January 1, 2008Hypertension ResearchOpen Access

Proposal of a Risk-Stratification System for the Japanese Population Based on Blood Pressure Levels: The Ohasama Study

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Why the study?

Does home blood pressure measurement better stratify the risk of stroke or TIA compared to casual-screening blood pressure in a Japanese population?

Population

2,368 Japanese residents (Ohasama) aged ≥ 35 years, with no history of stroke.

Design

Cohort

Follow-up

9.4 years (interquartile 7.0-12.4)

Authors

KAKei AsayamaFukuoka Institute of Technology TOTakayoshi OhkuboPreventive Cardiology ASAtsushi SatōHirosaki University

Discussion

Member takes

Implication

Should not yet change BP screening practice; leaves open whether home BP refines stroke risk stratification beyond casual measures.

Structured PICO

Does home blood pressure measurement better stratify the risk of stroke or TIA compared to casual-screening blood pressure in a Japanese population?

Population

2,368 Japanese residents (Ohasama) aged ≥ 35 years, with no history of stroke.

Intervention

Home blood pressure (HBP) measurement (seated every morning within 1 h after awaking, after resting for ≥2 min, for 4 weeks) and casual-screening BP (CBP) measurement (twice consecutively at baseline)

Outcome

Incidence of first stroke or transient ischemic attack (TIA) over 9.4 years follow-uphard clinical

Home blood pressure measurement is superior to casual screening blood pressure for identifying individuals at increased risk of stroke or TIA, particularly those with high-normal blood pressure.

Cite This Study

Asayama et al. (2008) studied this question.

synapsesocial.com/papers/6a7e0078fd5c83ea4ea148b5 https://doi.org/10.1291/hypres.31.1315

Topics

Hypertension management

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Proposal of a Risk-Stratification System for the Japanese Population Based on Blood Pressure Levels: The Ohasama Study

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Proposal of a Risk-Stratification System for the Japanese Population Based on Blood Pressure Levels: The Ohasama Study

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider