Epidemiological, pathophysiological and clinical significance of systolic, diastolic and pulse pressure

Beevers, D. G.

doi:10.1038/sj.jhh.1001702

Cited by 30 publications

(19 citation statements)

References 19 publications

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“…We chose SBP as the outcome measure because it is a stronger predictor of cardiovascular risk and leads to more accurate diagnosis and staging of hypertension than diastolic BP [16,17]. It has been suggested as the primary target of antihypertensive treatment [18].…”

Section: Study Variablesmentioning

confidence: 99%

Relationships Between Current and Past Binge Drinking and Systolic Blood Pressure in Young Adults

Wellman

Vaughn

Sylvestre

et al. 2016

Journal of Adolescent Health

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A B S T R A C TPurpose: Heavy episodic (i.e., "binge") drinking (i.e., !five drinks/occasion) is highly prevalent among young adults; those who binge do so four times per month on average, consuming nine drinks on average on each occasion. Although it is well established that chronic heavy drinking (!two alcoholic beverages per day) increases the risk of hypertension, the relationship between binge drinking and blood pressure is not well described. Our aim was to describe the relationship between frequency of binge drinking, both current (at age 24 years) and past (at age 20 years), and systolic blood pressure (SBP) at age 24 years. Methods: Participants (n ¼ 756) from the longitudinal Nicotine Dependence in Teens study reported alcohol consumption at ages 20 and 24 years and had SBP measured at age 24 years. We examined the association between binge drinking and SBP using multiple linear regression, controlling for sex, race/ ethnicity, education, monthly drinking in high school, cigarette smoking, and body mass index. Results: Compared to nonbinge drinkers, SBP at age 24 years was 2.61 [.41, 4.82] mm Hg higher among current monthly bingers and 4.03 [1.35, 6.70] mm Hg higher among current weekly bingers. SBP at age 24 years was 2.90 [.54, 5.25] mm Hg higher among monthly bingers at age 20 years and 3.64 [.93, 6.35] mm Hg higher among weekly bingers at age 20 years, compared to nonbinge drinkers. Conclusions: Frequent binge drinking at ages 20 and 24 years is associated with higher SBP at age 24 years and may be implicated in the development of hypertension.

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Section: Study Variablesmentioning

confidence: 99%

Relationships Between Current and Past Binge Drinking and Systolic Blood Pressure in Young Adults

Wellman

Vaughn

Sylvestre

et al. 2016

Journal of Adolescent Health

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“…Many studies, however, emphasized the importance and benefits of treating diastolic hypertension in young adults (7,(13)(14)(15)(16)(17). It has been recommended by many authors that IDH should be monitored and affected persons should be managed targeting the control of all cardiovascular risk factors (18). Previous surveys in KSA reported a 5.3% prevalence of IDH more than two decades ago (4).…”

mentioning

confidence: 99%

Isolated Diastolic Hypertension among Adults in Saudi Arabia: Prevalence, Risk Factors, Predictors and Treatment. Results of a National Survey

Saeed

Al-Hamdan

2016

Balkan Med J

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Background:In the past, diastolic hypertension was the main criterion for treatment, but currently, systolic pressure is the main criterion because it was thought that Isolated Diastolic Hypertension (IDH) is not associated with complications. Studies later revealed that IDH carries significant risks. Quantifying the magnitude and risk factors of IDH in the community is essential for all intervention strategies. Aims: This study aims to determine the prevalence, risk factors, predictors, treatment modalities and lifestyle practices of IDH adult patients in the Kingdom of Saudi Arabia (KSA). Study Design: Cross-sectional study. Methods: A community-based cross-sectional study using STEPwise approach among adults using a multistage, stratified, cluster random sample was carried out. Data were collected using questionnaires which included socio-demographics, blood pressure, biochemical, anthropometric measurements and lifestyle practices. Statistical analysis included calculating means and standard deviations, proportions, univariate and multiple logistic regression analysis. Results: Of a total 4562 subjects, 180 (3.95%) suffered from IDH, which was significantly related to age, gender, employment, smoking, diabetes mellitus, obesity and hypercholesterolemia. More than 93% were using some form of treatment, with 77.2% on prescribed drugs, 63% using diet, and 23% using exercise. Significant predictors of IDH were retirement and hypercholesterolemia. Conclusion: IDH is associated with some sociodemographic characteristics and co-morbidity. Given the risk of cardiovascular disease associated with IDH, the findings of this study emphasize the need for diagnosing the disease in middle-aged persons focusing on the modifiable risk factors of IDH.

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“…• Above the ages of 45-50 years, which is the mean age of this population, systolic pressure becomes progressively more important as a predictor of cardiovascular events [18]. • In most populations systolic blood pressure rises steadily with age, while diastolic pressure reaches a plateau or declines [19].…”

Section: Differential Effects On Systolic and Diastolic Blood Pressurementioning

confidence: 99%

Changes in the usage of antihypertensive drugs: implications and prospects

Schachter

2005

Brit J Clinical Pharma

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Epidemiological, pathophysiological and clinical significance of systolic, diastolic and pulse pressure

Cited by 30 publications

References 19 publications

Relationships Between Current and Past Binge Drinking and Systolic Blood Pressure in Young Adults

Relationships Between Current and Past Binge Drinking and Systolic Blood Pressure in Young Adults

Isolated Diastolic Hypertension among Adults in Saudi Arabia: Prevalence, Risk Factors, Predictors and Treatment. Results of a National Survey

Changes in the usage of antihypertensive drugs: implications and prospects

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