Impact of in‐hospital blood pressure variability on cardiovascular outcomes in patients with acute coronary syndrome
To evaluate the impact of blood pressure variability (BPV) on cardiovascular outcomes in patients with acute coronary syndrome, short‐term BPV was estimated by using weighted standard deviation of 24‐hour ambulatory blood pressure monitoring readings. The primary outcome was in‐hospital major advers...
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| Veröffentlicht in: | The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2017-12, Vol.19 (12), p.1252-1259 |
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| creator | Hassan, Ayman Khairy Mohamed Abd–El Rahman, Hatem Mohsen, Kerolos Dimitry, Salwa R. |
| description | To evaluate the impact of blood pressure variability (BPV) on cardiovascular outcomes in patients with acute coronary syndrome, short‐term BPV was estimated by using weighted standard deviation of 24‐hour ambulatory blood pressure monitoring readings. The primary outcome was in‐hospital major adverse cardiac events (MACE). Overall, 200 patients (mean age, 58.6 years; 27.5% women; 38% with diabetes mellitus; and 47% smokers) were divided into low and high BPV groups based on the median value (9.45). Patients in the high BPV group were more likely to have in‐hospital MACE compared with patients with low BPV (47% vs 27%, P = .003). Multivariate binary logistic regression analysis of incidence of MACE showed that BPV (odds ratio, 2.4; confidence interval, 1.2–4.5 [P = .008]) and presence of type II diabetes mellitus (odds ratio, 2.6; confidence interval, 1.2–5.3 [P = .008]) were the only independent predictors of in‐hospital MACE derived mainly by hypertensive emergencies. BPV could be an important risk factor for in‐hospital MACE in patients with acute coronary syndrome. |
| doi_str_mv | 10.1111/jch.13107 |
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The primary outcome was in‐hospital major adverse cardiac events (MACE). Overall, 200 patients (mean age, 58.6 years; 27.5% women; 38% with diabetes mellitus; and 47% smokers) were divided into low and high BPV groups based on the median value (9.45). Patients in the high BPV group were more likely to have in‐hospital MACE compared with patients with low BPV (47% vs 27%, P = .003). Multivariate binary logistic regression analysis of incidence of MACE showed that BPV (odds ratio, 2.4; confidence interval, 1.2–4.5 [P = .008]) and presence of type II diabetes mellitus (odds ratio, 2.6; confidence interval, 1.2–5.3 [P = .008]) were the only independent predictors of in‐hospital MACE derived mainly by hypertensive emergencies. BPV could be an important risk factor for in‐hospital MACE in patients with acute coronary syndrome.</description><identifier>ISSN: 1524-6175</identifier><identifier>ISSN: 1751-7176</identifier><identifier>EISSN: 1751-7176</identifier><identifier>DOI: 10.1111/jch.13107</identifier><identifier>PMID: 29105946</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>acute coronary syndrome ; Acute Coronary Syndrome - complications ; Acute Coronary Syndrome - diagnosis ; Acute Coronary Syndrome - epidemiology ; Acute Coronary Syndrome - physiopathology ; ambulatory BP monitoring ; Analysis of Variance ; Blood Pressure - physiology ; Blood Pressure Monitoring, Ambulatory - methods ; Blood Pressure Monitoring, Ambulatory - statistics & numerical data ; Blood Pressure Variability ; cardiovascular outcome ; Diabetes Mellitus, Type 2 - epidemiology ; Egypt - epidemiology ; Female ; Humans ; Hypertension - diagnosis ; Hypertension - epidemiology ; Hypertension - physiopathology ; Male ; Middle Aged ; Original Paper ; Outcome Assessment, Health Care ; Prognosis ; Risk Factors</subject><ispartof>The journal of clinical hypertension (Greenwich, Conn.), 2017-12, Vol.19 (12), p.1252-1259</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4157-524dccfff672cc234107ee6a043100c7b65521c9c8a288e699b750eebc1c80133</citedby><cites>FETCH-LOGICAL-c4157-524dccfff672cc234107ee6a043100c7b65521c9c8a288e699b750eebc1c80133</cites><orcidid>0000-0002-7719-0805</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030841/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030841/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,1433,27924,27925,45574,45575,46409,46833,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29105946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hassan, Ayman Khairy Mohamed</creatorcontrib><creatorcontrib>Abd–El Rahman, Hatem</creatorcontrib><creatorcontrib>Mohsen, Kerolos</creatorcontrib><creatorcontrib>Dimitry, Salwa R.</creatorcontrib><title>Impact of in‐hospital blood pressure variability on cardiovascular outcomes in patients with acute coronary syndrome</title><title>The journal of clinical hypertension (Greenwich, Conn.)</title><addtitle>J Clin Hypertens (Greenwich)</addtitle><description>To evaluate the impact of blood pressure variability (BPV) on cardiovascular outcomes in patients with acute coronary syndrome, short‐term BPV was estimated by using weighted standard deviation of 24‐hour ambulatory blood pressure monitoring readings. The primary outcome was in‐hospital major adverse cardiac events (MACE). Overall, 200 patients (mean age, 58.6 years; 27.5% women; 38% with diabetes mellitus; and 47% smokers) were divided into low and high BPV groups based on the median value (9.45). Patients in the high BPV group were more likely to have in‐hospital MACE compared with patients with low BPV (47% vs 27%, P = .003). Multivariate binary logistic regression analysis of incidence of MACE showed that BPV (odds ratio, 2.4; confidence interval, 1.2–4.5 [P = .008]) and presence of type II diabetes mellitus (odds ratio, 2.6; confidence interval, 1.2–5.3 [P = .008]) were the only independent predictors of in‐hospital MACE derived mainly by hypertensive emergencies. BPV could be an important risk factor for in‐hospital MACE in patients with acute coronary syndrome.</description><subject>acute coronary syndrome</subject><subject>Acute Coronary Syndrome - complications</subject><subject>Acute Coronary Syndrome - diagnosis</subject><subject>Acute Coronary Syndrome - epidemiology</subject><subject>Acute Coronary Syndrome - physiopathology</subject><subject>ambulatory BP monitoring</subject><subject>Analysis of Variance</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Monitoring, Ambulatory - methods</subject><subject>Blood Pressure Monitoring, Ambulatory - statistics & numerical data</subject><subject>Blood Pressure Variability</subject><subject>cardiovascular outcome</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Egypt - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Outcome Assessment, Health Care</subject><subject>Prognosis</subject><subject>Risk Factors</subject><issn>1524-6175</issn><issn>1751-7176</issn><issn>1751-7176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1O3DAURq2qqMC0i75A5SUsMthxnJ9NJTSiBYTEBtaWc3PTMXLi1HYGzY5H4Bn7JDUMRbCoN7bso-Pv6iPkK2dLntbJHayXXHBWfSAHvJI8q3hVfkxnmRdZmW72yWEId4xJIRr2ieznDWeyKcoDsrkYJg2Rup6a8c_D49qFyURtaWud6-jkMYTZI91ob3RrrIlb6kYK2nfGbXSA2WpP3RzBDRiSg046GhxjoPcmrqmGOSIF592o_ZaG7dj5RH4me722Ab-87Aty--PsZnWeXV3_vFidXmVQcFllKX8H0Pd9WeUAuSjSjIilZkWalkHVllLmHBqodV7XWDZNW0mG2AKHmnEhFuT7zjvN7YAdpGBeWzV5M6Q4ymmj3r-MZq1-uY2qmWB1wZPg6EXg3e8ZQ1SDCYDW6hHdHBRvSs6EFFIm9HiHgncheOxfv-FMPfWkUk_quafEfnub65X8V0wCTnbAvbG4_b9JXa7Od8q_HYGhKw</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Hassan, Ayman Khairy Mohamed</creator><creator>Abd–El Rahman, Hatem</creator><creator>Mohsen, Kerolos</creator><creator>Dimitry, Salwa R.</creator><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7719-0805</orcidid></search><sort><creationdate>201712</creationdate><title>Impact of in‐hospital blood pressure variability on cardiovascular outcomes in patients with acute coronary syndrome</title><author>Hassan, Ayman Khairy Mohamed ; Abd–El Rahman, Hatem ; Mohsen, Kerolos ; Dimitry, Salwa R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4157-524dccfff672cc234107ee6a043100c7b65521c9c8a288e699b750eebc1c80133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>acute coronary syndrome</topic><topic>Acute Coronary Syndrome - complications</topic><topic>Acute Coronary Syndrome - diagnosis</topic><topic>Acute Coronary Syndrome - epidemiology</topic><topic>Acute Coronary Syndrome - physiopathology</topic><topic>ambulatory BP monitoring</topic><topic>Analysis of Variance</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure Monitoring, Ambulatory - methods</topic><topic>Blood Pressure Monitoring, Ambulatory - statistics & numerical data</topic><topic>Blood Pressure Variability</topic><topic>cardiovascular outcome</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Egypt - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Outcome Assessment, Health Care</topic><topic>Prognosis</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hassan, Ayman Khairy Mohamed</creatorcontrib><creatorcontrib>Abd–El Rahman, Hatem</creatorcontrib><creatorcontrib>Mohsen, Kerolos</creatorcontrib><creatorcontrib>Dimitry, Salwa R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hassan, Ayman Khairy Mohamed</au><au>Abd–El Rahman, Hatem</au><au>Mohsen, Kerolos</au><au>Dimitry, Salwa R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of in‐hospital blood pressure variability on cardiovascular outcomes in patients with acute coronary syndrome</atitle><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle><addtitle>J Clin Hypertens (Greenwich)</addtitle><date>2017-12</date><risdate>2017</risdate><volume>19</volume><issue>12</issue><spage>1252</spage><epage>1259</epage><pages>1252-1259</pages><issn>1524-6175</issn><issn>1751-7176</issn><eissn>1751-7176</eissn><abstract>To evaluate the impact of blood pressure variability (BPV) on cardiovascular outcomes in patients with acute coronary syndrome, short‐term BPV was estimated by using weighted standard deviation of 24‐hour ambulatory blood pressure monitoring readings. The primary outcome was in‐hospital major adverse cardiac events (MACE). Overall, 200 patients (mean age, 58.6 years; 27.5% women; 38% with diabetes mellitus; and 47% smokers) were divided into low and high BPV groups based on the median value (9.45). Patients in the high BPV group were more likely to have in‐hospital MACE compared with patients with low BPV (47% vs 27%, P = .003). Multivariate binary logistic regression analysis of incidence of MACE showed that BPV (odds ratio, 2.4; confidence interval, 1.2–4.5 [P = .008]) and presence of type II diabetes mellitus (odds ratio, 2.6; confidence interval, 1.2–5.3 [P = .008]) were the only independent predictors of in‐hospital MACE derived mainly by hypertensive emergencies. 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| subjects | acute coronary syndrome Acute Coronary Syndrome - complications Acute Coronary Syndrome - diagnosis Acute Coronary Syndrome - epidemiology Acute Coronary Syndrome - physiopathology ambulatory BP monitoring Analysis of Variance Blood Pressure - physiology Blood Pressure Monitoring, Ambulatory - methods Blood Pressure Monitoring, Ambulatory - statistics & numerical data Blood Pressure Variability cardiovascular outcome Diabetes Mellitus, Type 2 - epidemiology Egypt - epidemiology Female Humans Hypertension - diagnosis Hypertension - epidemiology Hypertension - physiopathology Male Middle Aged Original Paper Outcome Assessment, Health Care Prognosis Risk Factors |
| title | Impact of in‐hospital blood pressure variability on cardiovascular outcomes in patients with acute coronary syndrome |
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