Impact of blood pressure levels on different types of stroke: the Hisayama study
Impact of blood pressure levels on different types of stroke: the Hisayama study
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DOI：
10.1097/hjh.0b013e328330e882
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发表时间：
2009-12-01
影响因子：
4.9
通讯作者：
Kiyohara, Yutaka
中科院分区：
文献类型：
--
作者：
Arima, Hisatomi;Tanizaki, Yumihiro;Kiyohara, Yutaka
目的日本高血压学会高血压管理指南(JSH 2009)推荐的血压分类和危险分层是否可用于预测日本普通人群发生中风及其亚型的风险仍存在临床不确定性。方法对日本社区1621名40岁以上无中风的居民进行32年的随访。结果是总的和特定原因的卒中(腔隙性脑梗塞、动脉粥样硬化性血栓性脑梗塞、心源性脑梗塞、脑出血和蛛网膜下腔出血)。结果年龄调整后的总卒中发病率随血压水平的升高而递增(P均为趋势
Objective Clinical uncertainty remains whether the blood pressure classification and risk stratifications recommended by the Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2009) are useful in predicting the risks of stroke and its subtypes in the general Japanese population.Methods A total of 1621 stroke-free residents of a Japanese community aged at least 40 years were followed up for 32 years. Outcomes were total and cause-specific stroke (lacunar infarction, atherothrombotic infarction, cardioembolic infarction, cerebral haemorrhage and subarachnoid haemorrhage). Incidence was calculated by the pooling of repeated observations method.Results The age-adjusted incidence of total stroke rose progressively with higher blood pressure levels in both sexes (both P for trend