ArticleJournal of clinical hypertension (Greenwich, Conn.)2012
Within-visit variability of blood pressure and all-cause and cardiovascular mortality among US adults.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed.
- Do level and variability of systolic blood pressure predict arterial properties or vice versa?Journal of human hypertension · 2014Trial
- The association between within-visit blood pressure variability and carotid artery atherosclerosis in general population.PloS one · 2014Trial
- Very short-term blood pressure variability by pulse transit time-based measurements during night-time predicts future cardiovascular events in patients with ischemic heart disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Relation between Blood Pressure Variability within a Single Visit and Stroke.International journal of hypertension · 2021Article
- Measurement of Blood Pressure in Humans: A Scientific Statement From the American Heart Association.Hypertension (Dallas, Tex. : 1979) · 2019Review
- Association between B-type natriuretic peptide and within-visit blood pressure variability.Clinical cardiology · 2018Article
- Regional Fat Distribution and Blood Pressure Level and Variability: The Dallas Heart Study.Hypertension (Dallas, Tex. : 1979) · 2016Article
- Within-Home Blood Pressure Variability on a Single Occasion Has Clinical Significance.Pulse (Basel, Switzerland) · 2016Review
- Target organ complications and prognostic significance of alerting reaction: analysis from the Dallas Heart Study.Journal of hypertension · 2016Article
- Individual 6-year systolic blood pressure change and impact on cardiovascular mortality in a French general population.Journal of human hypertension · 2016Article
- Should the first blood pressure reading be discarded?Journal of human hypertension · 2015Article
- Within-visit blood pressure variability is associated with prediabetes and diabetes.Scientific reports · 2015Article
- Predialysis systolic BP variability and outcomes in hemodialysis patients.Journal of the American Society of Nephrology : JASN · 2014Article
- Within-visit blood pressure variability: relevant factors in the general population.Journal of human hypertension · 2013Article
- Assessment and management of blood-pressure variability.Nature reviews. Cardiology · 2013Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The association between within-visit variability of systolic blood pressure (SBP) and diastolic blood pressure (DBP) and all-cause and cardiovascular (CVD) mortality was examined using the Third National Health and Nutrition Survey (n=15,317). Three SBP and DBP readings were taken by physicians during a single medical evaluation. Within-visit variability for each participant was defined using the standard deviation of SBP and DBP across these measurements. Mortality was assessed over 14 years (n=3848 and n=1684 deaths from all causes and CVD, respectively). After age, sex, and race-ethnicity adjustment, the hazard ratios (95% confidence intervals) for all-cause mortality associated with the 4 highest quintiles of within-visit standard deviation of SBP (2.00-2.99 mm Hg, 3.00-3.99 mm Hg, 4.00-5.29 mm Hg, and ≥5.30 mm Hg) compared with participants in the lowest quintile of within-visit standard deviation of SBP (<2.0 mm Hg) were 1.04 (0.87-1.26), 1.09 (0.92-1.29), 1.06 (0.88-1.28), and 1.13 (0.95-1.33), respectively (P=.136). The analogous hazard ratios for CVD mortality were 0.95 (0.69-1.32), 0.96 (0.67-1.36), 0.95 (0.74-1.23), and 1.04 (0.80-1.35), respectively (P=.566). No association with mortality was present after further adjustment and when modeling within-visit standard deviation of SBP as a continuous variable. Standard deviation of DBP was not associated with mortality.
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