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December 12, 2018Hypertension

Lifetime risk of stroke death at index age 35 years was 14.6% for men and 14.3% for women with grade 3 hypertension, compared to 6.1% and 4.8% for optimal blood pressure, with CHD death risks showing similar but lower elevations (≤7.2%).

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Why the study?

Few studies have focused on the lifetime risks of stroke and coronary heart disease categorized by fine blood pressure levels in Asian populations.

Does higher blood pressure increase the lifetime risk of stroke and CHD death in a Japanese population?

Population

107 737 Japanese from 13 cohorts

Comparison

Blood pressure levels categorized as optimal, normal, high-normal, and grades 1-3 hypertension

Design

Individual participant data meta-analysis

Follow-up

Mean 15.2±5.3 years

Authors

MSMichihiro SatohTOTakayoshi OhkuboKAKei Asayama

Discussion

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Member takes

Overview

Supports early BP control to curb stroke mortality; confirms graded lifetime risks in Japanese adults.

Structured PICO

Does higher blood pressure increase the lifetime risk of stroke and CHD death in a Japanese population?

P
Population
107,737 Japanese adults from 13 cohorts, mean age 55.1 years, 42.4% men.
I
Intervention
Blood pressure categories (optimal, normal, high-normal, grade 1, grade 2, grade 3 hypertension)
C
Comparator
Optimal blood pressure
O
Outcome
Lifetime risk of stroke death and coronary heart disease (CHD) deathhard clinical

Higher blood pressure categories are associated with a significantly increased lifetime risk of stroke and CHD death in the Japanese population, with stroke death risk being roughly double that of CHD death.

Cite This Study

Satoh et al. (2018) studied this question.

synapsesocial.com/papers/69d5757123f4decff7b4cd36https://doi.org/10.1161/hypertensionaha.118.11635
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Perceived Mental Stress and Mortality From Cardiovascular Disease Among Japanese Men and Women2002 · 293 citations
  2. 2Validity of the JNC VI Recommendations for the Management of Hypertension in a General Population of Japanese Elderly2003 · 110 citations
  3. 3Cardiovascular risk and blood pressure lowering treatment among elderly individuals2017 · 7 citations
  4. 4The Lifetime Risk of Stroke2006 · 711 citations
  5. 5Epidemiology of Hypertension in Japan2013 · 172 citations