time from diastolic pressure to systolic pressure and variability in blood pressure. This study examined the impact of transient and sustained diastolic hypertension on later mortality. METHODS:In the early 1970s, the General Practice Hypertension Study Group screened more than 20,000 patients and selected those with diastolic hypertension, with a transiently elevated diastolic pressure and age-matched and sex-matched normotensive controls to be flagged for long-term death certificate follow-up. After a mean follow-up of 29 years, Cox proportional hazard regression was used to examine the relationship between diastolic hypertension and cause of death. RESULTS:Overall those with diastolic hypertension and transient diastolic hypertension were at increased risk of total and cardiovascular mortality. When men and women were examined separately, however, the relationships remained significant in women only, with transient diastolic hypertension showing the strongest association with cardiovascular and total mortality: hazard ratio 1.57 [95% confidence interval (CI) 1.11-2.23] and hazard ratio 1.39 (95% CI 1.10-1.76), respectively. CONCLUSION:Transient diastolic hypertension does not seem to be benign, particularly in women and may point to those at higher cardiovascular risk when seen in a general practice population.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Peters R,Wells F,Bulpitt C,Beckett N

doi

10.1097/HJH.0b013e32835a4dd8

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

71-6

issue

1

eissn

0263-6352

issn

1473-5598

journal_volume

31

pub_type

杂志文章
  • Norepinephrine-induced plasma dopamine decrease in man: pharmacological evidence of the involvement of alpha 2-adrenoceptors.

    abstract:OBJECTIVE:The purposes of this study were: (1) to test whether intravenous infusion of norepinephrine can affect plasma dopamine levels; and (2) to explore to what extent dopamine-2 or alpha 2-receptors play a role in this response. DESIGN:Norepinephrine infusion in man was performed to test whether the increase in no...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Musso NR,Gianrossi R,Vergassola C,Pende A,Ioverno A,Galbariggi G,Lotti G

    更新日期:1992-09-01 00:00:00

  • Vascular albumin permeability and hypertrophy in a rat model combining streptozotocin-induced diabetes and genetic hypertension.

    abstract:OBJECTIVE:To investigate the effects of hypertension and diabetes mellitus on vascular albumin permeability and hypertrophy in 11-week-old Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR) with and without 3 weeks of streptozotocin-induced diabetes. METHODS:Vascular albumin permeability was measured as...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199505000-00008

    authors: Hulthén UL,Rumble J,Cooper ME,Johnston CI

    更新日期:1995-05-01 00:00:00

  • Arterial hypertension due to occlusion of the adrenal vein in the rat is strain-dependent.

    abstract:OBJECTIVE:To determine whether the development of arterial hypertension due to occlusion of the central adrenal vein in the rat is strain-dependent DESIGN AND METHODS:The experiments were performed on male rats weighing 300-400 g each, of the following strains: Wistar outbred, Wistar Glaxo, Lewis, Wistar-Kyoto (WKY) r...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199816090-00004

    authors: Abramczyk P,Lisiecka A,Papierski K,Ziecina R,Przybylski J

    更新日期:1998-09-01 00:00:00

  • Ultrasound-based renal sympathetic denervation for the treatment of therapy-resistant hypertension: a single-center experience.

    abstract:INTRODUCTION:The effectiveness of renal sympathetic denervation (RDN) as a treatment for therapy-resistant hypertension has been doubted as the Simplicity-HTN-3 trial was unable to show any treatment benefit over sham procedure. This might partly be explained by a high procedural variability in treatment with radiofreq...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1097/HJH.0000000000001301

    authors: Fengler K,Höllriegel R,Okon T,Stiermaier T,Rommel KP,Blazek S,Besler C,von Roeder M,Petzold M,Schuler G,Lurz P

    更新日期:2017-06-01 00:00:00

  • Crucial importance of using a sliding calliper to measure distance for carotid-femoral pulse wave velocity assessment.

    abstract:BACKGROUND AND OBJECTIVES:In the past, different methods have been used to measure the carotid-femoral distance for the assessment of pulse wave velocity (PWV). However, the latest consensus published advises to use 80% of the direct straight carotid-femoral distance (D(0.8)) using either a flexible tape or a sliding c...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e32835e2a2f

    authors: Levi-Marpillat N,Desamericq G,Akakpo S,Affes-Ayadi H,Tropeano AI,Millasseau S,Macquin-Mavier I

    更新日期:2013-05-01 00:00:00

  • Nisoldipine. Central haemodynamics at rest and during exercise in essential hypertension: acute and chronic studies.

    abstract::Calcium blockers may reduce contractility of vascular smooth muscle as well as that of myocardial cells. Therefore, falls in both total peripheral vascular resistance (TPR) and cardiac output (CO) might be responsible for a fall in blood pressure (BP) caused by calcium blockers in essential hypertension. We have studi...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:

    authors: Omvik P,Lund-Johansen P,Haugland H

    更新日期:1988-02-01 00:00:00

  • Prevalence of and risk factors for primary aldosteronism among patients with resistant hypertension in China.

    abstract:OBJECTIVES:It is estimated that there are more than 16 million adults with drug-resistant hypertension in China. Nevertheless, the prevalence of and risk factors for primary aldosteronism, a highly curable condition among adults with drug-resistant hypertension, has not been fully investigated. METHODS:Between January...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e328360ddf6

    authors: Sang X,Jiang Y,Wang W,Yan L,Zhao J,Peng Y,Gu W,Chen G,Liu W,Ning G

    更新日期:2013-07-01 00:00:00

  • Use of the oral contraceptive pill is associated with increased large artery stiffness in young women: the ENIGMA study.

    abstract:BACKGROUND:The oral contraceptive pill (OCP) is widely prescribed throughout the world. Although it is associated with a small but significant increase in blood pressure, the influence of the OCP on large artery stiffness and wave reflection is unclear. The aim of this study was to determine the relationship between us...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e328346a5af

    authors: Hickson SS,Miles KL,McDonnell BJ,Yasmin,Cockcroft JR,Wilkinson IB,McEniery CM,ENIGMA Study Investigators.

    更新日期:2011-06-01 00:00:00

  • Altered myogenic responsiveness of the renal microvasculature in experimental hypertension.

    abstract::Recent investigations have delineated the renal microvascular responsiveness to pressure, by using isolated afferent arterioles, juxtamedullary nephrons, and isolated perfused hydronephrotic kidneys. Both afferent arterioles and interlobular arteries (ILA) manifest pressure-dependent vasoconstrictor responses to eleva...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00004872-199612000-00002

    authors: Hayashi K,Epstein M,Saruta T

    更新日期:1996-12-01 00:00:00

  • Effect of antihypertensive agents on cerebral blood flow and flow velocity in acute ischaemic stroke: systematic review of controlled studies.

    abstract:OBJECTIVE:High blood pressure is common in acute stroke and is associated independently with poor outcome. Lowering blood pressure might improve outcome, provided it does not reduce cerebral blood flow in the presence of dysfunctional cerebral autoregulation. METHODS:We performed a systematic review of clinical contro...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,meta分析

    doi:10.1097/HJH.0b013e3282fbd240

    authors: Sare GM,Gray LJ,Bath PM

    更新日期:2008-06-01 00:00:00

  • Changes in pulmonary blood flow distribution in monocrotaline compared with hypoxia-induced models of pulmonary hypertension: assessed using synchrotron radiation.

    abstract:BACKGROUND:We have previously described anatomical changes in pulmonary blood flow distribution in chronic hypoxic rats, associated with pulmonary arterial hypertension (PAH). METHOD:In this study, we utilized synchrotron radiation microangiography to compare these changes in pulmonary blood flow with a PAH-model indu...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e32832af6a1

    authors: Schwenke DO,Pearson JT,Shimochi A,Kangawa K,Tsuchimochi H,Umetani K,Shirai M,Cragg PA

    更新日期:2009-07-01 00:00:00

  • Blockade of the renin-angiotensin system decreases adipocyte size with improvement in insulin sensitivity.

    abstract:OBJECTIVE:Based on results of in vitro studies, it has been hypothesized that blockade of the renin-angiotensin system (RAS) promotes the recruitment and differentiation of pre-adipocytes and that increased formation of small insulin-sensitive adipocytes counteracts ectopic deposition of lipids, thereby improving insul...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200410000-00021

    authors: Furuhashi M,Ura N,Takizawa H,Yoshida D,Moniwa N,Murakami H,Higashiura K,Shimamoto K

    更新日期:2004-10-01 00:00:00

  • Angiotensin II type 1 receptor-153A/G and 1166A/C gene polymorphisms and increase in aortic stiffness with age in hypertensive subjects.

    abstract:OBJECTIVES:Arterial stiffness is associated with excess morbidity and mortality, independently of other cardiovascular risk factors. Age is the main determinant responsible for arterial wall changes leading to arterial stiffening. Environmental and genetic factors may however influence the magnitude of the effects of a...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200103000-00008

    authors: Lajemi M,Labat C,Gautier S,Lacolley P,Safar M,Asmar R,Cambien F,Benetos A

    更新日期:2001-03-01 00:00:00

  • Cyclosporine-induced hypertension and decline in renal function in healthy volunteers.

    abstract:OBJECTIVE:To investigate the effect of cyclosporine A (CsA; Sandimmun Neoral) on systemic and renal hemodynamics, tubular function, and sodium excretion in healthy volunteers. Furthermore, we studied whether CsA enhances the systemic and renal hemodynamic sensitivity to norepinephrine. METHODS:Eighteen healthy volunte...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00004872-199715030-00014

    authors: Hansen JM,Fogh-Andersen N,Christensen NJ,Strandgaard S

    更新日期:1997-03-01 00:00:00

  • Supplementation with tetrahydrobiopterin prevents the cardiovascular effects of angiotensin II-induced oxidative and nitrosative stress.

    abstract:OBJECTIVE:The pteridine cofactor tetrahydrobiopterin (BH4) has emerged as a critical determinant of endothelial nitric oxide synthase (eNOS) activity. When BH4 availability is limited, eNOS does not produce nitric oxide (NO) but instead generates superoxide. BH4 may reverse endothelial dysfunction due to cardiovascular...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/01.hjh.0000173520.13976.7d

    authors: Kase H,Hashikabe Y,Uchida K,Nakanishi N,Hattori Y

    更新日期:2005-07-01 00:00:00

  • Simvastatin improves endothelial function in spontaneously hypertensive rats through a superoxide dismutase mediated antioxidant effect.

    abstract:BACKGROUND:Hydroxymethylglutaryl coenzyme A (HMGCoA) reductase inhibitors have beneficial effects beyond their cholesterol-lowering properties. The antioxidant mechanism of HMGCoA reductase inhibitors is not completely understood. OBJECTIVES:To elucidate the antioxidant effect of simvastatin. METHODS:We studied the i...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200203000-00018

    authors: Carneado J,Alvarez de Sotomayor M,Perez-Guerrero C,Jimenez L,Herrera MD,Pamies E,Martin-Sanz MD,Stiefel P,Miranda M,Bravo L,Marhuenda E

    更新日期:2002-03-01 00:00:00

  • May subclinical arterial disease help to better detect and treat high-risk asymptomatic individuals?

    abstract::The diagnosis of high risk of cardiovascular disease (CVD) in subjects without clinically overt CVD has been somewhat improved by integrating multiple traditional risk factors via appropriate risk score programs. Nevertheless, novel measures of CVD risk are being proposed and debated to further improve high-risk detec...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/01.hjh.0000184407.20257.58

    authors: Simon A,Levenson J

    更新日期:2005-11-01 00:00:00

  • The aldosterone-renin ratio based on the plasma renin activity and the direct renin assay for diagnosing aldosterone-producing adenoma.

    abstract:BACKGROUND:The screening for primary aldosteronism is based on the aldosterone-renin ratio calculated with the plasma renin activity (PRA) value as denominator. A direct measurement of active renin (DRA) is being used as an alternative to PRA, but its diagnostic performance remains unclear. METHOD:We, therefore compar...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e32833d2192

    authors: Rossi GP,Barisa M,Belfiore A,Desideri G,Ferri C,Letizia C,Maccario M,Morganti A,Palumbo G,Patalano A,Roman E,Seccia TM,Pessina AC,Mantero F,PAPY study Investigators.

    更新日期:2010-09-01 00:00:00

  • Pathways from parental educational attainment to adolescent blood pressure.

    abstract:OBJECTIVES:Lower parental education is associated with higher adolescent blood pressure (BP). We examined the contribution of modifiable risk factors from infancy to adolescence that could potentially explain the link between parental education and SBP and DBP in the offspring. METHODS:In a prospective Chinese birth c...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000001003

    authors: Kwok MK,Schooling CM,Subramanian SV,Leung GM,Kawachi I

    更新日期:2016-09-01 00:00:00

  • Insulin resistance in hypertensives: effect of salt sensitivity, renin status and sodium intake.

    abstract:OBJECTIVE:Homeostasis Model Assessment (HOMA index) is predictive of insulin sensitivity in normal and diabetic patients. This study was designed to see if insulin resistance in hypertensives, measured using the HOMA index, differs, based on salt sensitivity, renin status and sodium intake. METHODS:Fasting insulin and...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/00004872-200101000-00013

    authors: Raji A,Williams GH,Jeunemaitre X,Hopkins PN,Hunt SC,Hollenberg NK,Seely EW

    更新日期:2001-01-01 00:00:00

  • Alcohol intake and cardiovascular mortality in hypertensive patients: report from the Department of Health Hypertension Care Computing Project.

    abstract:OBJECTIVE:To determine the benefits and risks of drinking alcohol in treated hypertensives. DESIGN:A prospective study of 6,369 hypertensives (3,161 men) attending primarily hospital clinics in the UK. METHODS:Relative risks both for drinkers compared with non-drinkers and for level of alcohol consumption were calcul...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199509000-00004

    authors: Palmer AJ,Fletcher AE,Bulpitt CJ,Beevers DG,Coles EC,Ledingham JG,Petrie JC,Webster J,Dollery CT

    更新日期:1995-09-01 00:00:00

  • Soft drink consumption, mainly diet ones, is associated with increased blood pressure in adolescents.

    abstract:OBJECTIVE:The aim of this cross-sectional study was to investigate the association between consumption of sugar-sweetened and diet soft drinks with blood pressure (BP) in adolescents. METHODS:Fifth graders of 20 public schools were invited to participate in an intervention aimed at behavioral dietary changes and had t...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000000800

    authors: Souza Bda S,Cunha DB,Pereira RA,Sichieri R

    更新日期:2016-02-01 00:00:00

  • Superior hypertension control with betablockade in the European Sleep Apnea Database.

    abstract:AIMS:Arterial hypertension is highly prevalent and difficult to control in patients with obstructive sleep apnea (OSA). High sympathoadrenergic activity is a hallmark physiological phenomenon in OSA. We hypothesized that an antihypertensive drug with inhibitory properties on this activity, such as beta blockers (BBs), ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002629

    authors: Svedmyr S,Hedner J,Zou D,Parati G,Ryan S,Hein H,Pepin JL,Tkáčová R,Marrone O,Schiza S,Basoglu OK,Grote L,European Sleep Apnea Database (ESADA) study group.

    更新日期:2021-02-01 00:00:00

  • Characterization of inactive renin in mouse amniotic fluid.

    abstract::We have demonstrated high concentrations of inactive renin in mouse amniotic fluid compared with mouse plasma and other organs. Its molecular weight was similar to that of prorenin from the mouse submaxillary gland (42 000 daltons). The activated renin had a Km value of 1.48 greater than M which is identical to that o...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-198410000-00012

    authors: Jacobsen J,Poulsen K

    更新日期:1984-10-01 00:00:00

  • Elderly Algerian women lose their sex-advantage in terms of arterial stiffness and cardiovascular profile.

    abstract:OBJECTIVES:Several studies have shown lower carotid-femoral pulse wave velocity (cfPWV) levels in women compared to men, a difference that could partially explain the increased longevity in women. However, these studies have been performed in industrial countries while few data are available in emerging populations. We...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e3283639460

    authors: Temmar M,Watfa G,Joly L,Kearney-Schwartz A,Youcef M,Bensalah S,Mustapha Y,Salvi P,Gautier S,Safar M,Labat C,Benetos A

    更新日期:2013-11-01 00:00:00

  • Associations of the nocturnal blood pressure fall and morning surge with cardiovascular events and mortality in individuals with resistant hypertension.

    abstract:OBJECTIVE:The prognostic importance of the nocturnal blood pressure (BP) fall and early-morning surge were scarcely investigated in patients with resistant hypertension (RHT). We investigated them in a prospective cohort of 1726 RHT individuals. METHODS:The nocturnal fall and morning surge were calculated from the bas...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002775

    authors: Cardoso CRL,Salles GF

    更新日期:2021-01-11 00:00:00

  • Pinacidil--effects on function and perfusion of normal kidneys and renal xenografts.

    abstract::Pinacidil is a new vasodilating compound claimed to increase renal perfusion and function. A preliminary study showed that pinacidil did not sustain renal perfusion through a period of increasing renal vascular resistance in pig-to-rabbit renal xenotransplantation. Accordingly, the effect of pinacidil on renal functio...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-198312000-00006

    authors: Dieperink H,Kemp E,Jørgensen KA,Starklint H

    更新日期:1983-12-01 00:00:00

  • Influence of the renal medulla and early treatment with enalapril upon the development of hypertension in young spontaneously hypertensive rats.

    abstract:OBJECTIVE:To investigate the role of the renal medulla in early hypertension in spontaneously hypertensive rats (SHR), and to explore whether the attenuated increase of pressure induced by enalapril treatment is affected by chemical medullectomy. DESIGN:Forty-four male SHR were studied from 5 to 18 weeks of age: 22 re...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199211000-00006

    authors: Bergström G,Bohman SO,Folkow B,Göthberg G,Rudenstam J,Karlström G

    更新日期:1992-11-01 00:00:00

  • Moxonidine-induced central sympathoinhibition improves prognosis in rats with hypertensive heart failure.

    abstract:OBJECTIVES:Enhanced central sympathetic outflow is an indicator of the prognosis of heart failure. Although the central sympatholytic drug moxonidine is an established therapeutic strategy for hypertension, its benefits for hypertensive heart failure are poorly understood. In the present study, we investigated the effe...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e328364a2a1

    authors: Honda N,Hirooka Y,Ito K,Matsukawa R,Shinohara K,Kishi T,Yasukawa K,Utsumi H,Sunagawa K

    更新日期:2013-11-01 00:00:00

  • Renal and vascular actions of equol in the rat.

    abstract:BACKGROUND:The urinary isoflavonoid equol inhibits membrane Na-K-Cl cotransporters at similar concentrations to those at which furosemide inhibits them, but the significance of this action is not known. OBJECTIVE:To investigate the potential salidiuretic and vascular actions of equol in the rat. METHODS:Renal functio...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199715110-00015

    authors: Gimenez I,Lou M,Vargas F,Alvarez-Guerra M,Mayoral JA,Martinez RM,Garay RP,Alda JO

    更新日期:1997-11-01 00:00:00