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Office Blood Pressure Range and Cardiovascular Events in Patients With Hypertension: A Nationwide Cohort Study in South Korea

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dc.contributor.author강석민-
dc.contributor.author박성하-
dc.contributor.author이찬주-
dc.contributor.author조익성-
dc.date.accessioned2021-10-21T00:06:03Z-
dc.date.available2021-10-21T00:06:03Z-
dc.date.issued2021-04-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/185376-
dc.description.abstractBackground It is unclear what office blood pressure (BP) is the optimal treatment target range in patients with hypertension. Methods and Results Using the Korean National Health Insurance Service database, we extracted the data on 479 359 patients with hypertension with available BP measurements and no history of cardiovascular events from 2002 to 2011. The study end point was major cardiovascular events (MACE), a composite of cardiovascular death, myocardial infarction, or stroke. This cohort study evaluated the association of BP levels (<120/<70, 120-129/70-79, 130-139/80-89, 140-149/90-99, and ≥150/≥100 mm Hg) with MACE. During a median follow-up of 9 years, 55 401 MACE were documented in our cohort. The risk of MACE was the lowest (adjusted hazard ratio [HR], 0.79; 95% CI, 0.76-0.84) at BP level of <120/<70 mm Hg, and was the highest (HR, 1.32; 95% CI, 1.29-1.36) at ≥150/≥100 mm Hg in comparison with 130 to 139/80 to 89 mm Hg. These results were consistent in all age groups and both sexes. Among patients treated with antihypertensive medication (n=237 592, 49.5%), in comparison with a BP level of 130 to 139/80 to 89 mm Hg, the risk of MACE was significantly higher in patients with elevated BP (≥140/≥90 mm Hg), but not significantly lower in patients with BP of <130/<80 mm Hg. Low BP <120/70 mm Hg was associated with increased risk of all-cause or cardiovascular death in all age groups. Conclusions BP level is significantly correlated with the risk of MACE in all Korean patients with hypertension. However, there were no additional benefits for MACE amongst those treated for hypertension with BP <120/70 mm Hg.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherWiley-Blackwell-
dc.relation.isPartOfJOURNAL OF THE AMERICAN HEART ASSOCIATION-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleOffice Blood Pressure Range and Cardiovascular Events in Patients With Hypertension: A Nationwide Cohort Study in South Korea-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorChang Hee Kwon-
dc.contributor.googleauthorWoohyeun Kim-
dc.contributor.googleauthorJeong-Hun Shin-
dc.contributor.googleauthorChan Joo Lee-
dc.contributor.googleauthorHyeon-Chang Kim-
dc.contributor.googleauthorSi-Hyuck Kang-
dc.contributor.googleauthorMi-Hyang Jung-
dc.contributor.googleauthorDae-Hee Kim-
dc.contributor.googleauthorJu-Hee Lee-
dc.contributor.googleauthorHack Lyoung Kim-
dc.contributor.googleauthorHyue Mee Kim-
dc.contributor.googleauthorIn Jeong Cho-
dc.contributor.googleauthorIksung Cho-
dc.contributor.googleauthorDae Ryong Kang-
dc.contributor.googleauthorHae-Young Lee-
dc.contributor.googleauthorWook-Jin Chung-
dc.contributor.googleauthorSang-Hyun Ihm-
dc.contributor.googleauthorKwang Il Kim-
dc.contributor.googleauthorEun Joo Cho-
dc.contributor.googleauthorIl-Suk Sohn-
dc.contributor.googleauthorSungha Park-
dc.contributor.googleauthorJinho Shin-
dc.contributor.googleauthorSung Kee Ryu-
dc.contributor.googleauthorSeok-Min Kang-
dc.contributor.googleauthorMyeong-Chan Cho-
dc.contributor.googleauthorJu Han Kim-
dc.contributor.googleauthorJun Hyeok Lee-
dc.contributor.googleauthorJang-Young Kim-
dc.contributor.googleauthorWook Bum Pyun-
dc.contributor.googleauthorKi-Chul Sung-
dc.identifier.doi10.1161/JAHA.120.017890-
dc.contributor.localIdA00037-
dc.contributor.localIdA01512-
dc.contributor.localIdA03238-
dc.contributor.localIdA03888-
dc.relation.journalcodeJ01774-
dc.identifier.eissn2047-9980-
dc.identifier.pmid33739126-
dc.subject.keywordblood pressure-
dc.subject.keywordcardiovascular events-
dc.subject.keywordhypertension-
dc.contributor.alternativeNameKang, Seok Min-
dc.contributor.affiliatedAuthor강석민-
dc.contributor.affiliatedAuthor박성하-
dc.contributor.affiliatedAuthor이찬주-
dc.contributor.affiliatedAuthor조익성-
dc.citation.volume10-
dc.citation.number7-
dc.citation.startPagee017890-
dc.identifier.bibliographicCitationJOURNAL OF THE AMERICAN HEART ASSOCIATION, Vol.10(7) : e017890, 2021-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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