Document Detail


Pulse pressure responses to psychological tasks improve the prediction of left ventricular mass: 10 years of follow-up.
MedLine Citation:
PMID:  12658026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To examine the role of casual blood pressure measurements and blood pressure responses to psychological tasks in the prediction of future left ventricular mass index (LVMI), and to determine the importance of different components of blood pressure, and the predictive value of an individual's personal characteristics and antihypertensive medication on future LVMI. METHODS: At baseline, blood pressure was recorded by casual measurements; during tests it was recorded by intra-arterial monitoring. The participants were healthy, untreated 35-45-year old men. Echocardiography data both at baseline and after 10 years of follow-up were available from 65 individuals, of whom 49 (75%) were not taking antihypertensive medication at follow-up. Those not taking antihypertensive medication were included in the prediction of LVMI (g/m2). RESULTS: Baseline LVMI correlated significantly with future LVMI only among the 49 unmedicated individuals (r = 0.52, P < 0.0001). The predictive value of baseline LVMI on future LVMI among them (adjusted coefficient of determination = 0.26) was not improved by the inclusion of casual blood pressure. In contrast, blood pressure responses to the psychological tasks improved the prediction of future LVMI by 4-13%. Pulse pressure was the blood pressure variable that entered the final prediction models; the correlations with future LVMI were best for pulse pressure response to habituation task (r = 0.43, P < 0.05) and to relaxation (r = 0.37, P < 0.05). CONCLUSIONS: To our knowledge, this is the longest prospective follow-up to show that blood pressure responses to psychological tasks improve the prediction of LVMI compared with casual blood pressure measurements. The pulse pressure, which reflects the properties of the arterial wall, is the most significant blood pressure variable in predicting future LVMI.
Authors:
Jaana M Jokiniitty; Martti T Tuomisto; Silja K Majahalme; Mika A P Kähönen; Väinö M H Turjanmaa
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of hypertension     Volume:  21     ISSN:  0263-6352     ISO Abbreviation:  J. Hypertens.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-03-26     Completed Date:  2003-12-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  789-95     Citation Subset:  IM    
Affiliation:
Department of Clinical Physiology, Medical School, University of Tampere, Finland. jaana.jokiniitty@uta.fi
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure / physiology*
Echocardiography
Follow-Up Studies
Humans
Hypertension / diagnosis
Hypertrophy, Left Ventricular / physiopathology,  psychology*,  ultrasonography*
Male
Middle Aged
Predictive Value of Tests
Prognosis
Prospective Studies
Psychological Tests*
Comments/Corrections
Comment In:
J Hypertens. 2003 Apr;21(4):695-6   [PMID:  12658012 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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