March 8, 1993Archives of Internal Medicine
Blood pressure, systolic and diastolic, and cardiovascular risks. US population data
Why the study?
What is the relationship between systolic and diastolic blood pressure and cardiovascular risk in the US population?
Population
US population including young, middle-aged, and older men and middle-aged and older women of varying…
Design
Review
Authors
Discussion
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Implication
Supports BP control strategies in US adults; leaves open optimal targets pending randomized trials.
Key Points
- This review aims to summarize the relationship between blood pressure levels and cardiovascular risks using recent US population data.
- Data from prospective population studies over 20 years was analyzed, focusing on SBP and DBP.
- Outcome variables included cardiovascular events, mortality rates, and health metrics across different demographics.
- Most US adults aged 35 and above have SBP/DBP above optimal levels, increasing cardiovascular risk.
- Higher systolic blood pressure is associated with greater cardiovascular risk and reduced life expectancy at every diastolic level.
- Greater potential for health improvements exists through strategies aimed at controlling blood pressure, advocating both population-wide and high-risk approaches.
Structured PICO
What is the relationship between systolic and diastolic blood pressure and cardiovascular risk in the US population?
P
Population
US population including young, middle-aged, and older men and middle-aged and older women of varying socioeconomic backgrounds and ethnicity
O
Outcome
Incidence and mortality from coronary heart disease, stroke, other and all cardiovascular diseases (CVD)hard clinical
This review highlights that both systolic and diastolic blood pressure have a continuous, graded relationship with cardiovascular risk, emphasizing the need for population-wide and high-risk strategies for blood pressure control.
Cite This Study
Jeremiah Stamler (1993) studied this question.