دورية أكاديمية
Systolic blood pressure variation and mean heart rate is associated with cognitive dysfunction in patients with high cardiovascular risknovelty and significance
| العنوان: | Systolic blood pressure variation and mean heart rate is associated with cognitive dysfunction in patients with high cardiovascular risknovelty and significance |
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| المؤلفون: | Böhm, Michael, Schumacher, Helmut, Leong, Darryl, Mancia, Giuseppe, Unger, Thomas, Schmieder, Roland, Custodis, Florian, Diener, Hans-Christoph, Laufs, Ulrich, Lonn, Eva, Sliwa, Karen, Teo, Koon, Fagard, Robert, Redon, Josep, Sleight, Peter, Anderson, Craig, O’Donnell, Martin, Yusuf, Salim |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2015 |
| المجموعة: | National University of Ireland (NUI), Galway: ARAN |
| مصطلحات موضوعية: | heart rate, hypertension, myocardial infarction, stroke, mental-state-examination, randomized controlled-trial, placebo-controlled trial, coronary-artery-disease, alzheimers-disease, rate reduction, vascular risk, double-blind, episodic hypertension, erectile dysfunction |
| الوصف: | Elevated systolic blood pressure (SBP) correlates to cognitive decline and incident dementia. The effects of heart rate (HR), visit to visit HR variation, and visit to visit SBP variation are less well established. Patients without preexisting cognitive dysfunction (N=24 593) were evaluated according to mean SBP, SBP visit to visit variation (coefficient of variation [standard deviation/meanx100%], CV), mean HR, and visit to visit HR variation (HR-CV) in the Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial and the Telmisartan Randomized Assessment Study in ACE Intolerant Subjects with Cardiovascular Disease. Cognitive function was assessed with mini mental state examination. Cognitive dysfunction (fall in mini mental state examination <= 24 points), important cognitive decline (drop of >= 5 points), and cognitive deterioration (drop of >1 point per year or decline to <24 points) were assessed. SBP and HR were measured over 10.7 +/- 2.2 (mean +/- SD) visits. Mean SBP, mean HR, and SBP-CV were associated with cognitive decline, dysfunction, and deterioration (all P<0.01, unadjusted). After adjustment, only SBP-CV (P=0.0030) and mean HR (P=0.0008) remained predictors for cognitive dysfunction (odds ratios [95% confidence intervals], 1.32 [1.10-1.58] for 5th versus 1st quintile of SBP-CV and 1.40 [1.18-1.66] for 5th versus 1st quintile of mean HR). Similar effects were observed for cognitive decline and deterioration. SBP-CV and mean HR showed additive effects. In conclusion, SBP-CV and mean HR are independent predictors of cognitive decline and cognitive dysfunction in patients at high CV risk. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| العلاقة: | Hypertension; Böhm, Michael; Schumacher, Helmut; Leong, Darryl; Mancia, Giuseppe; Unger, Thomas; Schmieder, Roland; Custodis, Florian; Diener, Hans-Christoph; Laufs, Ulrich; Lonn, Eva; Sliwa, Karen; Teo, Koon; Fagard, Robert; Redon, Josep; Sleight, Peter; Anderson, Craig; O’Donnell, Martin; Yusuf, Salim (2015). Systolic blood pressure variation and mean heart rate is associated with cognitive dysfunction in patients with high cardiovascular risknovelty and significance. Hypertension 65 (3), 651-U336; 0194-911X,1524-4563; http://hdl.handle.net/10379/10467Test |
| DOI: | 10.1161/hypertensionaha.114.04568 |
| الإتاحة: | https://doi.org/10.1161/hypertensionaha.114.04568Test http://hdl.handle.net/10379/10467Test |
| حقوق: | Attribution-NonCommercial-NoDerivs 3.0 Ireland ; https://creativecommons.org/licenses/by-nc-nd/3.0/ieTest/ |
| رقم الانضمام: | edsbas.B7464A49 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1161/hypertensionaha.114.04568 |
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