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July 9, 2007Journal of Hypertension

Association between arterial pressure and coronary artery calcification

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Key result

Higher systolic and pulse pressures are linked to greater angiographic CAC severity in CAD.

  • P<0.001
  • n=877

Why the study?

Are systolic blood pressure and pulse pressure associated with the severity of coronary artery calcification in patients with CAD?

Population

877 patients with coronary artery disease (CAD) undergoing coronary angiography

Design

Cross-sectional

Authors

BMBjörn MayerWLWolfgang LiebPRPeter W. Radke

Discussion

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Overview

Supports hypothesis linking higher SBP/PP to CAC severity in CAD; leaves open whether BP lowering alters progression or outcomes.

Study Design

Type

Observational (n=877)

Structured PICO

Are systolic blood pressure and pulse pressure associated with the severity of coronary artery calcification in patients with CAD?

P
Population
877 patients with coronary artery disease undergoing coronary angiography evaluated for the relationship between cardiovascular risk factors and coronary artery calcification severity.
O
Outcome
Presence and degree of coronary artery calcification (CAC) assessed angiographicallysurrogate

Main Result

p-value: p=<0.001

Systolic blood pressure and pulse pressure are independently associated with the presence and severity of angiographically detected coronary artery calcification in patients with CAD.

Limitations

  • Cannot determine causality between hypertension and coronary artery calcification

Cite This Study

Mayer et al. (2007) conducted an observational in Coronary artery disease (n=877). Systolic blood pressure and pulse pressure vs. Lower blood pressure levels was evaluated on Severity of coronary artery calcification (CAC) (p=<0.001). Higher systolic blood pressure and pulse pressure were independently associated with increased severity of angiographic coronary artery calcification in patients with coronary artery disease (P<0.001).

synapsesocial.com/papers/6aa2fafadd6ce9c2342410eahttps://doi.org/10.1097/hjh.0b013e328165cbb6
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Also Consider

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

  1. 1Ambulatory blood pressure and coronary artery calcification in middle-aged and younger adults2002 · 34 citations
  2. 2Autosomal Genome-Wide Scan for Coronary Artery Calcification Loci in Sibships at High Risk for Hypertension2002 · 90 citations
  3. 3Heritability of Coronary Artery Calcium Quantity Measured by Electron Beam Computed Tomography in Asymptomatic Adults2002 · 131 citations
  4. 4Prognostic Value of Cardiac Risk Factors and Coronary Artery Calcium Screening for All-Cause Mortality2003 · 894 citations
  5. 5Evolution and modulation of age-related medial elastocalcinosis: Impact on large artery stiffness and isolated systolic hypertension2005 · 255 citations