Trajectories of Blood Pressure in Patients with Established Coronary Artery Disease over 20 years.

IF 1.9 4区医学 Q3 PERIPHERAL VASCULAR DISEASE International Journal of Hypertension Pub Date : 2022-08-05 eCollection Date: 2022-01-01 DOI:10.1155/2022/2086515

Piotr Jankowski, Paweł Kozieł, Grzegorz Bilo, Jarosław Pinkas, Danuta Czarnecka, Kalina Kawecka-Jaszcz, Andrzej Pająk

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Abstract

Objective: To evaluate changes in blood pressure (BP) values in patients with established coronary artery disease (CAD) over 20 years (1997-2017).

Materials and methods: Consecutive patients aged <71 years and hospitalized for acute coronary syndrome or myocardial revascularization procedures were recruited and interviewed 6-18 months after their discharge from the hospital. BP was measured in 1997-1998, 1999-2000, 2006-2007, 2011-2013, and 2016-2017. The same five hospitals took part in the surveys at each time point.

Results: We examined 412 patients in 1997-1998, 427 in 1999-2000, 422 in 2006-2007, 462 in 2011-2013, and 272 in 2016-2017. The proportion of patients with BP at the recommended goal was 49.2% in 1997-98, 44.5% in 1999-2000, 44.7% in 2006-07, 51.1% in 2011-13, and 58.8% in 2016-17 (p < 0.001). Mean systolic and diastolic BP decreased significantly independent of age, sex, and education (systolic BP: 137.9 ± 21.4 mmHg in 1997-98, 139.5 ± 21.6 mmHg in 1999-2000, 136.1 ± 20.3 mmHg in 2006-07, 134.8 ± 22.0 mmHg in 2011-13, and 134.2 ± 18.6 mmHg in 2016-17, p < 0.001; diastolic BP: 83.4 ± 11.0 mmHg in 1997-98, 84.8 ± 12.0 mmHg in 1999-2000, 85.2 ± 11.0 mmHg in 2006-07, 80.9 ± 12.5 mmHg in 2011-13, and 81.1 ± 10.4 mmHg in 2016-17; p < 0.001).

Conclusion: The analysis of five multicenter surveys provides evidence of a decrease in BP in patients with established CAD over two decades. This trend is independent of age, sex, and the education level of the patients.

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冠心病患者20年血压变化轨迹

目的:评价冠心病(CAD)患者20年(1997-2017)血压(BP)值的变化。结果:1997-1998年412例，1999-2000年427例，2006-2007年422例，2011-2013年462例，2016-2017年272例。血压达到推荐目标的患者比例1997-98年为49.2%，1999-2000年为44.5%，2006-07年为44.7%，2011-13年为51.1%，2016-17年为58.8% (p < 0.001)。收缩压和舒张压平均下降与年龄、性别和教育程度无关(收缩压:1997-98年137.9±21.4 mmHg, 1999-2000年139.5±21.6 mmHg, 2006-07年136.1±20.3 mmHg, 2011-13年134.8±22.0 mmHg, 2016-17年134.2±18.6 mmHg, p < 0.001;舒张压:1997-98年83.4±11.0 mmHg, 1999-2000年84.8±12.0 mmHg, 2006-07年85.2±11.0 mmHg, 2011-13年80.9±12.5 mmHg, 2016-17年81.1±10.4 mmHg;P < 0.001)。结论:对五项多中心调查的分析提供了冠心病患者血压在20年内下降的证据。这一趋势与患者的年龄、性别和受教育程度无关。

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来源期刊

International Journal of Hypertension Medicine-Internal Medicine

CiteScore

4.00

自引率

5.30%

发文量

期刊介绍： International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.