Evidence map›Paper›PMID 35748650›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2022

Associations of blood pressure components with risks of cardiovascular events and all-cause death in a Chinese population: A Prospective Study.

Zhongying Zhang, Xiang Gu, Zhe Tang, Shaochen Guan, Hongjun Liu, Xiaoguang Wu, Yan Zhao, Xianghua Fang

Abstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zhongying ZhangGeriatric department, Xuanwu Hospital Capital Medical University, Beijing, China.ORCID 0000-0002-7544-5499
Xiang GuMedical affair department, Beijing Friendship Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-8546-2188
Zhe TangBeijing Geriatric Healthcare Center, Xuanwu Hospital Capital Medical University, Beijing, China.ORCID 0000-0002-9626-0397
Shaochen GuanEvidence-based Medical Center, Xuanwu Hospital Capital Medical University, Beijing, China.ORCID 0000-0002-4673-7775
Hongjun LiuEvidence-based Medical Center, Xuanwu Hospital Capital Medical University, Beijing, China.ORCID 0000-0001-6355-5239
Xiaoguang WuEvidence-based Medical Center, Xuanwu Hospital Capital Medical University, Beijing, China.ORCID 0000-0002-2839-8730
Yan ZhaoEducation department, Xuanwu Hospital Capital Medical University, Beijing, China.ORCID 0000-0002-0763-8926
Xianghua FangEvidence-based Medical Center, Xuanwu Hospital Capital Medical University, Beijing, China.ORCID 0000-0003-3287-969X

Funding

Beijing Natural Science Foundation 7152068Capital Medical University 17JL69Commission of Science and Technology of Beijing D121100004912002
6 · The paper itself

Abstract

The associations of blood pressure components with cardiovascular risks and death remain unclear, and the definition of wide pulse pressure (PP) is still controversial. Using data from 1257 participants without a history of cardiovascular disease, who were followed for 4.84 years, we performed multivariable Cox regression analyses to assess how systolic blood pressure (SBP), diastolic blood pressure (DBP), and PP contribute to risks of cardiovascular events and all-cause death. Among all participants, SBP and PP were significantly associated with the risks of cardiovascular events and all-cause death (all p < .05). DBP was not significantly associated with the risk of all-cause death; rather, it was only associated with a marginally significant 1% increased risk for cardiovascular events (p = 0.051). In participants aged < 65 years, DBP was significantly associated with a 3% increased risk for cardiovascular events (hazard ratio [HR]: 1.03, 95% confidence interval [95% CI]: 1.01-1.06). The association between PP and cardiovascular events appeared to be J-shaped in comparison to participants with the lowest-risk PP (50-60 mmHg), with adjusted HRs of 1.71 (95% CI: 1.03-2.85), 1.63 (95% CI: 1.00-2.68), and 2.13 (95% CI: 1.32-3.43) in the <50, 60.0-72.5, and ≥72.5 mmHg subgroups, respectively. The optimal cutoff points of a wide PP for predicting the risks of cardiovascular events and all-cause death were 70.25 and 76.25 mmHg, respectively. SBP and PP had a greater effect on cardiovascular risk, whereas DBP independently influenced cardiovascular events in middle-aged participants. Considerable PP alterations should be avoided in antihypertensive treatment.

Indexed as

Cardiovascular DiseasesHypertensionBlood PressureChinaHumansMiddle AgedProspective StudiesRisk Factorscardiovascular eventscohort studyhypertensionpulse pressure

Identifiers

PMID35748650
PMCPMC9278591

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.