Pulse Pressure A Predictor of Long-term Cardiovascular Mortality in a French Male Population

作者: Athanase Benetos , Michel Safar , Annie Rudnichi , Harold Smulyan , Jacques-Lucien Richard

DOI: 10.1161/01.HYP.30.6.1410

关键词: Pulse pressureHemodynamicsMean arterial pressureSurgeryQuartileInternal medicinePulsatile flowMedicinePrehypertensionBlood pressureDiastoleCardiology

摘要: Studies on the usefulness of blood pressure as a prognostic factor in cardiovascular disease have more often involved investigations levels diastolic or systolic pressure. However, may be divided into two other components: steady (mean pressure) and pulsatile (pulse pressure). In this study, relationship pulse to mortality was investigated 19 083 men 40 69 years old who were undergoing routine systematic health examination being followed up after mean period 19.5 years. Subjects four groups according age (40 54 55 years) arterial ( =107 mm Hg). Each group further subgroups level. A wide (evaluated quartile continuous quantitative variable) an independent significant predictor all-cause, total cardiovascular, and, especially, coronary all groups. No association between cerebrovascular observed. conclusion, large population with relatively low risk, is mortality.

参考文章(12)
Rodgers A, MacMahon S, Blood pressure, antihypertensive treatment and stroke risk. Journal of Hypertension. ,vol. 12, ,(1994)
Barry M. Brenner, John H. Laragh, Hypertension : pathophysiology, diagnosis, and management Raven Press. ,(1995)
Jing Fang, Shantha Madhavan, Hillel Cohen, Michael H. Alderman, Measures of blood pressure and myocardial infarction in treated hypertensive patients Journal of Hypertension. ,vol. 13, pp. 413- 419 ,(1995) , 10.1097/00004872-199504000-00006
S Madhavan, W L Ooi, H Cohen, M H Alderman, Relation of pulse pressure and blood pressure reduction to the incidence of myocardial infarction. Hypertension. ,vol. 23, pp. 395- 401 ,(1994) , 10.1161/01.HYP.23.3.395
Bruno Pannier, Patrick Brunei, Waafa El Aroussy, Patrick Lacolley, Michel E. Safar, Pulse pressure and echocardiographic findings in essential hypertension. Journal of Hypertension. ,vol. 7, pp. 127- 132 ,(1989) , 10.1097/00004872-198902000-00008
Wilmer W Nichols, Michael O'Rourke, Elazer R Edelman, Charalambos Vlachopoulos, McDonald's Blood Flow in Arteries: Theoretical, Experimental and Clinical Principles ,(1998)
R Collins, R Peto, S MacMahon, J Godwin, N Qizilbash, R Collins, S MacMahon, P Hebert, K.A Eberlein, J.O Taylor, C.H Hennekens, N.H Fiebach, N Qizilbash, C.H Hennekens, Blood pressure, stroke, and coronary heart disease The Lancet. ,vol. 335, pp. 827- 838 ,(1990) , 10.1016/0140-6736(90)90944-Z