Prognostic Value of Echocardiography in Hypertensive Versus Nonhypertensive Participants From the General Population
Why the study?
Does echocardiography provide incremental prognostic value over established risk factors for predicting ischemic heart disease and heart failure in hypertensive and nonhypertensive individuals?
Population
1294 individuals from the general population, with a 38.3% prevalence of hypertension.
Comparison
Echocardiography including 2-dimensional speckle… vs Established risk factors
Design
Cohort
Follow-up
median 12.5 years (IQR 9.4-12.8 years)
Authors
Discussion
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Member takes
Implication
Echocardiography may refine risk stratification differently by hypertension status; hypothesis-generating and requires prospective validation before practice change.
Structured PICO
Does echocardiography provide incremental prognostic value over established risk factors for predicting ischemic heart disease and heart failure in hypertensive and nonhypertensive individuals?
P
Population
1294 individuals from the general population, with a 38.3% prevalence of hypertension.
I
Intervention
Echocardiography including 2-dimensional speckle tracking (specifically left ventricular mass index and global longitudinal strain)
C
Comparator
Established risk factors (SCORE and abnormal ECG status)
O
Outcome
Composite of ischemic heart disease and heart failurecomposite
Echocardiographic predictors of cardiovascular outcomes differ by hypertension status, with left ventricular mass index being prognostic in hypertensive individuals and global longitudinal strain in nonhypertensive individuals.
Cite This Study
Modin et al. (2018) studied this question.