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Comparison of the JNC7 and 2017 American College of Cardiology/American Heart Association Guidelines for the Management of Hypertension in Koreans: Analysis of Two Independent Nationwide Population-Based Studies
DC Field | Value | Language |
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dc.contributor.author | 이지원 | - |
dc.contributor.author | 이혜선 | - |
dc.contributor.author | 장혁재 | - |
dc.contributor.author | 최원준 | - |
dc.date.accessioned | 2020-02-11T06:37:41Z | - |
dc.date.available | 2020-02-11T06:37:41Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 1661-7827 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/174757 | - |
dc.description.abstract | The optimal blood pressure (BP) guidelines in Asian populations have not been determined. We compared all-cause and cardiovascular mortality based on the Joint National Committee 7 (JNC7) and 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines. The National Health Insurance System-National Health Screening Cohort (NHIS-HEALS) and Korea National Health and Nutrition Examination Survey (KNHANES) were utilized. BPs were classified into three groups according to each guideline, and survival rates were analyzed with Kaplan-Meier curves and log-rank tests. Hazard ratios (HRs) were calculated using multivariable cox regression analyses, and the discriminatory ability for clinical outcomes was assessed by Harrell's C-indexes. The JNC7 guidelines demonstrated a linear association between BP levels and survival outcomes. Adjusted HRs from the JNC7 guidelines differentiated the hypertension group (≥140/90) from the pre (130/80-139/89) and normal (<130 and <80) BP groups in clinical outcomes. In contrast, the 2017 ACC/AHA guidelines showed inconsistent survival outcomes according to BP classification (normal: <120 and <80, elevated: 120-129, and <80, and HTN: ≥130/80). According to Harrell's C-indexes, the JNC7 guidelines had greater discrimination ability in survival outcomes in the NHIS-HEALS dataset. Our results suggest that the JNC7 guidelines are more appropriate than the 2017 ACC/AHA guidelines in Korean populations. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | MDPI | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Comparison of the JNC7 and 2017 American College of Cardiology/American Heart Association Guidelines for the Management of Hypertension in Koreans: Analysis of Two Independent Nationwide Population-Based Studies | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Family Medicine (가정의학교실) | - |
dc.contributor.googleauthor | Won-Jun Choi | - |
dc.contributor.googleauthor | Hye-Sun Lee | - |
dc.contributor.googleauthor | Jung Hwa Hong | - |
dc.contributor.googleauthor | Hyuk-Jae Chang | - |
dc.contributor.googleauthor | Ji-Won Lee | - |
dc.identifier.doi | 10.3390/ijerph16245134 | - |
dc.contributor.localId | A03203 | - |
dc.contributor.localId | A03311 | - |
dc.contributor.localId | A03490 | - |
dc.contributor.localId | A05190 | - |
dc.relation.journalcode | J01111 | - |
dc.identifier.eissn | 1660-4601 | - |
dc.identifier.pmid | 31888171 | - |
dc.subject.keyword | blood pressure | - |
dc.subject.keyword | guidelines | - |
dc.subject.keyword | hypertension | - |
dc.subject.keyword | mortality | - |
dc.contributor.alternativeName | Lee, Ji Won | - |
dc.contributor.affiliatedAuthor | 이지원 | - |
dc.contributor.affiliatedAuthor | 이혜선 | - |
dc.contributor.affiliatedAuthor | 장혁재 | - |
dc.contributor.affiliatedAuthor | 최원준 | - |
dc.citation.volume | 16 | - |
dc.citation.number | 24 | - |
dc.citation.startPage | E5134 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, Vol.16(24) : E5134, 2019 | - |
dc.identifier.rimsid | 63424 | - |
dc.type.rims | ART | - |
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