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Blood pressure components and incident cardiovascular disease and mortality events among Iranian adults with chronic kidney disease during over a decade long follow-up: a prospective cohort study
To explore the association between systolic and diastolic blood pressure (SBP and DBP respectively) and pulse pressure (PP) with cardiovascular disease (CVD) and mortality events among Iranian patients with prevalent CKD. Patients [n = 1448, mean age: 60.9 (9.9) years] defined as those with estimate...
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| Published in: | Journal of translational medicine 2018-08, Vol.16 (1), p.230-230, Article 230 |
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| container_title | Journal of translational medicine |
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| creator | Hashemi, Ashkan Nourbakhsh, Sormeh Asgari, Samaneh Mirbolouk, Mohammadhassan Azizi, Fereidoun Hadaegh, Farzad |
| description | To explore the association between systolic and diastolic blood pressure (SBP and DBP respectively) and pulse pressure (PP) with cardiovascular disease (CVD) and mortality events among Iranian patients with prevalent CKD.
Patients [n = 1448, mean age: 60.9 (9.9) years] defined as those with estimated glomerular filtration rate |
| doi_str_mv | 10.1186/s12967-018-1603-7 |
| format | article |
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Patients [n = 1448, mean age: 60.9 (9.9) years] defined as those with estimated glomerular filtration rate < 60 ml/min/1.73 m
, were followed from 31 January 1999 to 20 March 2014. Multivariable Cox proportional hazard models were applied to examine the associations between different components of BP with outcomes.
During a median follow-up of 13.9 years, 305 all-cause mortality and 317 (100 fatal) CVD events (among those free from CVD, n = 1232) occurred. For CVD and CV-mortality, SBP and PP showed a linear relationship, while a U-shaped relationship for DBP was observed with all outcomes. Considering 120 ≤ SBP < 130 as reference, SBP ≥ 140 mmHg was associated with the highest hazard ratio (HR) for CVD [1.68 (1.2-2.34)], all-cause [1.72 (1.19-2.48)], and CV-mortality events [2.21 (1.16-4.22)]. Regarding DBP, compared with 80 ≤ DBP < 85 as reference, the level of ≥ 85 mmHg increased risk of CVD and all-cause mortality events; furthermore, DBP < 80 mmHg was associated with significant HR for CVD events [1.55 (1.08-2.24)], all-cause [1.68 (1.13-2.5)] and CV-mortality events [3.0 (1.17-7.7)]. Considering PP, the highest HR was seen in participants in the 4th quartile for all outcomes of interest; HRs for CVD events [1.92 (1.33-2.78)], all-cause [1.71 (1.11-2.63)] and CV-mortality events [2.22 (1.06-4.64)].
Among patients with CKD, the lowest risk of all-cause and CV-mortality as well as incident CVD was observed in those with SBP < 140, 80 ≤ DBP < 85 and PP < 64 mmHg.]]></description><identifier>ISSN: 1479-5876</identifier><identifier>EISSN: 1479-5876</identifier><identifier>DOI: 10.1186/s12967-018-1603-7</identifier><identifier>PMID: 30111315</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adults ; Aged ; Blood Pressure ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - complications ; Cardiovascular Diseases - mortality ; Chronic kidney disease ; Cohort analysis ; Complications and side effects ; Diastole ; Diastolic blood pressure ; Female ; Follow-Up Studies ; Glomerular Filtration Rate ; Health aspects ; Health risk assessment ; Humans ; Hypertension - physiopathology ; Iran - epidemiology ; Kidney diseases ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - mortality ; Male ; Middle Aged ; Mortality ; Multivariate Analysis ; Patient outcomes ; Prevalence ; Proportional Hazards Models ; Prospective Studies ; Pulse pressure ; Risk Factors ; Studies ; Systematic review ; Systole ; Systolic blood pressure</subject><ispartof>Journal of translational medicine, 2018-08, Vol.16 (1), p.230-230, Article 230</ispartof><rights>COPYRIGHT 2018 BioMed Central Ltd.</rights><rights>Copyright © 2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-c5dd63d7206c5a804c80942b44c1cc2aff04c5eff23dd6031185c317af30537a3</citedby><cites>FETCH-LOGICAL-c560t-c5dd63d7206c5a804c80942b44c1cc2aff04c5eff23dd6031185c317af30537a3</cites><orcidid>0000-0002-8935-2744</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094925/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2090355270?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30111315$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hashemi, Ashkan</creatorcontrib><creatorcontrib>Nourbakhsh, Sormeh</creatorcontrib><creatorcontrib>Asgari, Samaneh</creatorcontrib><creatorcontrib>Mirbolouk, Mohammadhassan</creatorcontrib><creatorcontrib>Azizi, Fereidoun</creatorcontrib><creatorcontrib>Hadaegh, Farzad</creatorcontrib><title>Blood pressure components and incident cardiovascular disease and mortality events among Iranian adults with chronic kidney disease during over a decade long follow-up: a prospective cohort study</title><title>Journal of translational medicine</title><addtitle>J Transl Med</addtitle><description><![CDATA[To explore the association between systolic and diastolic blood pressure (SBP and DBP respectively) and pulse pressure (PP) with cardiovascular disease (CVD) and mortality events among Iranian patients with prevalent CKD.
Patients [n = 1448, mean age: 60.9 (9.9) years] defined as those with estimated glomerular filtration rate < 60 ml/min/1.73 m
, were followed from 31 January 1999 to 20 March 2014. Multivariable Cox proportional hazard models were applied to examine the associations between different components of BP with outcomes.
During a median follow-up of 13.9 years, 305 all-cause mortality and 317 (100 fatal) CVD events (among those free from CVD, n = 1232) occurred. For CVD and CV-mortality, SBP and PP showed a linear relationship, while a U-shaped relationship for DBP was observed with all outcomes. Considering 120 ≤ SBP < 130 as reference, SBP ≥ 140 mmHg was associated with the highest hazard ratio (HR) for CVD [1.68 (1.2-2.34)], all-cause [1.72 (1.19-2.48)], and CV-mortality events [2.21 (1.16-4.22)]. Regarding DBP, compared with 80 ≤ DBP < 85 as reference, the level of ≥ 85 mmHg increased risk of CVD and all-cause mortality events; furthermore, DBP < 80 mmHg was associated with significant HR for CVD events [1.55 (1.08-2.24)], all-cause [1.68 (1.13-2.5)] and CV-mortality events [3.0 (1.17-7.7)]. Considering PP, the highest HR was seen in participants in the 4th quartile for all outcomes of interest; HRs for CVD events [1.92 (1.33-2.78)], all-cause [1.71 (1.11-2.63)] and CV-mortality events [2.22 (1.06-4.64)].
Among patients with CKD, the lowest risk of all-cause and CV-mortality as well as incident CVD was observed in those with SBP < 140, 80 ≤ DBP < 85 and PP < 64 mmHg.]]></description><subject>Adults</subject><subject>Aged</subject><subject>Blood Pressure</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - complications</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Chronic kidney disease</subject><subject>Cohort analysis</subject><subject>Complications and side effects</subject><subject>Diastole</subject><subject>Diastolic blood pressure</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glomerular Filtration Rate</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Hypertension - physiopathology</subject><subject>Iran - epidemiology</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - mortality</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Patient outcomes</subject><subject>Prevalence</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Pulse pressure</subject><subject>Risk Factors</subject><subject>Studies</subject><subject>Systematic review</subject><subject>Systole</subject><subject>Systolic blood pressure</subject><issn>1479-5876</issn><issn>1479-5876</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUstuEzEUHSEQLYUPYIMssWEzxR6PxzELpFLxiFSJDaytGz8SB4892DOp8n38GJ6mhAax8eP6nHOv7z1V9ZLgS0IW3dtMGtHxGpNFTTpMa_6oOictFzVb8O7xg_NZ9SznLcZNy1rxtDqjmBBCCTuvfn3wMWo0JJPzlAxSsR9iMGHMCIJGLiinyw0pSNrFHWQ1eUhIu2wgmztMH9MI3o17ZHYHYh_DGi0TBAcBgZ58Cd66cYPUJsXgFPrhdDD7o4qekiuMuDMJAdJGgTbIzyI2eh9v62l4Vx6GFPNg1Oh2c52bkhblcdL759UTCz6bF_f7RfX908dv11_qm6-fl9dXN7ViHR7LqnVHNW9wpxgscKsWWLTNqm0VUaoBa0uIGWsbWoCYlhYzRQkHSzGjHOhFtTzo6ghbOSTXQ9rLCE7eBWJaS0ijU97IzlptLRUrpttW0Aa46fDKEuBEmNbSovX-oDVMq95oVRqXwJ-Inr4Et5HruJNdqVk0rAi8uRdI8edk8ih7l5XxHoKJU5YNXoiG0zLyAn39D3QbpxRKqwpKYMpYw_Ff1BrKB1ywseRVs6i8YqwTgmM8p738DwrmifVOFedYV-InBHIgqDK9nIw9_pFgObtYHlwsi4vl7GLJC-fVw-YcGX9sS38D0Grxrw</recordid><startdate>20180815</startdate><enddate>20180815</enddate><creator>Hashemi, Ashkan</creator><creator>Nourbakhsh, Sormeh</creator><creator>Asgari, Samaneh</creator><creator>Mirbolouk, Mohammadhassan</creator><creator>Azizi, Fereidoun</creator><creator>Hadaegh, Farzad</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8935-2744</orcidid></search><sort><creationdate>20180815</creationdate><title>Blood pressure components and incident cardiovascular disease and mortality events among Iranian adults with chronic kidney disease during over a decade long follow-up: a prospective cohort study</title><author>Hashemi, Ashkan ; Nourbakhsh, Sormeh ; Asgari, Samaneh ; Mirbolouk, Mohammadhassan ; Azizi, Fereidoun ; Hadaegh, Farzad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-c5dd63d7206c5a804c80942b44c1cc2aff04c5eff23dd6031185c317af30537a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adults</topic><topic>Aged</topic><topic>Blood Pressure</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - complications</topic><topic>Cardiovascular Diseases - mortality</topic><topic>Chronic kidney disease</topic><topic>Cohort analysis</topic><topic>Complications and side effects</topic><topic>Diastole</topic><topic>Diastolic blood pressure</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glomerular Filtration Rate</topic><topic>Health aspects</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Hypertension - physiopathology</topic><topic>Iran - epidemiology</topic><topic>Kidney diseases</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - mortality</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multivariate Analysis</topic><topic>Patient outcomes</topic><topic>Prevalence</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Pulse pressure</topic><topic>Risk Factors</topic><topic>Studies</topic><topic>Systematic review</topic><topic>Systole</topic><topic>Systolic blood pressure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hashemi, Ashkan</creatorcontrib><creatorcontrib>Nourbakhsh, Sormeh</creatorcontrib><creatorcontrib>Asgari, Samaneh</creatorcontrib><creatorcontrib>Mirbolouk, Mohammadhassan</creatorcontrib><creatorcontrib>Azizi, Fereidoun</creatorcontrib><creatorcontrib>Hadaegh, Farzad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Open Access Journals</collection><jtitle>Journal of translational medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hashemi, Ashkan</au><au>Nourbakhsh, Sormeh</au><au>Asgari, Samaneh</au><au>Mirbolouk, Mohammadhassan</au><au>Azizi, Fereidoun</au><au>Hadaegh, Farzad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blood pressure components and incident cardiovascular disease and mortality events among Iranian adults with chronic kidney disease during over a decade long follow-up: a prospective cohort study</atitle><jtitle>Journal of translational medicine</jtitle><addtitle>J Transl Med</addtitle><date>2018-08-15</date><risdate>2018</risdate><volume>16</volume><issue>1</issue><spage>230</spage><epage>230</epage><pages>230-230</pages><artnum>230</artnum><issn>1479-5876</issn><eissn>1479-5876</eissn><abstract><![CDATA[To explore the association between systolic and diastolic blood pressure (SBP and DBP respectively) and pulse pressure (PP) with cardiovascular disease (CVD) and mortality events among Iranian patients with prevalent CKD.
Patients [n = 1448, mean age: 60.9 (9.9) years] defined as those with estimated glomerular filtration rate < 60 ml/min/1.73 m
, were followed from 31 January 1999 to 20 March 2014. Multivariable Cox proportional hazard models were applied to examine the associations between different components of BP with outcomes.
During a median follow-up of 13.9 years, 305 all-cause mortality and 317 (100 fatal) CVD events (among those free from CVD, n = 1232) occurred. For CVD and CV-mortality, SBP and PP showed a linear relationship, while a U-shaped relationship for DBP was observed with all outcomes. Considering 120 ≤ SBP < 130 as reference, SBP ≥ 140 mmHg was associated with the highest hazard ratio (HR) for CVD [1.68 (1.2-2.34)], all-cause [1.72 (1.19-2.48)], and CV-mortality events [2.21 (1.16-4.22)]. Regarding DBP, compared with 80 ≤ DBP < 85 as reference, the level of ≥ 85 mmHg increased risk of CVD and all-cause mortality events; furthermore, DBP < 80 mmHg was associated with significant HR for CVD events [1.55 (1.08-2.24)], all-cause [1.68 (1.13-2.5)] and CV-mortality events [3.0 (1.17-7.7)]. Considering PP, the highest HR was seen in participants in the 4th quartile for all outcomes of interest; HRs for CVD events [1.92 (1.33-2.78)], all-cause [1.71 (1.11-2.63)] and CV-mortality events [2.22 (1.06-4.64)].
Among patients with CKD, the lowest risk of all-cause and CV-mortality as well as incident CVD was observed in those with SBP < 140, 80 ≤ DBP < 85 and PP < 64 mmHg.]]></abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>30111315</pmid><doi>10.1186/s12967-018-1603-7</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-8935-2744</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Publicly Available Content Database; PubMed Central |
| subjects | Adults Aged Blood Pressure Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - complications Cardiovascular Diseases - mortality Chronic kidney disease Cohort analysis Complications and side effects Diastole Diastolic blood pressure Female Follow-Up Studies Glomerular Filtration Rate Health aspects Health risk assessment Humans Hypertension - physiopathology Iran - epidemiology Kidney diseases Kidney Failure, Chronic - complications Kidney Failure, Chronic - mortality Male Middle Aged Mortality Multivariate Analysis Patient outcomes Prevalence Proportional Hazards Models Prospective Studies Pulse pressure Risk Factors Studies Systematic review Systole Systolic blood pressure |
| title | Blood pressure components and incident cardiovascular disease and mortality events among Iranian adults with chronic kidney disease during over a decade long follow-up: a prospective cohort study |
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