July 28, 1993JAMA
Morbidity and Mortality in Hypertensive Adults With a Low Ankle/Arm Blood Pressure Index
Why the study?
Does a low ankle/arm blood pressure index predict increased cardiovascular morbidity and mortality in older adults with systolic hypertension?
Population
1537 older men and women with systolic hypertension from 11 field centers of the Systolic Hypertension in…
Comparison
Low ankle/arm blood pressure index (AAI ≤ 0.9) vs Normal ankle/arm blood pressure index (AAI > 0.9)
Design
Cohort
Follow-up
mean 16 months (1- to 2-year follow-up)
Authors
Discussion
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Member takes
Implication
Low AAI may aid risk stratification in older adults with systolic hypertension; extends prognostic data but leaves open whether screening changes practice.
Structured PICO
Does a low ankle/arm blood pressure index predict increased cardiovascular morbidity and mortality in older adults with systolic hypertension?
P
Population
1537 older men and women with systolic hypertension from 11 field centers of the Systolic Hypertension in the Elderly Program
I
Intervention
Low ankle/arm blood pressure index (AAI ≤ 0.9)
C
Comparator
Normal ankle/arm blood pressure index (AAI > 0.9)
O
Outcome
All-cause mortality, coronary heart disease (CHD) mortality, cardiovascular disease (CVD) mortality, and CHD and CVD morbidity and mortalityhard clinical
A low ankle/arm blood pressure index (≤ 0.9) is a strong independent predictor of short-term cardiovascular morbidity and mortality in older adults with systolic hypertension.
Cite This Study
Anne B. Newman (1993) studied this question.