Cardiovascular events in a prehypertensive Chinese population: Four-year follow-up study

Wu, Shouling; Huang, Zhengrong; Yang, Xinchun; Li, Shuqiang; Zhao, Haiyan; Ruan, Chunyu; Wu, Yuntao; Xin, Aijun; Li, Kuibao; Jin, Cheng; Cai, Jun

doi:10.1016/j.ijcard.2012.05.123

Cited by 33 publications

(32 citation statements)

References 14 publications

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“…Recent studies found an association between pre-hypertension and increased risk of Coronary Artery Disease [11,12]. Follow up studies also reported that prehypertension is an independent risk factor for cardiovascular and cerebrovascular diseases [13]. A recent meta-analysis reports that even lower range of prehypertension is associated with higher risk of cardiovascular disease (CVD) [14].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of pre-hypertension and hypertension among the adults in rural Bangladesh: findings from a community-based study

et al. 2015

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BackgroundThe people of low and middle income countries bear about 80% of the global burden of diseases that are attributable to high blood pressure. Hypertensive people contribute half of this burden; the rest is among the people with lesser degrees of high blood pressure. Prehypertension elevates the risk of CVD, and that of end-stage renal disease. Bangladesh is a developing country, with more than 75% of the population live in rural area. This study aims to determine the prevalence and predictors of pre-hypertension and hypertension among the adults in rural Bangladesh.MethodsA cross-sectional study of major non-communicable disease risk factors (tobacco and alcohol use, fruit and vegetable intake, physical activity) was conducted in rural surveillance sites of Bangladesh. In addition to the self-reported information on risk factors, height and weight, and blood pressure were measured during household visits using standard protocols of the WHO STEPwise approach to Surveillance. The study population included 6,094 men and women aged 25 years and above. Adjusted and unadjusted logistic regression analyses were performed to evaluate the association of prehypertension and hypertension with various factors.ResultsThe prevalence of pre-hypertension and hypertension was 31.9% and 16.0%, respectively. The men had a higher prevalence (33.6%) of pre-hypertension compared to the women (30.3%). Multivariate analysis showed that increasing age [OR 2.30 (1.84-2.87)] and higher BMI [OR 4.67 (3.35-6.51) were positively associated with pre-hypertension. For hypertension, multivariate analysis showed that increasing age [OR 4.48 (3.38-5.94)] and higher BMI (specially the overweight category) was positively associated.Significant linear relationships of prehypertension were found with age [P for trend < 0.0001] and BMI [P for trend < 0.0001]. Linear regression for hypertension shows significant association with age [P for trend < 0.0001] but not with BMI [P for trend 0.3783].ConclusionApproximately one third and one-sixth of the adult population of rural Bangladesh are affected with pre-hypertension and hypertension, respectively. This poses a great challenge ahead, as most of the people with pre-hypertension will progress towards hypertension until otherwise undergo in any pharmacological or lifestyle intervention.

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Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of pre-hypertension and hypertension among the adults in rural Bangladesh: findings from a community-based study

et al. 2015

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“…1 Although the exact mechanisms involved in the causation of prehypertension have not yet been clearly explained, recent reports from our laboratory have demonstrated the association of sympathovagal imbalance (SVI) in the form of sympathetic overactivity and vagal withdrawal with prehypertension status in prehypertension. 2e4 We have reported that decreased vagal modulation of cardiac functions and decreased heart rate variability (HRV) are major CV risks in prehypertensives.…”

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confidence: 99%

“…12 However, to the best of our knowledge, no study has been conducted till date to assess the role of SVI in prediction of CV risks in prehypertension. As prehypertension is reported to be quite prevalent in younger age group, 1,9 in the present study, we have assessed CV and autonomic functions by HRV analysis, baroreflex sensitivity (BRS) assessed by blood pressure variability (BPV) monitoring, and conventional autonomic function tests (AFT) and analyzed the link of CV risks such as inflammation, insulin resistance, dyslipidemia, and oxidative stress to SVI in young prehypertensives.…”

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confidence: 99%

Association of Sympathovagal Imbalance With Cardiovascular Risks in Young Prehypertensives

Pal¹,

Chandrasekaran²,

Ananthanarayanan³

et al. 2013

The American Journal of Cardiology

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“…Hypertension plays a leading role in the cause of premature death and disability [12]. Furthermore, it is directly linked to the risk of developing cardiovascular diseases, cerebrovascular diseases, and chronic kidney diseases [13][14][15][16]. Studies reveal that 33% urban and 25% of Indians are hypertensive and only 1-10 th of rural and 1-5 th of urban are on control [17].…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Blood Pressure and Pupil to Limbus Diameter Ratio in Hypertensive Women: A Pilot Study

Archana

Sailesh

Bashetti

et al. 2017

Asian J Pharm Clin Res

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Objective: This study was undertaken to observe the relationship between blood pressure (BP) and pupil to limbus diameter (PLD) ratio in hypertensive working women.Methods: A total of 30 hypertensive working women were part of the study after obtaining written, voluntary, informed consent, and ensuring confidentiality. PLD ratio was measured by two-box method as described in the literature. Results:Positive correlation was observed between PLD ratio of the right eye (r=0.951) and left eye (r=0.927) and systolic BP. This correlation is statistically significant at 0.01 levels (two tailed). Positive correlation was observed between PLD ratio of the right eye (r=0.844) and left eye (r=0.828) and diastolic BP. This correlation is statistically significant at 0.01 levels (two tailed). Positive correlation was observed between PLD ratio of the right eye (r=0.416) and left eye (r=0.396) and pulse pressure. This correlation is statistically significant at 0.05 levels (two tailed). Positive correlation was observed between PLD ratio of the right eye (r=0.883) and left eye (r=0.844) and mean arterial BP. This correlation is statistically significant at 0.05 levels (two tailed). Positive correlation was observed between PLD ratio of the right eye (r=0.841) and left eye (r=0.819) and pulse rate. This correlation is statistically significant at 0.05 levels (two tailed). Conclusion:Positive correlation was observed between PLD ratio and autonomic parameters. We recommend further detailed studies to utilize the measurement of PLD ratio as an autonomic function test.

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Cardiovascular events in a prehypertensive Chinese population: Four-year follow-up study

Cited by 33 publications

References 14 publications

Prevalence and determinants of pre-hypertension and hypertension among the adults in rural Bangladesh: findings from a community-based study

Prevalence and determinants of pre-hypertension and hypertension among the adults in rural Bangladesh: findings from a community-based study

Association of Sympathovagal Imbalance With Cardiovascular Risks in Young Prehypertensives

The Relationship Between Blood Pressure and Pupil to Limbus Diameter Ratio in Hypertensive Women: A Pilot Study

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