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学科主题: 临床医学
题名:
A prospective study on pulse wave velocity (PWV) and response to anti-hypertensive treatments PWV determines BP control
作者: Zheng, Meili1; Huo, Yong2; Wang, Xiaobin3; Xu, Xin4; Qin, Xianhui4; Tang, Genfu5; Xing, Houxun5; Fan, Fangfang2; Li, Jianping2; Zhang, Yan2; Wang, Binyan4; Xu, Xiping4; Yang, Xinchun1; Chen, Yundai6; Qian, Geng6
关键词: Blood pressure ; Hypertension ; Pulse wave velocity ; Arterial stiffness
刊名: INTERNATIONAL JOURNAL OF CARDIOLOGY
发表日期: 2015-01-15
DOI: 10.1016/j.ijcard.2014.10.049
卷: 178, 页:226-231
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Cardiac & Cardiovascular Systems
研究领域[WOS]: Cardiovascular System & Cardiology
关键词[WOS]: ALL-CAUSE MORTALITY ; BRACHIAL-ANKLE ; ARTERIAL STIFFNESS ; BLOOD-PRESSURE ; CARDIOVASCULAR EVENTS ; INCIDENT HYPERTENSION ; AORTIC STIFFNESS ; PREVALENCE ; AWARENESS ; DISEASE
英文摘要:

Objectives: Recent data indicate that hypertension is not well controlled in many populations throughout the world. The factors that influence individual response to anti-hypertensive treatment need to be clarified. Pulse wave velocity (PWV), as a marker of arterial stiffness, has been demonstrated to have important relationships with BP progression; however, little information is available on the role of PWV in blood pressure (BP) control. We aimed to assess BP control during the run-in treatment period in the China Stroke Primary Prevention Trial (CSPPT).

Methods and results: These analyses included a total of 3056 treated hypertensive subjects (age: 59.6 +/- 7.5 years, male/female 1339/1717) with PWV measured at baseline. The average BP at enrollment was 166/95 mm Hg, and declined to 141/85 mm Hg after short-term antihypertensive treatment (a median follow-up of 20 days). There was an inverse relationship between PWV level and BP reduction during the treatment, most notably for systolic BP (with estimated coefficients of -9.01 (P < 0.001) for the top quartile, as compared to the bottom quartile). The association did not differ significantly by gender or types of antihypertensive drugs. Factors related to smaller BP decline were low baseline BP, high baseline PWV, high body mass index, high creatinine, use of fewer types of antihypertensive drug, high heart rate (only for SBP), high homocysteine and low age (only for DBP).

Conclusion: PWV appears to be an independent determinant of individual response to anti-hypertensive treatment. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

语种: 英语
所属项目编号: 2012zx 09101105 ; 2012CB517703
项目资助者: Ministry of Science and Technology of the People&prime ; s Republic of China ; Major State Basic Research Development Program of China (973 program)
WOS记录号: WOS:000345697300059
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50007
Appears in Collections:北京大学第一临床医学院_心血管内科_期刊论文

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作者单位: 1.Capital Med Univ, Beijing Chao Yang Hosp, Ctr Heart, Beijing, Peoples R China
2.Peking Univ, Hosp 1, Dept Cardiol, Beijing, Peoples R China
3.Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Populat Family & Reprod Hlth, Ctr Early Life Origins Dis, Baltimore, MD USA
4.Southern Med Univ, Guangdong Inst Nephrol, Natl Ctr Clin Res Kidney Dis, Guangzhou, Peoples R China
5.Anhui Med Univ, Inst Biomed, Hefei, Peoples R China
6.Chinese Peoples Liberat Army Gen Hosp, Dept Cardiol, Beijing, Peoples R China

Recommended Citation:
Zheng, Meili,Huo, Yong,Wang, Xiaobin,et al. A prospective study on pulse wave velocity (PWV) and response to anti-hypertensive treatments PWV determines BP control[J]. INTERNATIONAL JOURNAL OF CARDIOLOGY,2015,178:226-231.
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