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Visit-to-visit variability of blood pressure and cardiovascular outcomes in patients with stable coronary heart disease. Insights from the STABILITY trial.

Identifieur interne : 000435 ( PubMed/Corpus ); précédent : 000434; suivant : 000436

Visit-to-visit variability of blood pressure and cardiovascular outcomes in patients with stable coronary heart disease. Insights from the STABILITY trial.

Auteurs : Emmanuelle Vidal-Petiot ; Amanda Stebbins ; Karen Chiswell ; Diego Ardissino ; Philip E. Aylward ; Christopher P. Cannon ; Marco A. Ramos Corrales ; Claes Held ; José Luis L Pez-Send N ; Ralph A H. Stewart ; Lars Wallentin ; Harvey D. White ; Philippe Gabriel Steg

Source :

RBID : pubmed:28575274

Abstract

To study the relation between visit-to-visit variability of blood pressure (BP) and cardiovascular risk in patients with stable coronary heart disease.

DOI: 10.1093/eurheartj/ehx250
PubMed: 28575274

Links to Exploration step

pubmed:28575274

Le document en format XML

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<name sortKey="Held, Claes" sort="Held, Claes" uniqKey="Held C" first="Claes" last="Held">Claes Held</name>
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<name sortKey="White, Harvey D" sort="White, Harvey D" uniqKey="White H" first="Harvey D" last="White">Harvey D. White</name>
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<name sortKey="Steg, Philippe Gabriel" sort="Steg, Philippe Gabriel" uniqKey="Steg P" first="Philippe Gabriel" last="Steg">Philippe Gabriel Steg</name>
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<nlm:affiliation>Cardiology and Physiology Departments, Département Hospitalo-Universitaire FIRE, AP-HP, Hôpital Bichat, 46 rue Henri Huchard, 75018 Paris, France.</nlm:affiliation>
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<title level="j">European heart journal</title>
<idno type="eISSN">1522-9645</idno>
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<div type="abstract" xml:lang="en">To study the relation between visit-to-visit variability of blood pressure (BP) and cardiovascular risk in patients with stable coronary heart disease.</div>
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<Month>06</Month>
<Day>02</Day>
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<Month>10</Month>
<Day>06</Day>
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<Volume>38</Volume>
<Issue>37</Issue>
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<Month>Oct</Month>
<Day>01</Day>
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<Title>European heart journal</Title>
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<ArticleTitle>Visit-to-visit variability of blood pressure and cardiovascular outcomes in patients with stable coronary heart disease. Insights from the STABILITY trial.</ArticleTitle>
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<MedlinePgn>2813-2822</MedlinePgn>
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<AbstractText Label="Aims" NlmCategory="UNASSIGNED">To study the relation between visit-to-visit variability of blood pressure (BP) and cardiovascular risk in patients with stable coronary heart disease.</AbstractText>
<AbstractText Label="Methods and results" NlmCategory="UNASSIGNED">In 15 828 patients from the STABILITY trial (darapladib vs. placebo in patients with established coronary heart disease), BP variability was assessed by the standard deviation (SD) of systolic BP, the SD of diastolic BP, maximum BP, and minimum BP, from 5 measurements (baseline and months 1, 3, 6, and 12) during the first year after randomisation. Mean (SD) average BP during the first year of study was 131.0 (13.7) mmHg over 78.3 (8.3) mmHg. Mean (SD) of the visit-to-visit SD was 9.8 (4.8) mmHg for systolic and 6.3 (3.0) mmHg for diastolic BP. During the subsequent median follow-up of 2.6 years, 1010 patients met the primary endpoint, a composite of time to cardiovascular death, myocardial infarction, or stroke. In Cox regression models adjusted for average BP during first year of study, baseline vascular disease, treatment, renal function and cardiovascular risk factors, the primary endpoint was associated with SD of systolic BP (hazard ratio for highest vs. lowest tertile, 1.30, 95% CI 1.10-1.53, P = 0.007), and with SD of diastolic BP (hazard ratio for highest vs. lowest tertile, 1.38, 95% CI 1.18-1.62, P < 0.001). Peaks and troughs in BP were also independently associated with adverse events.</AbstractText>
<AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">In patients with stable coronary heart disease, higher visit-to-visit variabilities of both systolic and diastolic BP are strong predictors of increased risk of cardiovascular events, independently of mean BP.</AbstractText>
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<ForeName>Emmanuelle</ForeName>
<Initials>E</Initials>
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<Affiliation>Cardiology and Physiology Departments, Département Hospitalo-Universitaire FIRE, AP-HP, Hôpital Bichat, 46 rue Henri Huchard, 75018 Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Paris Diderot University, Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>INSERM U1149, Paris, France.</Affiliation>
</AffiliationInfo>
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<LastName>Stebbins</LastName>
<ForeName>Amanda</ForeName>
<Initials>A</Initials>
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<Affiliation>Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Durham, NC 27705, USA.</Affiliation>
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<LastName>Ardissino</LastName>
<ForeName>Diego</ForeName>
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<Affiliation>Azienda Ospedaliero, Universitaria di Parma, Via Gramsci 14, 43126 Parma, Italy.</Affiliation>
</AffiliationInfo>
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<LastName>Aylward</LastName>
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</AffiliationInfo>
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<ForeName>Christopher P</ForeName>
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<Affiliation>Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, Dag Hammarskjölds väg 14B, SE-752 37 Uppsala, Sweden.</Affiliation>
</AffiliationInfo>
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<LastName>López-Sendón</LastName>
<ForeName>José Luis</ForeName>
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<AffiliationInfo>
<Affiliation>Hospital Universitario La Paz, IdiPaz, Paseo de la Castellana 261, Planta 1, 28046 Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Wallentin</LastName>
<ForeName>Lars</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, Dag Hammarskjölds väg 14B, SE-752 37 Uppsala, Sweden.</Affiliation>
</AffiliationInfo>
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<ForeName>Harvey D</ForeName>
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<Affiliation>Green Lane Cardiovascular Service, Auckland City Hospital, University of Auckland, Private Bag 92024, Auckland 1030, New Zealand.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Steg</LastName>
<ForeName>Philippe Gabriel</ForeName>
<Initials>PG</Initials>
<AffiliationInfo>
<Affiliation>Cardiology and Physiology Departments, Département Hospitalo-Universitaire FIRE, AP-HP, Hôpital Bichat, 46 rue Henri Huchard, 75018 Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Paris Diderot University, Sorbonne Paris Cité, Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>NHLI Imperial College, ICMS, Royal Brompton Hospital, London, UK, FACT (French Alliance for Cardiovascular Trials), F-CRIN network, INSERM U1148, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<CollectiveName>STABILITY Investigators</CollectiveName>
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