Blood Pressure and Global Risk Assessment in a Swedish Population
This study investigated the association between SCORE and the 2007 ESH-ESC blood pressure categories and explored achievements of blood pressure goals considering global risk. In 2001–2005, a random sample of inhabitants aged 30–74 years in southwestern Sweden was invited to a survey of cardiovascul...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2012/835812 |
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| _version_ | 1832564341016100864 |
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| author | Jenny Eckner Charlotte A. Larsson Lennart Råstam Ulf Lindblad |
| author_facet | Jenny Eckner Charlotte A. Larsson Lennart Råstam Ulf Lindblad |
| author_sort | Jenny Eckner |
| collection | DOAJ |
| description | This study investigated the association between SCORE and the 2007 ESH-ESC blood pressure categories and explored achievements of blood pressure goals considering global risk. In 2001–2005, a random sample of inhabitants aged 30–74 years in southwestern Sweden was invited to a survey of cardiovascular risk factors. The study enrolled 2816 participants (participation rate 76%). Blood pressure was categorized according to the 2007 ESH-ESC guidelines. Global risk of 10-year CVD death was estimated using the Swedish SCORE chart also accounting for additional risk from diabetes (SCORE-DM). SCORE-DM increased in both sexes from optimal blood pressure to manifest hypertension but did not differ between the normal blood pressure categories. However, SCORE-DM became significantly higher among those with temporarily high blood pressure (men 3.3 SD (1.7), women 1.1 (1.8)) and hypertension (3.6 (2.0), 2.0 (2.0)), compared to optimal blood pressure (1.6 (2.9), 0.6 (1.9)). In the presence of both hypertension and diabetes, high-risk subjects dominated (men 76%, women 61%), and correspondingly a major proportion of patients with known hypertension were at high risk at a blood pressure ≥160/100 mm Hg. These findings have strong implications on blood pressure evaluation in clinical practice and support the use of SCORE to evaluate global risk. |
| format | Article |
| id | doaj-art-7924b3c6545f473db53f8e36834e89ff |
| institution | Kabale University |
| issn | 2090-0384 2090-0392 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-7924b3c6545f473db53f8e36834e89ff2025-02-03T01:11:14ZengWileyInternational Journal of Hypertension2090-03842090-03922012-01-01201210.1155/2012/835812835812Blood Pressure and Global Risk Assessment in a Swedish PopulationJenny Eckner0Charlotte A. Larsson1Lennart Råstam2Ulf Lindblad3Department of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe 4, Hus 7, P.O. Box 454, 405 30 Gothenburg, SwedenDepartment of Clinical Sciences/Community Medicine, Lund University, Clinical Research Centre, SUS Malmö, 205 02 Malmö, SwedenDepartment of Clinical Sciences/Community Medicine, Lund University, Clinical Research Centre, SUS Malmö, 205 02 Malmö, SwedenDepartment of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe 4, Hus 7, P.O. Box 454, 405 30 Gothenburg, SwedenThis study investigated the association between SCORE and the 2007 ESH-ESC blood pressure categories and explored achievements of blood pressure goals considering global risk. In 2001–2005, a random sample of inhabitants aged 30–74 years in southwestern Sweden was invited to a survey of cardiovascular risk factors. The study enrolled 2816 participants (participation rate 76%). Blood pressure was categorized according to the 2007 ESH-ESC guidelines. Global risk of 10-year CVD death was estimated using the Swedish SCORE chart also accounting for additional risk from diabetes (SCORE-DM). SCORE-DM increased in both sexes from optimal blood pressure to manifest hypertension but did not differ between the normal blood pressure categories. However, SCORE-DM became significantly higher among those with temporarily high blood pressure (men 3.3 SD (1.7), women 1.1 (1.8)) and hypertension (3.6 (2.0), 2.0 (2.0)), compared to optimal blood pressure (1.6 (2.9), 0.6 (1.9)). In the presence of both hypertension and diabetes, high-risk subjects dominated (men 76%, women 61%), and correspondingly a major proportion of patients with known hypertension were at high risk at a blood pressure ≥160/100 mm Hg. These findings have strong implications on blood pressure evaluation in clinical practice and support the use of SCORE to evaluate global risk.http://dx.doi.org/10.1155/2012/835812 |
| spellingShingle | Jenny Eckner Charlotte A. Larsson Lennart Råstam Ulf Lindblad Blood Pressure and Global Risk Assessment in a Swedish Population International Journal of Hypertension |
| title | Blood Pressure and Global Risk Assessment in a Swedish Population |
| title_full | Blood Pressure and Global Risk Assessment in a Swedish Population |
| title_fullStr | Blood Pressure and Global Risk Assessment in a Swedish Population |
| title_full_unstemmed | Blood Pressure and Global Risk Assessment in a Swedish Population |
| title_short | Blood Pressure and Global Risk Assessment in a Swedish Population |
| title_sort | blood pressure and global risk assessment in a swedish population |
| url | http://dx.doi.org/10.1155/2012/835812 |
| work_keys_str_mv | AT jennyeckner bloodpressureandglobalriskassessmentinaswedishpopulation AT charlottealarsson bloodpressureandglobalriskassessmentinaswedishpopulation AT lennartrastam bloodpressureandglobalriskassessmentinaswedishpopulation AT ulflindblad bloodpressureandglobalriskassessmentinaswedishpopulation |