Relationship Between Blood Pressure and Cardiac Events in Patients With a Healed Myocardial Infarction
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概要
- 論文の詳細を見る
This study investigated the association between blood pressure(diastolic[DBP]and systolic[SBP]and cardiac events in a total of 6,602 patients with a healed myocardial infarction(MI)(5,320 men, 1,282 women; mean age, 58.9±10.4 years), including in-patients and out-patients, from January 1986 to January 1999. The primary endpoints(cardiac events)were recurrent MI(fatal and non-fatal), death from congestive heart failure, or sudden death. The total number of cardiac events was 195(3.0%)and the incidences of the 3 cardiac events were compared among th 3 DBP groups(DBP low group, <70mmHg; DBP middle group, 70-89mmHg; DBP high group, ≥90mmHg). There were some significant differences in the characteristics of patients among the 3 groups, but no significant difference in cardiac death and total mortality was found among the 3 groups. Cardiac events occurred in 59 of 1,780 patients(3.3%, 33.9/1,000 person years)in the DBP low group, tended to be reduced in number in the DBP middle group(87 of 3,549 patients 2.5%, 21.4/1,000 person years)and were slightly increased in number in the DBP high group(24 of 642 patients 3.7%, 35.2/1,000 person years). Although this correlation between BP and cardiac events appears to be J-shaped, because there is no statistically significant difference in the rate of cardiac events among the 3 group, we conclude that DBP does not influence the occurrence of cardiac events. The prevalence of cardiac events tended to be greater with a SBP less than 120mmHg.
- 社団法人日本循環器学会の論文
- 2001-09-20
著者
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Hayashi Takahiro
Division Of Cardiology Department Of Internal Medicine Kinki University School Of Medicine
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Ishikawa Kinji
Division Of Cardiology Department Of Internal Medicine Kinki University School Of Medicine
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Kanamasa Ken
Department Of Cardiology Kinki University School Of Medicine
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ISHIKAWA Kinji
First Dept. of Inter. Med Tohoku Univ. School of Med.
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KANAMASA Ken
First Department of Internal Medicine,Kinki University School of Medicine
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HAYASHI TAKAHIRO
First Department of Internal Medicine, Kinki University School of Medicine
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Takenaka Toshihiko
First Department of Internal Medicine, Kinki University School of Medicine
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Kanamasa Ken
近畿大学 医学部高血圧・老年内科部門
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Kimura Akio
First Department of Medicine, Kinki University School of Medicine
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Kanamasa Ken
Department Of Vascular And Geriatric Medicine Osaka Japan
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Ishikawa Kinji
First Department Of Internal Medicine Kinki University School Of Medicine
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Kimura A
Division Of Cardiology Department Of Internal Medicine Kinki University School Of Medicine
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Ishikawa K
Division Of Cardiology Department Of Internal Medicine Kashiwara Municipal Hospital
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Wufuer Mayila
Cardiology Department of Internal Medicine, First Affiliated Hospital, Xinjiang, Medical University
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Takai Hiroyuki
Division Of Cardiology Department Of Internal Medicine Kinki University School Of Medicine
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Takenaka Toshihiko
The First Department Of Internal Medicine Kinki University School Of Medicine
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Wufuer Mayila
Cardiology Department Of Internal Medicine First Affiliated Hospital Xinjiang Medical University
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Hirota Takayoshi
Division Of Cardiology Faculty Of Medicine Kinki University
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Takenaka Toshihiko
First Department Of Internal Medicine Kinki University School Of Medicine
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Hayashi Takahiro
First Department Of Internal Medicine Kinki University School Of Medicine
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KANAMASA Ken
First Department of Internal Medicine, Kinki University School of Medicine
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