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December 15, 2012American Journal of HypertensionOpen Access

Coronary Artery Calcification Is Associated With the Development of Hypertension

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Key result

Preexisting coronary artery calcification was associated with an increased risk of developing hypertension compared to no calcification (adjusted HR 1.63; 95% CI 1.02-2.60; P=0.04).

Why the study?

Does preexisting coronary artery calcification predict the development of hypertension in normotensive subjects?

Population

483 normotensive subjects, mean age 54 years, 83% males, who underwent a baseline evaluation of their CAC…

Comparison

Presence of coronary artery calcification at… vs Absence of coronary artery calcification at…

Design

Cohort

Follow-up

mean 6.6 ± 3.2 years

Authors

CGChagai GrossmanJSJoseph ShemeshZDZamir Dovrish

Discussion

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Member takes

Overview

Preexisting CAC may flag higher incident HTN risk in normotensives; leaves open whether it refines prediction beyond standard factors.

Study Design

Type

Cohort (n=483)

Structured PICO

Does preexisting coronary artery calcification predict the development of hypertension in normotensive subjects?

P
Population
483 normotensive adults (mean age 54 years, 17% female) who underwent baseline coronary artery calcification scoring, followed for a mean of 6.6 years for incident hypertension.
E
Exposure
Presence of coronary artery calcification (CAC) at baseline
C
Comparator
Absence of coronary artery calcification (CAC) at baseline
O
Outcome
Newly developed hypertension (HTN)

Main Result

Hazard Ratio: 1.63 (95% CI 1.02–2.6)

Absolute Event Rate: 27% vs 17%

p-value: p=0.04

Preexisting coronary artery calcification is independently associated with the future development of hypertension in initially normotensive individuals.

Cite This Study

Grossman et al. (2012) conducted a cohort in Hypertension (n=483). Coronary artery calcification vs. No coronary artery calcification was evaluated on Newly developed hypertension (HR 1.63, 95% CI 1.02-2.60, p=0.04). Preexisting coronary artery calcification was associated with an increased risk of developing hypertension compared to no calcification (adjusted HR 1.63; 95% CI 1.02-2.60; P=0.04).

synapsesocial.com/papers/6a6bdcb8547974b2dbf46bf2https://doi.org/10.1093/ajh/hps028
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Also Consider

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

  1. 1Association between arterial pressure and coronary artery calcification2007 · 27 citations
  2. 2Subclinical Coronary Atherosclerosis Predicts Cardiovascular Risk in Different Stages of Hypertension2011 · 72 citations
  3. 3Progression of coronary artery calcification is associated with long-term cadiovascular events in hypertensive adults2013 · 10 citations
  4. 4Left Ventricular Hypertrophy Predicts Cardiovascular Events in Hypertensive Patients With Coronary Artery Calcifications2017 · 14 citations
  5. 5Coronary calcification among 3477 asymptomatic and symptomatic individuals2015 · 15 citations