Why the study?
Does isolated diastolic hypertension assessed by home blood pressure measurement increase the risk of cardiovascular mortality compared to normotension in adults aged 40 years or older?
Population
1913 subjects aged 40 years or older from the general population
Comparison
Isolated systolic hypertension, isolated… vs Normotension as assessed by self-measurement of…
Design
Cohort
Follow-up
mean 8.6 years
Authors
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Home BP-defined isolated diastolic hypertension showed no excess cardiovascular mortality; leaves open whether systolic thresholds should guide treatment priorities in adults ≥40 years.
Does isolated diastolic hypertension assessed by home blood pressure measurement increase the risk of cardiovascular mortality compared to normotension in adults aged 40 years or older?
Isolated diastolic hypertension assessed by home blood pressure monitoring does not significantly increase cardiovascular mortality risk, suggesting treatment should focus on systolic blood pressure.
Hozawa et al. (2000) studied this question.
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