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Effects of Prehypertension and Hypertension Subtype on Cardiovascular Disease in the Asia-Pacific Region

The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure defined blood pressure (BP) levels of 120 to 139/80 to 89 mm Hg as prehypertension and those of ≥140/90 mm Hg as hypertension. Hypertension can be divided into 3 categories, i... Full description

Journal Title: Hypertension (Dallas Tex. 1979), 2012-06, Vol.59 (6), p.1118-1123
Main Author: Arima, Hisatomi
Other Authors: Murakami, Yoshitaka , Lam, Tai Hing , Kim, Hyeon Chang , Ueshima, Hirotsugu , Woo, Jean , Suh, Il , Fang, Xianghua , Woodward, Mark
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Hagerstown, MD: American Heart Association, Inc
ID: ISSN: 0194-911X
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recordid: cdi_proquest_miscellaneous_1022843351
title: Effects of Prehypertension and Hypertension Subtype on Cardiovascular Disease in the Asia-Pacific Region
format: Article
creator:
  • Arima, Hisatomi
  • Murakami, Yoshitaka
  • Lam, Tai Hing
  • Kim, Hyeon Chang
  • Ueshima, Hirotsugu
  • Woo, Jean
  • Suh, Il
  • Fang, Xianghua
  • Woodward, Mark
subjects:
  • Adult
  • Aged
  • Aged, 80 and over
  • Arterial hypertension. Arterial hypotension
  • Asia - epidemiology
  • Biological and medical sciences
  • Blood and lymphatic vessels
  • Blood Pressure
  • Cardiology. Vascular system
  • Cardiovascular Diseases - epidemiology
  • Cardiovascular Diseases - etiology
  • Clinical manifestations. Epidemiology. Investigative techniques. Etiology
  • Cohort Studies
  • Diastole
  • Female
  • Health Surveys - statistics & numerical data
  • Humans
  • Hypertension - complications
  • Hypertension - epidemiology
  • Male
  • Medical sciences
  • Middle Aged
  • Oceania - epidemiology
  • Prehypertension - complications
  • Prehypertension - epidemiology
  • Proportional Hazards Models
  • Risk Assessment - statistics & numerical data
  • Risk Factors
  • Smoking
  • Systole
ispartof: Hypertension (Dallas, Tex. 1979), 2012-06, Vol.59 (6), p.1118-1123
description: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure defined blood pressure (BP) levels of 120 to 139/80 to 89 mm Hg as prehypertension and those of ≥140/90 mm Hg as hypertension. Hypertension can be divided into 3 categories, isolated diastolic (IDH; systolic BP
language: eng
source:
identifier: ISSN: 0194-911X
fulltext: no_fulltext
issn:
  • 0194-911X
  • 1524-4563
url: Link


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titleEffects of Prehypertension and Hypertension Subtype on Cardiovascular Disease in the Asia-Pacific Region
creatorArima, Hisatomi ; Murakami, Yoshitaka ; Lam, Tai Hing ; Kim, Hyeon Chang ; Ueshima, Hirotsugu ; Woo, Jean ; Suh, Il ; Fang, Xianghua ; Woodward, Mark
creatorcontribArima, Hisatomi ; Murakami, Yoshitaka ; Lam, Tai Hing ; Kim, Hyeon Chang ; Ueshima, Hirotsugu ; Woo, Jean ; Suh, Il ; Fang, Xianghua ; Woodward, Mark ; Asia Pacific Cohort Studies Collaboration
descriptionThe Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure defined blood pressure (BP) levels of 120 to 139/80 to 89 mm Hg as prehypertension and those of ≥140/90 mm Hg as hypertension. Hypertension can be divided into 3 categories, isolated diastolic (IDH; systolic BP <140 mm Hg and diastolic BP ≥90 mmHg), isolated systolic (systolic BP ≥140 mm Hg and diastolic BP <90 mmHg), and systolic-diastolic hypertension (systolic BP ≥140 mm Hg and diastolic BP ≥90 mmHg). Although there is clear evidence that isolated systolic hypertension and systolic-diastolic hypertension increase the risks of future vascular events, there remains uncertainty about the effects of IDH. The objective was to determine the effects of prehypertension and hypertension subtypes (IDH, isolated systolic hypertension, and systolic-diastolic hypertension) on the risks of cardiovascular disease (CVD) in the Asia-Pacific Region. The Asia Pacific Cohort Studies Collaboration is an individual participant data overview of cohort studies in the region. This analysis included a total of 346570 participants from 36 cohort studies. Outcomes were fatal and nonfatal CVD. The relationship between BP categories and CVD was explored using a Cox proportional hazards model adjusted for age, cholesterol, and smoking and stratified by sex and study. Compared with normal BP (<120/80 mmHg), hazard ratios (95% CIs) for CVD were 1.41 (1.31–1.53) for prehypertension, 1.81 (1.61–2.04) for IDH, 2.18 (2.00–2.37) for isolated systolic hypertension, and 3.42 (3.17–3.70) for systolic-diastolic hypertension. Separately significant effects of prehypertension and hypertension subtypes were also observed for coronary heart disease, ischemic stroke, and hemorrhagic stroke. In the Asia-Pacific region, prehypertension and all hypertension subtypes, including IDH, thus clearly predicted increased risks of CVD.
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subjectAdult ; Aged ; Aged, 80 and over ; Arterial hypertension. Arterial hypotension ; Asia - epidemiology ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Cardiology. Vascular system ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Cohort Studies ; Diastole ; Female ; Health Surveys - statistics & numerical data ; Humans ; Hypertension - complications ; Hypertension - epidemiology ; Male ; Medical sciences ; Middle Aged ; Oceania - epidemiology ; Prehypertension - complications ; Prehypertension - epidemiology ; Proportional Hazards Models ; Risk Assessment - statistics & numerical data ; Risk Factors ; Smoking ; Systole
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descriptionThe Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure defined blood pressure (BP) levels of 120 to 139/80 to 89 mm Hg as prehypertension and those of ≥140/90 mm Hg as hypertension. Hypertension can be divided into 3 categories, isolated diastolic (IDH; systolic BP <140 mm Hg and diastolic BP ≥90 mmHg), isolated systolic (systolic BP ≥140 mm Hg and diastolic BP <90 mmHg), and systolic-diastolic hypertension (systolic BP ≥140 mm Hg and diastolic BP ≥90 mmHg). Although there is clear evidence that isolated systolic hypertension and systolic-diastolic hypertension increase the risks of future vascular events, there remains uncertainty about the effects of IDH. The objective was to determine the effects of prehypertension and hypertension subtypes (IDH, isolated systolic hypertension, and systolic-diastolic hypertension) on the risks of cardiovascular disease (CVD) in the Asia-Pacific Region. The Asia Pacific Cohort Studies Collaboration is an individual participant data overview of cohort studies in the region. This analysis included a total of 346570 participants from 36 cohort studies. Outcomes were fatal and nonfatal CVD. The relationship between BP categories and CVD was explored using a Cox proportional hazards model adjusted for age, cholesterol, and smoking and stratified by sex and study. Compared with normal BP (<120/80 mmHg), hazard ratios (95% CIs) for CVD were 1.41 (1.31–1.53) for prehypertension, 1.81 (1.61–2.04) for IDH, 2.18 (2.00–2.37) for isolated systolic hypertension, and 3.42 (3.17–3.70) for systolic-diastolic hypertension. Separately significant effects of prehypertension and hypertension subtypes were also observed for coronary heart disease, ischemic stroke, and hemorrhagic stroke. In the Asia-Pacific region, prehypertension and all hypertension subtypes, including IDH, thus clearly predicted increased risks of CVD.
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abstractThe Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure defined blood pressure (BP) levels of 120 to 139/80 to 89 mm Hg as prehypertension and those of ≥140/90 mm Hg as hypertension. Hypertension can be divided into 3 categories, isolated diastolic (IDH; systolic BP <140 mm Hg and diastolic BP ≥90 mmHg), isolated systolic (systolic BP ≥140 mm Hg and diastolic BP <90 mmHg), and systolic-diastolic hypertension (systolic BP ≥140 mm Hg and diastolic BP ≥90 mmHg). Although there is clear evidence that isolated systolic hypertension and systolic-diastolic hypertension increase the risks of future vascular events, there remains uncertainty about the effects of IDH. The objective was to determine the effects of prehypertension and hypertension subtypes (IDH, isolated systolic hypertension, and systolic-diastolic hypertension) on the risks of cardiovascular disease (CVD) in the Asia-Pacific Region. The Asia Pacific Cohort Studies Collaboration is an individual participant data overview of cohort studies in the region. This analysis included a total of 346570 participants from 36 cohort studies. Outcomes were fatal and nonfatal CVD. The relationship between BP categories and CVD was explored using a Cox proportional hazards model adjusted for age, cholesterol, and smoking and stratified by sex and study. Compared with normal BP (<120/80 mmHg), hazard ratios (95% CIs) for CVD were 1.41 (1.31–1.53) for prehypertension, 1.81 (1.61–2.04) for IDH, 2.18 (2.00–2.37) for isolated systolic hypertension, and 3.42 (3.17–3.70) for systolic-diastolic hypertension. Separately significant effects of prehypertension and hypertension subtypes were also observed for coronary heart disease, ischemic stroke, and hemorrhagic stroke. In the Asia-Pacific region, prehypertension and all hypertension subtypes, including IDH, thus clearly predicted increased risks of CVD.
copHagerstown, MD
pubAmerican Heart Association, Inc
pmid22547441
doi10.1161/HYPERTENSIONAHA.111.187252
oafree_for_read