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October 1, 1992Journal of Hypertension

Relation between treated blood pressure and death from ischaemic heart disease at different ages: a report from the Department of Health Hypertension Care Computing Project

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Why the study?

Does treated blood pressure level correlate with ischaemic heart disease mortality differently across age groups in hypertensive patients?

Population

6216 hypertensive patients (2250 men and 2126 women aged < 60 years; 822 men and 1018 women aged >= 60 years)

Design

Cohort

Follow-up

mean 107 months

Key result

The positive relation between treated diastolic blood pressure and IHD mortality decreased with age, while the relative hazard rate for systolic blood pressure remained positive (1.008-1.021).

Authors

CBChristopher J. BulpittAPAlison J. PalmerAFAstrid Fletcher

Discussion

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Overview

Treated diastolic BP–IHD mortality link weakens with age while systolic persists; leaves open age-specific targets in hypertension.

Study Design

Type

Cohort (n=6,216)

Multicenter

Yes

Structured PICO

Does treated blood pressure level correlate with ischaemic heart disease mortality differently across age groups in hypertensive patients?

P
Population
6,216 hypertensive men and women followed prospectively for a mean of 107 months.
E
Exposure
Treated blood pressure (systolic and diastolic)
O
Outcome
Mortality from ischaemic heart disease (any mention on the death certificate)hard clinical

Main Result

Effect estimate: RHR 1.008-1.021

The positive relationship between treated diastolic blood pressure and ischemic heart disease mortality decreases with age, whereas the relationship with systolic blood pressure persists in older patients.

Cite This Study

Bulpitt et al. (1992) conducted a cohort in Hypertension (n=6,216). Treated blood pressure vs. Lower treated blood pressure was evaluated on Mortality from ischaemic heart disease (RHR 1.008-1.021). The positive relation between treated diastolic blood pressure and IHD mortality decreased with age, while the relative hazard rate for systolic blood pressure remained positive (1.008-1.021).

synapsesocial.com/papers/6a9d3cae8abc1d8b83a4b57ehttps://doi.org/10.1097/00004872-199210000-00023
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