Change in Blood Pressure Variability Among Treated Elderly Hypertensive Patients and Its Association With Mortality.


Journal

Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524

Informations de publication

Date de publication:
05 11 2019
Historique:
entrez: 5 11 2019
pubmed: 5 11 2019
medline: 15 12 2020
Statut: ppublish

Résumé

Background Information is scarce regarding effects of antihypertensive medication on blood pressure variability (BPV) and associated clinical outcomes. We examined whether antihypertensive treatment changes BPV over time and whether such change (decline or increase) has any association with long-term mortality in an elderly hypertensive population. Methods and Results We used data from a subset of participants in the Second Australian National Blood Pressure study (n=496) aged ≥65 years who had 24-hour ambulatory blood pressure recordings at study entry (baseline) and then after a median of 2 years while on treatment (follow-up). Weighted day-night systolic BPV was calculated for both baseline and follow-up as a weighted mean of daytime and nighttime blood pressure standard deviations. The annual rate of change in BPV over time was calculated from these BPV estimates. Furthermore, we classified both BPV estimates as

Identifiants

pubmed: 31679444
doi: 10.1161/JAHA.119.012630
pmc: PMC6898807
doi:

Substances chimiques

Antihypertensive Agents 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e012630

Investigateurs

A Bruce (A)
P Beckinsale (P)
J Thompson (J)
M McMurchie (M)
G Fraser (G)
D Gleave (D)
V Cope (V)
F DeLooze (F)
S Moore (S)
C Dibben (C)
J Newbury (J)
B McDermott (B)
K Willson (K)
C Bear (C)
S Harrap (S)
C Johnston (C)
P Ryan (P)
M Brown (M)
P Ryan (P)
P Fletcher (P)
M Feneley (M)
E Dewar (E)
J Marley (J)
J Marley (J)
J Moss (J)
P Webb (P)
P Glasziou (P)
F Boyle (F)
J Primrose (J)
L Piterman (L)
F De Looze (F)
J Dickinson (J)
J Gambrill (J)
P Joseph (P)
G Donnan (G)
T Morgan (T)
J Whitworth (J)
S MacMahon (S)
C Silagy (C)

Références

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Auteurs

Enayet K Chowdhury (EK)

School of Public Health Curtin University Perth Western Australia Australia.
Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.

Mark R Nelson (MR)

Menzies Institute for Medical Research University of Tasmania Hobart Australia.

Lindon M H Wing (LMH)

Flinders University Adelaide Australia.

Garry L R Jennings (GLR)

Sydney Medical School University of Sydney Australia.

Lawrence J Beilin (LJ)

Medical School Royal Perth Hospital University of Western Australia Perth Western Australia Australia.

Christopher M Reid (CM)

School of Public Health Curtin University Perth Western Australia Australia.
Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia.

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Classifications MeSH