In:
The Journal of Clinical Hypertension, Wiley, Vol. 19, No. 12 ( 2017-12), p. 1269-1275
Kurzfassung:
To compare central and brachial blood pressure (BP) in the association of target organ damage (TOD) in a community‐based elderly population, 1599 (aged 71.4 ± 6.1 years) participants in northern Shanghai were recruited. TOD included left ventricular hypertrophy (n = 1556), left ventricular diastolic dysfunction (n = 1524), carotid plaque (n = 1558), arteriosclerosis (n = 1485), and microalbuminuria (n = 1516). Both central and brachial BP significantly correlated with TOD. In full‐model regression, central BP was significantly associated with all TOD ( P ≤ .04), whereas brachial BP was only significantly associated with left ventricular hypertrophy and arteriosclerosis ( P ≤ .01). Similarly, in stepwise regression, central BP was significantly associated with left ventricular hypertrophy, left ventricular diastolic dysfunction, arteriosclerosis, and microalbuminuria ( P ≤ .04), while brachial BP was not associated with any TOD. Receiver operating characteristic analyses indicated that central BP identified arteriosclerosis and microalbuminuria better than brachial BP ( P ≤ .01). In conclusion, central BP showed superiority over brachial BP in the association of hypertensive TOD in a community‐based elderly population.
Materialart:
Online-Ressource
ISSN:
1524-6175
,
1751-7176
DOI:
10.1111/jch.2017.19.issue-12
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2017
ZDB Id:
2058690-5
