Use of 2003 European Society of Hypertension-European Society of Cardiology guidelines for predicting stroke using self-measured blood pressure at home: the Ohasama study
Use of 2003 European Society of Hypertension-European Society of Cardiology guidelines for predicting stroke using self-measured blood pressure at home: the Ohasama study
复制标题
DOI：
10.1093/eurheartj/ehi330
复制
发表时间：
2005-10-01
影响因子：
39.3
通讯作者：
Imai, Y
中科院分区：
文献类型：
--
作者：
Asayama, K;Ohkubo, T;Imai, Y
目的评价2003年欧洲高血压学会-欧洲心脏病学会提出的危险分层系统的预测能力（2003 ESH-ESC）指南中的方法，并比较家庭自测血压（HBP）和家庭筛查血压（CBP）对日本普通人群首次卒中的预测（>= 40岁），无中风史，平均随访11年。根据2003年ESH-ESC标准，受试者被分配到5个不同风险分层组之一：平均风险，低附加风险，中度附加风险，高附加风险和极高附加风险。即使在低风险组中，也观察到中风的显著高风险，并且基于HBP和CBP的中风风险呈线性上升。在HBP分类的基础上，高和非常高的组相比CBP classification.Conclusion的风险分层系统中提出的2003年ESH-ESC指南是有效的预测中风在日本的研究人群，并具有更强的预测能力时，基于HBP比CBP。结果表明HBP对预测个体中风风险的有用性。
Aims To evaluate the predictive power of the risk stratification system proposed in the 2003 European Society of Hypertension-European Society of Cardiology (2003 ESH-ESC) guidelines and to compare self-measured blood pressure at home (HBP) with casual-screening blood pressure (CBP) for prediction of first stroke among a general Japanese population.Methods and results HBP and CBP were measured in 1702 subjects (>= 40 years) who had no history of stroke and who were followed for an average of 11 years. The subjects were assigned to one of five groups with differential risk stratification according to the 2003 ESH-ESC criteria: average risk, low added risk, moderate added risk, high added risk, and very high added risk. Even in the low risk group a significantly high risk for stroke was observed, and there was a linear step up of stroke risk based on HBP, as well as on CBP. On the basis of HBP classification, a higher stroke incidence was observed in the high and very high groups compared with CBP classification.Conclusion The risk stratification system proposed in the 2003 ESH-ESC guidelines is valid for the prediction of stroke in this Japanese study population, and has a stronger predictive power when based on HBP than on CBP. The results indicate the usefulness of HBP for the prediction of stroke risk in individuals.