Systolic Blood Pressure on Admission Predicts In‐Hospital Mortality Among Patients Presenting With Acute Coronary Syndromes: The Greek Study of Acute Coronary Syndromes
The authors sought to evaluate whether the level of systolic blood pressure (SBP) on hospital admission is an independent prognostic factor for in‐hospital mortality of patients hospitalized with acute coronary syndrome (ACS). From October 2003 to September 2004, 2172 consecutive patients with ACS w...
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| Veröffentlicht in: | The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2008-05, Vol.10 (5), p.362-366 |
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| container_title | The journal of clinical hypertension (Greenwich, Conn.) |
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| creator | Pitsavos, Christos Panagiotakos, Demosthenes Zombolos, Spyros Mantas, Yannis Antonoulas, Antonis Stravopodis, Petros Kogias, Yannis Kourlaba, Georgia Tsiamis, Eleftherios Stefanadis, Christodoulos |
| description | The authors sought to evaluate whether the level of systolic blood pressure (SBP) on hospital admission is an independent prognostic factor for in‐hospital mortality of patients hospitalized with acute coronary syndrome (ACS). From October 2003 to September 2004, 2172 consecutive patients with ACS were included in the study (76% men). The in‐hospital mortality rate was 3.2% in male and 5.7% in female patients (overall, 82 deaths; P=.009). An inverse association was observed between in‐hospital mortality rate and levels of SBP (140 mm Hg, 2.6%; P |
| doi_str_mv | 10.1111/j.1751-7176.2008.07619.x |
| format | Article |
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J Clin Hhypertens (Greenwich). 2008;10:362–366.</description><subject>Aged</subject><subject>Blood Pressure - physiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Greece - epidemiology</subject><subject>Hospital Mortality - trends</subject><subject>Humans</subject><subject>Male</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Odds Ratio</subject><subject>Original Papers</subject><subject>Patient Admission</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Syndrome</subject><subject>Systole</subject><issn>1524-6175</issn><issn>1751-7176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUctuEzEUtRCIlsIvIK_YzeDHeBwjgRQi2hQVUSlFLC3H9jQOM-Nge2hnxyfwHXwWX4KHRAUWSHhzj8499_jaBwCIUYnzeb4tMWe44JjXJUFoViJeY1He3gPHd437GTNSFXVmjsCjGLcIMUoFegiO8KxilAt2DL6vxph86zR83Xpv4GWwMQ7BQt_DuelcjC6jzBqnU4Tn_Y-v35Y-7lxSLXznQy4ujXDe-f4aXqrkbJ9lk0sGLnMfXdrAuR6ShQsffK_CCFdjb4LvbHwBrzYWngVrP8FVGswIffNP8WPwoFFttE8O9QR8OH1ztVgWF-_Pzhfzi0JXnIhCGybWSlNeNzVRSGsiiNaCU1JbphljDUassQbxiqumEYJyvVa8okYRympDT8Crve9uWHfW6PyQoFq5C67L-0ivnPy707uNvPZf5AxjhAnPBs8OBsF_HmxMMv-jtm2reuuHKGuBOa0Ey8LZXqiDjzHY5u4SjOQUtNzKKU855SmnoOWvoOVtHn3655K_Bw_JZsHLveDGtXb8b2P5drGcEP0JAES9bw</recordid><startdate>200805</startdate><enddate>200805</enddate><creator>Pitsavos, Christos</creator><creator>Panagiotakos, Demosthenes</creator><creator>Zombolos, Spyros</creator><creator>Mantas, Yannis</creator><creator>Antonoulas, Antonis</creator><creator>Stravopodis, Petros</creator><creator>Kogias, Yannis</creator><creator>Kourlaba, Georgia</creator><creator>Tsiamis, Eleftherios</creator><creator>Stefanadis, Christodoulos</creator><general>Blackwell Publishing 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></search><sort><creationdate>200805</creationdate><title>Systolic Blood Pressure on Admission Predicts In‐Hospital Mortality Among Patients Presenting With Acute Coronary Syndromes: The Greek Study of Acute Coronary Syndromes</title><author>Pitsavos, Christos ; Panagiotakos, Demosthenes ; Zombolos, Spyros ; Mantas, Yannis ; Antonoulas, Antonis ; Stravopodis, Petros ; Kogias, Yannis ; Kourlaba, Georgia ; Tsiamis, Eleftherios ; Stefanadis, Christodoulos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4729-cd59bac376f62a0cc292cc97326e5c555f105fed0747aff9937cba743da2356d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Blood Pressure - physiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Greece - epidemiology</topic><topic>Hospital Mortality - trends</topic><topic>Humans</topic><topic>Male</topic><topic>Myocardial Infarction - mortality</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Odds Ratio</topic><topic>Original Papers</topic><topic>Patient Admission</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Syndrome</topic><topic>Systole</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pitsavos, Christos</creatorcontrib><creatorcontrib>Panagiotakos, Demosthenes</creatorcontrib><creatorcontrib>Zombolos, Spyros</creatorcontrib><creatorcontrib>Mantas, Yannis</creatorcontrib><creatorcontrib>Antonoulas, Antonis</creatorcontrib><creatorcontrib>Stravopodis, Petros</creatorcontrib><creatorcontrib>Kogias, Yannis</creatorcontrib><creatorcontrib>Kourlaba, Georgia</creatorcontrib><creatorcontrib>Tsiamis, Eleftherios</creatorcontrib><creatorcontrib>Stefanadis, Christodoulos</creatorcontrib><creatorcontrib>Greek Study of Acute Coronary Syndromes (GREECS) Investigators Group</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>Pitsavos, Christos</au><au>Panagiotakos, Demosthenes</au><au>Zombolos, Spyros</au><au>Mantas, Yannis</au><au>Antonoulas, Antonis</au><au>Stravopodis, Petros</au><au>Kogias, Yannis</au><au>Kourlaba, Georgia</au><au>Tsiamis, Eleftherios</au><au>Stefanadis, Christodoulos</au><aucorp>Greek Study of Acute Coronary Syndromes (GREECS) Investigators Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systolic Blood Pressure on Admission Predicts In‐Hospital Mortality Among Patients Presenting With Acute Coronary Syndromes: The Greek Study of Acute Coronary Syndromes</atitle><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle><addtitle>J Clin Hypertens (Greenwich)</addtitle><date>2008-05</date><risdate>2008</risdate><volume>10</volume><issue>5</issue><spage>362</spage><epage>366</epage><pages>362-366</pages><issn>1524-6175</issn><eissn>1751-7176</eissn><abstract>The authors sought to evaluate whether the level of systolic blood pressure (SBP) on hospital admission is an independent prognostic factor for in‐hospital mortality of patients hospitalized with acute coronary syndrome (ACS). From October 2003 to September 2004, 2172 consecutive patients with ACS were included in the study (76% men). The in‐hospital mortality rate was 3.2% in male and 5.7% in female patients (overall, 82 deaths; P=.009). An inverse association was observed between in‐hospital mortality rate and levels of SBP (<100 mm Hg, death rate 17.8%; 100–120 mm Hg, 3.7%; 120–140 mm Hg, 2.9%; >140 mm Hg, 2.6%; P<.001). Women, hypertensives, diabetics, dyslipidemics, and older patients had higher levels of SBP compared with other groups. The SBP of patients who received thrombolytic agents was lower than that of those who did not receive this therapy. Multi‐adjusted analysis revealed that a 10‐mm Hg increment in SBP was associated with a 27% lower likelihood of death during hospitalization (odds ratio, 0.73; 95% confidence interval, 0.66–0.90).
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| subjects | Aged Blood Pressure - physiology Female Follow-Up Studies Greece - epidemiology Hospital Mortality - trends Humans Male Myocardial Infarction - mortality Myocardial Infarction - physiopathology Odds Ratio Original Papers Patient Admission Prognosis Retrospective Studies Risk Factors Syndrome Systole |
| title | Systolic Blood Pressure on Admission Predicts In‐Hospital Mortality Among Patients Presenting With Acute Coronary Syndromes: The Greek Study of Acute Coronary Syndromes |
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