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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2002-9-5
pubmed:abstractText
The aim of this work was to evaluate whether pulse pressure (PP) in elderly people is a better predictor of coronary mortality than systolic and diastolic blood pressure taken alone. For this aim, 3282 elderly subjects aged >or=65 years were studied in a population-based frame. Blood pressure was repeatedly measured and averaged; historical data, anthropometrics, blood tests and 14-year coronary mortality were recorded. Statistics included analysis of covariance, Cox analysis and bivariate vectorial analysis. Coronary mortality in women was predicted by PP (1.01 excess risk/mm Hg PP) and was significantly higher in the 3rd than in the 1st tertile of PP (relative risk 2.90); neither systolic nor diastolic pressure taken alone influenced mortality. When systolic and diastolic pressures were both entered into a Cox model, the former had a positive and the latter a negative effect on survival, confirming a prognostic role of PP. For any given level of systolic pressure, mortality was inversely associated with diastolic pressure. Finally, the mean vector representing both systolic and diastolic pressures of non-surviving women was characterised by higher systolic and lower diastolic components than in non-surviving. No significant trend of mortality in relation to either systolic blood pressure or PP was observed in men. In conclusion, the combination of systolic and diastolic pressure called PP is an independent predictor of coronary mortality in elderly females, and a better predictor than systolic or diastolic pressure alone.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0950-9240
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
611-20
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:12214256-Aged, pubmed-meshheading:12214256-Aged, 80 and over, pubmed-meshheading:12214256-Analysis of Variance, pubmed-meshheading:12214256-Anthropometry, pubmed-meshheading:12214256-Cause of Death, pubmed-meshheading:12214256-Coronary Disease, pubmed-meshheading:12214256-Diastole, pubmed-meshheading:12214256-Female, pubmed-meshheading:12214256-Humans, pubmed-meshheading:12214256-Hypertension, pubmed-meshheading:12214256-Italy, pubmed-meshheading:12214256-Longitudinal Studies, pubmed-meshheading:12214256-Male, pubmed-meshheading:12214256-Predictive Value of Tests, pubmed-meshheading:12214256-Proportional Hazards Models, pubmed-meshheading:12214256-Pulse, pubmed-meshheading:12214256-Risk Assessment, pubmed-meshheading:12214256-Sex Factors, pubmed-meshheading:12214256-Systole
pubmed:year
2002
pubmed:articleTitle
Pulse pressure and coronary mortality in elderly men and women from general population.
pubmed:affiliation
Department of Clinical and Experimental Medicine, University of Padova, Via Giustiniani, 2-35128 Padova, Italy. edoardo.casiglia@unipd.it
pubmed:publicationType
Journal Article