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May 1, 1989Hypertension327 citationsOpen Access

Blood pressure as a risk factor for cardiovascular disease. The Framingham Study--30 years of follow-up.

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JSJ StokesSouthwestern University
William B. Kannel
William B. KannelPreventive Cardiology
PWPhilip A. WolfGeneral Cardiology

Structured PICO

Does blood pressure predict the development of cardiovascular disease in adults initially free of cardiovascular disease?

P
Population
5,070 men and women aged 30-62 years, free of cardiovascular disease at baseline (Framingham Study cohort)
I
Intervention
Blood pressure (exposure/risk factor)
O
Outcome
Development of coronary heart disease, stroke, transient ischemic attack, and congestive heart failurehard clinical

This landmark 30-year follow-up of the Framingham cohort establishes blood pressure as a strong, independent predictor of major cardiovascular events including coronary heart disease, stroke, and heart failure.

Abstract

Data from 30 years of follow-up of the original Framingham Study cohort of 5,070 men and women aged 30-62 years who were first examined during the period 1948-1952 and who were free of cardiovascular disease reveal that blood pressure is a strong and consistent predictor of the development of coronary heart disease, stroke, transient ischemic attack, and congestive heart failure. Other factors related to blood pressure like obesity, left ventricular hypertrophy as demonstrated on electrocardiograms, and heart enlargement as shown by x-ray radiography made several selective additional independent contributions to risk; heart enlargement by x-ray radiography was the best predictor of congestive heart failure.

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Cite This Study

Stokes et al. (1989) studied this question.

synapsesocial.com/papers/6a0debeccae7912d2fa567bahttps://doi.org/10.1161/01.hyp.13.5_suppl.i13
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Also Consider

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

  1. 1Blood pressure experience and risk of cardiovascular disease in the elderly.1985 · 123 citations
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  3. 3Some Factors Associated with the Development of Coronary Heart Disease—Six Years' Follow-Up Experience in the Framingham Study1959 · 306 citations
  4. 4Epidemiologic assessment of chronic atrial fibrillation and risk of stroke1978 · 1,554 citations
  5. 5Electrocardiographic Findings in 122,043 Individuals1962 · 495 citations