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Association of ambulatory blood pressure with aortic valve and coronary artery calcification.

SAWAYAMA Yuichi 0000-0002-9409-0056 HISAMATSU Takashi KADOTA Aya 60546068 0000-0001-7378-0544 TORII Sayuki 30773973 KONDO Keiko 20566567 FUJIYOSHI Akira 10567077 0000-0002-5790-7119 HIGO Yosuke HARADA Akiko 00451774 WATANABE Yoshiyuki 20362733 0000-0003-3906-3730 NAKAGAWA Yoshihisa 00378613 MIURA Katsuyuki 90257452 0000-0002-2646-9582 UESHIMA Hirotsugu 70144483 0000-0002-7742-4253 滋賀医科大学

2022.07.01

概要

Objective: We aimed to investigate the effect of ambulatory blood pressure (BP) on aortic valve calcification (AVC) and coronary artery calcification (CAC), which are subclinical atherosclerotic diseases.

Methods: In this population-based, cross-sectional study, we assessed office BP, mean ambulatory BP (24-h, awake, and asleep), and variability of ambulatory BP, as determined by the coefficient of variation (awake and asleep). AVC and CAC were quantified using an Agatston score (>0) based on computed tomography scanning. We calculated relative risks (RRs) and 95% confidence intervals (CIs) with a 1-standard deviation increment in each BP index for the presence of AVC and CAC using a multivariate-adjusted Poisson regression with robust error variance.

Results: Of 483 participants (mean age: 66.8 years), 154 (31.9%) and 310 (64.2%) had AVC and CAC, respectively. The presence of AVC was associated with office systolic BP (SBP; RR, 1.15; 95% CI, 1.03 – 1.28), awake diastolic BP (DBP) variability (RR, 1.12; 95% CI, 1.01 – 1.25), and asleep SBP variability (RR, 1.14; 95% CI, 1.03 – 1.27). The presence of CAC was associated with office SBP (RR, 1.08; 95% CI, 1.01 – 1.15), mean 24-h SBP (RR, 1.10; 95% CI, 1.04 – 1.16), mean awake SBP (RR, 1.11; 95% CI, 1.04 – 1.17), mean asleep SBP (RR, 1.07; 95% CI, 1.01 – 1.13), and asleep SBP variability (RR, 1.07; 95% CI, 1.01 – 1.13).

Conclusion: These findings highlight the association of ambulatory BP indices with both AVC and CAC, but with different effects on their presences.

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