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The International Database of Central Arterial Properties for Risk Stratification: Research Objectives and Baseline Characteristics of Participants

LS. Aparicio, QF. Huang, JD. Melgarejo, DM. Wei, L. Thijs, FF. Wei, N. Gilis-Malinowska, CS. Sheng, J. Boggia, TJ. Niiranen, AN. Odili, K. Stolarz-Skrzypek, J. Barochiner, D. Ackermann, K. Kawecka-Jaszcz, V. Tikhonoff, ZY. Zhang, E. Casiglia, K....

. 2022 ; 35 (1) : 54-64. [pub] 20220105

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, metaanalýza, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc22019484

Grantová podpora
MC_PC_16095 Medical Research Council - United Kingdom

OBJECTIVE: To address to what extent central hemodynamic measurements, improve risk stratification, and determine outcome-based diagnostic thresholds, we constructed the International Database of Central Arterial Properties for Risk Stratification (IDCARS), allowing a participant-level meta-analysis. The purpose of this article was to describe the characteristics of IDCARS participants and to highlight research perspectives. METHODS: Longitudinal or cross-sectional cohort studies with central blood pressure measured with the SphygmoCor devices and software were included. RESULTS: The database included 10,930 subjects (54.8% women; median age 46.0 years) from 13 studies in Europe, Africa, Asia, and South America. The prevalence of office hypertension was 4,446 (40.1%), of which 2,713 (61.0%) were treated, and of diabetes mellitus was 629 (5.8%). The peripheral and central systolic/diastolic blood pressure averaged 129.5/78.7 mm Hg and 118.2/79.7 mm Hg, respectively. Mean aortic pulse wave velocity was 7.3 m per seconds. Among 6,871 participants enrolled in 9 longitudinal studies, the median follow-up was 4.2 years (5th-95th percentile interval, 1.3-12.2 years). During 38,957 person-years of follow-up, 339 participants experienced a composite cardiovascular event and 212 died, 67 of cardiovascular disease. CONCLUSIONS: IDCARS will provide a unique opportunity to investigate hypotheses on central hemodynamic measurements that could not reliably be studied in individual studies. The results of these analyses might inform guidelines and be of help to clinicians involved in the management of patients with suspected or established hypertension.

1st Department of Cardiology Interventional Electrocardiology and Hypertension Jagiellonian University Medical College Kraków Poland

Biomedical Sciences Group Faculty of Medicine University of Leuven Leuven Belgium

Cardiovascular Pathophysiology and Genomics Research Unit Schools of Physiology Faculty of Health Sciences University of the Witwatersrand Johannesburg South Africa

Center for Epidemiological Studies and Clinical Trials and Center for Vascular Evaluations Shanghai Key Laboratory of Hypertension Shanghai Institute of Hypertension Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China

Centro de Nefrología and Departamento de Fisiopatología Hospital de Clínicas Universidad de la República Montevideo Uruguay

Clinic for Nephrology and Hypertension Inselspital Bern University Hospital and University of Bern Bern Switzerland

Department of Cardiology Shanghai General Hospital Shanghai Jiao Tong University School of Medicine Shanghai China

Department of Cardiology the 1st Affiliated Hospital of Sun Yat Sen University Guangzhou Guangdong China

Department of Chronic Disease Prevention Finnish Institute for Health and Welfare Turku Finland

Department of Internal Medicine Faculty of Clinical Sciences College of Health Sciences University of Abuja Abuja Nigeria

Department of Medicine University of Padua Padua Italy

Department of Medicine University of Turku and Turku University Hospital Turku Finland

Faculty of Medicine Charles University Pilsen Czech Republic

Hypertension in Africa Research Team South African Medical Research Council and Unit of Hypertension and Cardiovascular Disease North West University Potchefstroom South Africa

Hypertension Unit Department of Hypertension and Diabetology Medical University of Gdańsk Gdańsk Poland

Institute of Social and Preventive Medicine University Hospital of Lausanne Lausanne Switzerland

Research Institute Alliance for the Promotion of Preventive Medicine Mechelen Belgium

Research Unit Hypertension and Cardiovascular Epidemiology KU Leuven Department of Cardiovascular Sciences University of Leuven Leuven Belgium

School of Population Health University of New South Wales The George Institute for Global Health Sydney Australia

Servicio de Clínica Médica Sección Hipertensión Arterial Hospital Italiano de Buenos Aires Buenos Aires Argentina

Citace poskytuje Crossref.org

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