Blood pressure variability at midlife is associated with all-cause, coronary heart disease and stroke long term mortality.

Abstract:

OBJECTIVE:Elevated blood pressure (BP) is associated with cardiovascular mortality. BP variability (BPV) is also associated with cardiovascular mortality. However, most studies evaluated hypertensive patients with a relatively short follow-up. We investigated in male workers the association between BPV and long-term all-cause and specific-cause mortality. METHODS:Among 10 059 men, aged 40-65, tenured civil servants and municipal employees in Israel, 9398 participants who were examined in 1963, 1965 and 1968 had assessment of diabetic and coronary morbidity status and SBP levels. Participants underwent clinical and biochemical evaluations and BP measured in the recumbent position on the right arm. We conducted analysis for SD-SBP across study visits. Hazard ratios were calculated for 18 years all-cause mortality, coronary heart disease (CHD) and stroke mortality associated with quintile of SD-SBP, with the lowest quintile serving as a reference. RESULTS:Multivariate analysis yielded a significant association between SD-SBP and all-cause, CHD and stroke mortality. Age and SBP-adjusted hazard ratios of all-cause mortality was 1.02 [95% confidence interval (CI), 0.90-1.17], 1.06 (95% CI, 0.94-1.20), 1.20 (95% CI, 1.06-1.35) and 1.36 (95% CI, 1.21-1.53) (for quintile 2-5, respectively). The results of CHD and stroke mortality similarly and strongly indicated increasing age-adjusted mortality risk with increasing SD-SBP. Further adjustment for smoking, BMI, diabetes mellitus and coronary heart disease yielded similar results. CONCLUSION:In this cohort of tenured male workers, BPV taken over 5 years was clearly associated with 18-year all-cause, CHD and stroke mortality.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Goldbourt U,Grossman E

doi

10.1097/HJH.0000000000002447

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

1722-1728

issue

9

eissn

0263-6352

issn

1473-5598

journal_volume

38

pub_type

杂志文章
  • Hypertension: evolving from standardized to individualized care.

    abstract::: The hypertension paradigm has contributed to a dramatic reduction in CVD mortality. This has been achieved by applying average results of population studies to identify a target population and design a common intervention to achieve a BP goal. Progressive lowering of the BP threshold has expanded the fraction of per...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002375

    authors: Alderman MH,Blumenfeld JD

    更新日期:2020-07-01 00:00:00

  • Coagulation factor XIIa-kinin-mediated contribution to hypertension of chronic kidney disease.

    abstract:BACKGROUND:Activated coagulation Factor XII (FXIIa) infusion increases peripheral resistance (TPR) and mean arterial pressure (MAP) of Brown Norway but not plasma kininogen deficient Brown Norway Katholiek (BNK) rats. FXIIa concentrations are elevated in hypertensive end-stage renal disease patients receiving conventio...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000000192

    authors: Papageorgiou PC,Chan CT,Yeo EL,Backx PH,Floras JS

    更新日期:2014-07-01 00:00:00

  • Influence of serum selenium concentrations on hypertension: the Lipid Analytic Cologne cross-sectional study.

    abstract:AIMS:Selenium is an antioxidant micronutrient with potential associations with hypertension. Few studies have investigated the association of serum selenium concentrations with blood pressure and hypertension in countries with low dietary selenium intake such as Germany, with inconsistent findings. METHODS:We undertoo...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e32835414df

    authors: Berthold HK,Michalke B,Krone W,Guallar E,Gouni-Berthold I

    更新日期:2012-07-01 00:00:00

  • Regional haemodynamic effects of endothelin-1 in rat and man: unexpected adverse reaction.

    abstract::Endothelin-1 was infused into the non-dominant brachial artery in two male subjects. We then monitored intra-arterial mean blood pressure, right atrial pressure, the heart rate and forearm blood flow (by plethysmography). Endothelin-1 at a dose of 5 x 10(-14) to 5 x 10(-9) mol, infused over 5 min periods, elicited no ...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1097/00004872-199009000-00004

    authors: Dahlöf B,Gustafsson D,Hedner T,Jern S,Hansson L

    更新日期:1990-09-01 00:00:00

  • Existence of renin in the endothelium of human artery.

    abstract:OBJECTIVE:The existence and localization of renin in situ was examined in human arteries under non-pathological conditions. DESIGN:Biochemical and immunohistochemical procedures were adopted to examine the existence of renin in human gastroepiploic arteries using an antibody raised against human recombinant renin or a...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199201000-00008

    authors: Okamura T,Aimi Y,Kimura H,Murakami K,Toda N

    更新日期:1992-01-01 00:00:00

  • Low sodium diet inhibits the local counter-regulator effect of angiotensin-(1-7) on angiotensin II.

    abstract:OBJECTIVE:The heptapeptide angiotensin-(1-7) [Ang-(1-7)] has been identified as a versatile, endogenous inhibitor of the renin-angiotensin system (RAS). As the therapeutic response to exogenous RAS inhibitors, such as AT1 receptor antagonists, is altered by changes in salt intake, we investigated the effect of a low, n...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200412000-00018

    authors: Roks AJ,Nijholt J,van Buiten A,van Gilst WH,de Zeeuw D,Henning RH

    更新日期:2004-12-01 00:00:00

  • Cardiovascular autonomic profile in women with constitutional hypotension.

    abstract:BACKGROUND:Constitutional hypotension (CHT) is defined as a SBP below 105 mmHg. As autonomic-related symptoms are frequently reported in CHT, these symptoms suggest that the cardiovascular autonomic control is perturbed in individuals with CHT. METHODS:We investigated the autonomic cardiovascular control of 15 women w...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000001790

    authors: Jacob G,Barbic F,Glago M,Dipaola F,Porta A,Furlan R

    更新日期:2018-10-01 00:00:00

  • Time point of blood pressure drop in patients with orthostatic hypotension in the emergency department.

    abstract:OBJECTIVE:The purpose of this study was to identify the time of blood pressure (BP) drop in the orthostatic hypotension test, and to propose a realistic and appropriate duration in the orthostatic hypotension test. METHODS:A total of 879 consecutive patients (61-year-old and 44% women) with positive on the orthostatic...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002554

    authors: Jang K,Park M,Kim HL

    更新日期:2020-11-01 00:00:00

  • Increased expression of vascular angiotensin II type 1A receptor gene in glucocorticoid-induced hypertension.

    abstract:OBJECTIVES:We recently demonstrated that glucocorticoid increases the number of angiotensin II type 1 (AT1) receptors and their gene expression in cultured vascular smooth muscle cells. To clarify whether this mechanism participates in glucocorticoid-induced hypertension, we investigated the effect of dexamethasone on ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Sato A,Suzuki H,Nakazato Y,Shibata H,Inagami T,Saruta T

    更新日期:1994-05-01 00:00:00

  • Effect of acute and chronic captopril infusion on blood pressure in the two-kidney, one clip hypertensive rat.

    abstract::The effect on blood pressure (BP) of acute and chronic suppression of angiotensin (ANG) II was studied in the two-kidney, one clip hypertensive rat. Conscious, chronically catheterized rats were given a bolus injection of captopril (2.5 mg/kg) followed by a chronic infusion of either dextrose or captopril (1 mg/kg per...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-198512000-00006

    authors: Wallace EC,Balmforth AJ,Morton JJ

    更新日期:1985-12-01 00:00:00

  • The measurement of central noradrenergic activity in spontaneously hypertensive rats: a comparison of free 3,4-dihydroxyphenylethyleneglycol levels with FLA-63 induced noradrenaline depletion.

    abstract::Noradrenergic activity was measured in the brainstem, hypothalamus and thoracic spinal cord of male and female spontaneously hypertensive (SHR) and Wistar-Kyoto (WKY) rats at 6 and 28-36 weeks of age. Two techniques were used, measurement of a major noradrenaline (NA) metabolite, free 3,4-dihydroxyphenylethyleneglycol...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-198506000-00007

    authors: Howes LG,Summers RJ,Rowe PR,Louis WJ

    更新日期:1985-06-01 00:00:00

  • Continuous positive airway pressure reduces blood pressure in patients with obstructive sleep apnea; a systematic review and meta-analysis with 1000 patients.

    abstract:BACKGROUND:Obstructive sleep apnea (OSA) may lead to the development of hypertension and therapy with continuous positive airway pressure (CPAP) can promote reduction in blood pressure. OBJECTIVE:The objective of this study is to review systematically the effects of CPAP on blood pressure in patients with OSA. METHOD...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/HJH.0000000000000250

    authors: Schein AS,Kerkhoff AC,Coronel CC,Plentz RD,Sbruzzi G

    更新日期:2014-09-01 00:00:00

  • Metabolomics in hypertension.

    abstract::Hypertension is the most prevalent chronic medical condition and a major risk factor for cardiovascular morbidity and mortality. In the majority of hypertensive cases, the underlying cause of hypertension cannot be easily identified because of the heterogeneous, polygenic and multi-factorial nature of hypertension. Me...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/HJH.0000000000000168

    authors: Nikolic SB,Sharman JE,Adams MJ,Edwards LM

    更新日期:2014-06-01 00:00:00

  • Atrial natriuretic peptide and regulation of vascular function in hypertension and heart failure: implications for novel therapeutic strategies.

    abstract::Atrial natriuretic peptide (ANP) plays a pivotal role in modulation of vascular function and it is also involved in the pathophysiology of several cardiovascular diseases. We provide an updated overview of the current appraisal of ANP vascular effects in both animal models and humans. We describe the physiological imp...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/HJH.0b013e32835ed5eb

    authors: Rubattu S,Calvieri C,Pagliaro B,Volpe M

    更新日期:2013-06-01 00:00:00

  • Home device-monitored sleep blood pressure reflects large artery stiffness: the Nagahama study.

    abstract:BACKGROUND:High sleep blood pressure (BP) has been suggested to be an independent risk factor for cardiovascular outcomes. To assess the applicability of sleep BP measured using a timer-equipped home device, we investigated the association between home device-measured sleep BP and large artery stiffness. METHODS:We pe...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002576

    authors: Tabara Y,Matsumoto T,Murase K,Setoh K,Kawaguchi T,Kosugi S,Nakayama T,Hirai T,Wakamura T,Chin K,Matsuda F,Nagahama study group.

    更新日期:2020-12-01 00:00:00

  • Age-related changes in neuropeptide Y immunoreactivity (NPY-ir) in the cortex and spinal cord of spontaneously hypertensive (SHR) and normotensive Wistar-Kyoto (WKY) rats.

    abstract::The concentrations of neuropeptide Y immunoreactivity (NPY-ir) were measured in the cortex and cervical, thoracic and lumbar spinal cord of 8-, 18- and 31-week-old normotensive Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR). This peptide was measured using a highly sensitive and specific radio-immun...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-198608000-00012

    authors: Maccarrone C,Jarrott B

    更新日期:1986-08-01 00:00:00

  • Rapid haemodynamic response to adrenocorticotrophin and the role of peripheral resistance in adrenocorticotrophin-induced hypertension in conscious sheep.

    abstract::The haemodynamic effects associated with the onset of hypertension induced by infusion of adrenocorticotrophin (ACTH) were investigated in sheep. Analysis of haemodynamic data collected over 24 h by a computer-based monitoring system revealed that mean arterial pressure (MAP) was significantly increased after 4 h. Car...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Spence CD,Brown A,Coghlan JP,Parkes DG,Whitworth JA,Scoggins BA

    更新日期:1989-04-01 00:00:00

  • Platelet aggregation and dense granule secretion in a colony of dogs with spontaneous hypertension.

    abstract:AIM:Since canine hereditary essential hypertension has been previously reported in a colony of Siberian husky dogs, we tested the suitability of this model for use in studies on the platelet defect identified in humans with essential hypertension. METHODS:Platelet aggregation and dense granule ATP secretion were measu...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199210120-00009

    authors: Thomas JS,McConnell MF,Bell TG,Padgett GA

    更新日期:1992-12-01 00:00:00

  • Blood pressure is the major driving force for plaque formation in aortic-constricted ApoE-/- mice.

    abstract:OBJECTIVE:Using an aortic constriction model in mice, we studied whether the increase in pressure or the activation of the renin-angiotensin system (RAS) and its main receptors is the main driving force for plaque progression. METHODS:Male ApoE mice underwent sham surgery or placement of a suprarenal silver clip aroun...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/01.hjh.0000244949.65040.de

    authors: Johansson ME,Wickman A,Skøtt O,Gan LM,Bergström G

    更新日期:2006-10-01 00:00:00

  • Does hypertension confer a hypercoagulable state?

    abstract::Although the blood vessels are exposed to high pressures in hypertension, the main complications of hypertension (stroke and myocardial infarction) are paradoxically thrombotic rather than haemorrhagic. In keeping with Virchow's triad, patients with hypertension do demonstrate abnormalities of vessel wall (endothelial...

    journal_title:Journal of hypertension

    pub_type: 评论,社论,评审

    doi:10.1097/00004872-199816070-00003

    authors: Lip GY,Li-Saw-Hee FL

    更新日期:1998-07-01 00:00:00

  • Attenuated endothelium-dependent vascular relaxation in patients with sleep apnoea.

    abstract:OBJECTIVE:To evaluate endothelium-dependent vascular function in obstructive sleep apnoea patients. DESIGN AND METHODS:Forearm blood flow and vascular resistance were studied in eight normotensives and eight obstructive sleep apnoea patients and also in eight normotensive and eight hypertensive controls after graded b...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199605000-00006

    authors: Carlson JT,Rångemark C,Hedner JA

    更新日期:1996-05-01 00:00:00

  • Inhibition of the renin-angiotensin system in the cardiorenal syndrome with anaemia: a double-edged sword.

    abstract::: The term 'cardiorenal syndrome' (CRS) was introduced to describe problems related to the simultaneous existence of heart and renal insufficiency. The prevalence of anaemia in CRS is high and increases the risk of hospitalizations and death. Renin-angiotensin system (RAS) inhibition is the cornerstone therapy in card...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/HJH.0000000000002111

    authors: Vlahakos DV,Tsioufis C,Manolis A,Filippatos G,Marathias KP,Papademetriou V,Mancia G

    更新日期:2019-11-01 00:00:00

  • Interleukin-4 deficiency induces mild preeclampsia in mice.

    abstract:OBJECTIVE:Inflammation is necessary for successful pregnancy; however, excessive inflammation plays a central role in the development of the pregnancy-specific hypertensive disorder preeclampsia. Numerous anti-inflammatory cytokines are decreased in women with preeclampsia but the role of individual cytokines in blood ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e328360ae6c

    authors: Chatterjee P,Kopriva SE,Chiasson VL,Young KJ,Tobin RP,Newell-Rogers K,Mitchell BM

    更新日期:2013-07-01 00:00:00

  • Dissecting visceral fibromuscular dysplasia reveals a new vascular phenotype of the disease: a report from the ARCADIA-POL study.

    abstract:OBJECTIVE:Visceral artery fibromuscular dysplasia (VA FMD) manifestations range from asymptomatic to life-threatening. The aim of the study is to evaluate the prevalence and clinical characteristics of VA FMD. METHODS:A total of 232 FMD patients enrolled into ongoing ARCADIA-POL study were included in this analysis. A...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002327

    authors: Warchoł-Celińska E,Pieluszczak K,Pappaccogli M,Soplińska A,Prejbisz A,Dobrowolski P,Klisiewicz A,Kądziela J,Falkowski A,Śmigielski W,Florczak E,Jóźwik-Plebanek K,Michałowska I,Kabat M,Zgorzelski C,Madej K,Nazarewski S,S

    更新日期:2020-04-01 00:00:00

  • Soluble Fas ligand and atherosclerosis in hypertensive patients.

    abstract:BACKGROUND:The Fas-Fas ligand (FasL) system is involved in apoptosis in many types of cells. Recently, the expression of FasL on endothelial cells was reported. FasL is cleaved by a metalloproteinase and released in serum as soluble FasL (sFasL). Vasoactive substances, including metalloproteinase, are modulated by endo...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200205000-00024

    authors: Okura T,Watanabe S,Jiang Y,Nakamura M,Takata Y,Yang ZH,Kohara K,Kitami Y,Hiwada K

    更新日期:2002-05-01 00:00:00

  • Central arterial stiffness and retinal vessel calibers: the Atherosclerosis Risk in Communities Study-Neurocognitive Study.

    abstract:BACKGROUND:The retinal microvasculature provides a window to the cerebral vasculature and enables examination of changes in retinal caliber that may mimic those occurring in cerebrovascular disease. The association of central arterial stiffness and retinal vessel caliber in a population sample is not fully understood. ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002252

    authors: Meyer ML,Klein BE,Klein R,Palta P,Sharrett AR,Heiss G,Nambi V,Wong TY,Tanaka H

    更新日期:2020-02-01 00:00:00

  • Systemic and renal effects of a new angiotensin converting enzyme inhibitor, benazepril, in essential hypertension.

    abstract::Seventeen essential hypertensive patients with normal renal function were treated with a new non-sulphydryl orally active angiotensin converting enzyme (ACE) inhibitor, benazepril, 10 mg given once or twice daily, according to diastolic blood pressure levels, for 6 weeks. In all patients, changes in blood pressure, sy...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199011000-00003

    authors: Valvo E,Casagrande P,Bedogna V,Antiga L,Alberti D,Zamboni M,Perobelli L,Dal Santo F,Maschio G

    更新日期:1990-11-01 00:00:00

  • Reduction of blood pressure variability by combination therapy in spontaneously hypertensive rats.

    abstract:OBJECTIVE:To test the hypothesis that combination therapy might be a powerful tool to reduce blood pressure variability (BPV) in the treatment of hypertension. METHODS:In chronic studies, male spontaneously hypertensive rats were given drugs in their rat chow for 18 weeks (n = 9 or 10 for each group of rats). Doses we...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e3282ef547f

    authors: Xie HH,Shen FM,Xu LP,Han P,Miao CY,Su DF

    更新日期:2007-11-01 00:00:00

  • The cardiovascular responses to sequential inhibition of alpha-adrenoceptors, the renin-angiotensin system and vasopressin in rats with adrenal regeneration hypertension.

    abstract::The cardiovascular responses to selective alpha 1- and alpha 2-adrenoceptor antagonism (with prazosin and idazoxan, respectively) were assessed in rats 4 weeks after unilateral nephro-adrenalectomy, contralateral adrenal enucleation and the provision of a 1% NaCl solution as drinking fluid (AEN rats) and in sham-opera...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Foulkes R,Gardiner SM,Bennett T

    更新日期:1988-04-01 00:00:00

  • Predictors for profound blood pressure response in patients undergoing renal sympathetic denervation.

    abstract:BACKGROUND:Renal sympathetic denervation (RDN) as treatment for hypertension shows highly variable results. Although some patients do not show any blood pressure (BP) change and in most patients a BP reduction of at least 5 mmHg can be found, some show a reduction at least 20 mmHg. We sought to identify predictors for ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000001739

    authors: Fengler K,Rommel KP,Blazek S,von Roeder M,Besler C,Hartung P,Desch S,Thiele H,Lurz P

    更新日期:2018-07-01 00:00:00