ArticleScientific reports2017
Visit-to-visit Variability of Blood Pressure and Risk of Stroke: Results of the Kailuan Cohort Study.
Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Visit-to-visit Systolic Blood Pressure Variability and Stroke Risk: A Systematic Review and Meta-analysis.Current medical science · 2019Pooled it
- Predictive value of 8-year blood pressure measures in intracerebral haemorrhage risk over 5 years.European journal of preventive cardiology · 2024Article
- Impact of Model Choice When Studying the Relationship Between Blood Pressure Variability and Risk of Stroke Recurrence.Hypertension (Dallas, Tex. : 1979) · 2021Article
- Initial in-hospital heart rate is associated with three-month functional outcomes after acute ischemic stroke.BMC neurology · 2021Article
- Relationship between resting heart rate and incident heart failure in patients with hypertension: The Kailuan Cohort Study in China.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Preoperative outpatient blood pressure variability predicts postoperative mortality, readmission and morbidity after surgery.American journal of surgery · 2020Article
- Thiazide Use and Cardiovascular Events in Type 2 Diabetic Patients With Well-Controlled Blood Pressure.Hypertension (Dallas, Tex. : 1979) · 2019Observational
- Twenty-four-hour blood pressure variability plays a detrimental role in the neurological outcome of hemorrhagic stroke.The Journal of international medical research · 2018Article
- Association of visit-to-visit blood pressure variability with the risk of all-cause mortality and cardiovascular events in general population.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Uncertainty persists regarding the need to address blood pressure (BP) variability in the general population to reduce the heavy burden of stroke. In this cohort study, we prospectively recruited 57,927 participants from southeast of Beijing, who have completed all 3 health examinations between 2006 and 2010. BP variability was defined as the coefficient of variation (CV) across these 3 visits. Over a median follow-up of 3.0 years, we identified 582 first stroke cases. Of these, 489 (84.0%) were ischemic strokes and 94 (16.2%) were hemorrhagic strokes. After multivariable adjustment, the hazard ratios (HR) (95% Confidence Intervals, CI) of comparing participants in the highest versus lowest quartile of CV of systolic blood pressure (SBP) was 1.44 (1.11, 1.87) for any stroke, 1.33 (1.00, 1.77) for ischemic stroke, and 2.17 (1.09, 4.35) for hemorrhagic stroke. Similar results were also observed when the CV of SBP was considered as a continuous exposure variable (per SD increase). Moreover, higher variability of diastolic blood pressure (DBP) was also significantly associated with the risk of any stroke and specifically with hemorrhagic stroke, but not with ischemic stroke. In conclusion, higher visit-to-visit BP variability might be an important target to reduce stroke risk, particularly for hemorrhagic stroke.
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