Abstract | BACKGROUND: METHODS: RESULTS: During an average 41 months of follow-up (1,751 person-years), 43 stroke and 3 myocardial infarction events occurred. At baseline, patients with ECG-LVH had higher mean 24-hour BP (148.8/83.8mm Hg vs. 135.7/77.2mm Hg) and circulating norepinephrine levels (404.6 pg/ml vs. 336.3 pg/ml) compared to those without ECG-LVH; the differences remained unchanged after adjustment for age, gender, smoking status, presence of diabetes, and antihypertensive medication uses at follow-up time (all P < 0.01). Cox proportional hazards models suggested that the hazard ratio (HR; 95% confidence interval (CI)) of CVD events for those with ECG-LVH was 4.4 (2.3-8.2), and the association between ECG-LVH and incident CVD events remained significant after adjustment for high 24-hour BP (≥130/80mm Hg), nocturnal SBP, circulating norepinephrine and fibrinogen levels (HRs, 3.5-4.2, all P < 0.001). CONCLUSIONS: In older hypertensive patients, ECG-LVH was associated with a higher risk of CVD events, independent of ambulatory BP parameters and circulating norepinephrine and fibrinogen levels.
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Authors | Eijiro Sugiyama Edison, Yuichiro Yano, Satoshi Hoshide, Kazuomi Kario |
Journal | American journal of hypertension
(Am J Hypertens)
Vol. 28
Issue 4
Pg. 527-34
(Apr 2015)
ISSN: 1941-7225 [Electronic] United States |
PMID | 25267736
(Publication Type: Journal Article, Multicenter Study)
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Copyright | © American Journal of Hypertension, Ltd 2014. All rights reserved. For Permissions, please email: [email protected]. |
Chemical References |
- Biomarkers
- Fibrinogen
- Norepinephrine
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Topics |
- Age Factors
- Aged
- Aged, 80 and over
- Asian People
- Biomarkers
(blood)
- Blood Pressure
- Blood Pressure Monitoring, Ambulatory
- Chi-Square Distribution
- Electrocardiography
- Fibrinogen
(metabolism)
- Humans
- Hypertension
(blood, diagnosis, ethnology, physiopathology)
- Hypertrophy, Left Ventricular
(blood, diagnosis, ethnology, physiopathology)
- Incidence
- Japan
(epidemiology)
- Kaplan-Meier Estimate
- Male
- Middle Aged
- Norepinephrine
(blood)
- Predictive Value of Tests
- Proportional Hazards Models
- Prospective Studies
- Risk Factors
- Sex Factors
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