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大学・研究所にある論文を検索できる 「Relationship of Four Blood Pressure Indexes to Subclinical Cerebrovascular Diseases Assessed by Brain MRI in General Japanese Men.」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Relationship of Four Blood Pressure Indexes to Subclinical Cerebrovascular Diseases Assessed by Brain MRI in General Japanese Men.

SALMAN Ebtehal Mohamed 滋賀医科大学 DOI:10.5551/jat.58537

2021.01.22

概要

Aim:
The relationship of blood pressure (BP) indexes (systolic blood pressure [SBP], diastolic blood pressure [DBP], pulse pressure [PP], mean arterial pressure [MAP]) to subclinical cerebrovascular diseases (SCVDs) remains unclear. This study aimed to elucidate the relationship of four BP indexes measured at two visits on SCVDs assessed by magnetic resonance imaging (MRI) in general Japanese men.
Methods:
In general Japanese men aged 40-79 years (N=616), office BP indexes were measured at two visits (Visits 1 [2006-2008] and 2 [2010-2014]). MRI images obtained on the third visit (2012-2015) were examined for prevalent SCVDs: lacunar infarction, periventricular hyperintensity (PVH), deep subcortical white matter hyperintensity (DSWMH), microbleeds, and intracranial artery stenosis (ICAS). Using a multivariable logistic regression analysis, we computed and estimated the odds ratio of each prevalent SCVD for one standard deviation higher BP indexes. The same analyses were performed using home BP.
Results:
All four office BP indexes at both visits associated with lacunar infarction. Visit 1 and 2 DBP and Visit 1 MAP associated with PVH and DSWMH, and Visit 1 SBP associated with DSWMH. All Visit 2 BP indexes appear to show stronger association with microbleeds than Visit 1 indexes, and Visit 1 and 2 SBP, PP, and MAP showed similar associations with ICAS. Additional analyses using home BP indexes revealed similar relationships; however, the significance of some relationships decreased.
Conclusion:
In general Japanese men, BP indexes were associated with most of SCVDs, and BP indexes measured at different periods associated with different SCVDs assessed by MRI.

関連論文

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Salman et al .

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Supplemental Fig. 1. Sensitivity analysis of adjusted odds ratio for the presence of MRI outcomes per 1-SD higher office BP

indexes in Visits 1 [V1 = 443] (aged 40–80) and 2 [V2 = 390] (aged 46–83) after the exclusion of participants

receiving hypertension medication

The variables adjusted in the multivariable model in Visits 1 and 2 are age, BMI, HbA1c, LDL-C, HDL-C, smoking status, drinking status,

diabetes mellitus medication, and dyslipidemia medication. V1, Visit 1; V2, Visit 2; OR, odds ratio; SBP, systolic blood pressure; DBP,

diastolic blood pressure; PP, pulse pressure; MAP, mean arterial pressure

12

Advance Publication Journal of Atherosclerosis and Thrombosis

Accepted for publication: November 9, 2020 Published online: January 22, 2021

BP Indexes and Cerebrovascular Disease

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Supplemental Fig. 2. Multivariable adjusted odds ratio for the presence of MRI outcomes per 1-SD higher home BP indexes of

616 men in Visits 1 (aged 40–80) and 2 (aged 46–83)

The variables adjusted in the multivariable model in Visits 1 and 2 are age, BMI, HbA1c, LDL-C, HDL-C, smoking status, drinking status,

hypertension medication, diabetes mellitus medication, and dyslipidemia medication. V1, Visit 1; V2, Visit 2; OR, odds ratio; SBP, systolic

blood pressure; DBP, diastolic blood pressure; PP, pulse pressure; MAP, mean arterial pressure

Advance Publication Journal of Atherosclerosis and Thrombosis

Accepted for publication: November 9, 2020 Published online: January 22, 2021

13

Salman et al .

Supplemental Table 1. Frequency of participants in each score value of

the total small vessel disease score (N = 616)

SVD Score

n (%)

346 (56.2)

137 (22.3)

76 (12.3)

42 (6.8)

15 (2.4)

Values are presented as number (percentage)

SVD, small vessel disease

Supplemental Table 2. Univariable and multivariable ordinal logistic regression for the relationship of 1-SD

office BP indexes and total small vessel disease score (N = 616)

Total SVD score

SBP

V1

V2

DBP

V1

V2

PP

V1

V2

MAP

V1

V2

OR (95% CI)

P value

OR (95% CI)

P value

OR (95% CI)

P value

OR (95% CI)

P value

OR (95% CI)

P value

OR (95% CI)

P value

OR (95% CI)

P value

OR (95% CI)

P value

Univariable model

Multivariable model

1.52 (1.30 - 1.78)

< 0.001

1.44 (1.23 - 1.67)

< 0.001

1.32 (1.14 - 1.54)

0.001

1.11 (0.95 - 1.29)

0.177

1.42 (1.22 - 1.65)

< 0.001

1.48 (1.27 - 1.72)

< 0.001

1.45 (1.24 - 1.69)

< 0.001

1.27 (1.09 - 1.48)

0.002

1.34 (1.13 - 1.57)

0.001

1.33 (1.13 - 1.56)

0.001

1.41 (1.19 - 1.66)

< 0.001

1.34 (1.13 - 1.58)

0.001

1.14 (0.96 - 1.35)

0.142

1.20 (1.01 - 1.42)

0.038

1.40 (1.19 - 1.65)

< 0.001

1.36 (1.16 - 1.60)

0.001

The variables adjusted in the multivariable model in Visit 1 and Visit 2 are age, BMI, HbA1c, LDL-C, HDL-C, smoking status,

drinking status, hypertension medication, diabetes mellitus medication, and dyslipidemia medication.

SVD, small vessel disease; V1, Visit 1; V2, Visit 2; OR, odds ratio; SBP, systolic blood pressure; DBP, diastolic blood

pressure; PP, pulse pressure; MAP, mean arterial pressure

14

Advance Publication Journal of Atherosclerosis and Thrombosis

Accepted for publication: November 9, 2020 Published online: January 22, 2021

...

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