JANGHORBANI M, HEDLEY A, ZHIANPOUR M, JONES R, GILMOUR W. BLOOD PRESSURE COMPONENTS AS PREDICTORS OF ISCHAEMIC HEART DISEASE MORTALITY IN THE WEST OF SCOTLAND. Med J Islam Repub Iran 1991; 5 (3) :117-123
URL:
http://mjiri.iums.ac.ir/article-1-1621-en.html
From Department of Community Medicine. Kerman University 0f Medical Sciences, Kerman, Iran.
Abstract: (4984 Views)
The relative importance of systolic blood pressure (SBP) versus
diastolic blood pressure (DBP) in predicting the risk of ischaemic heart
disease (IHD) mortality is controversial. We have re-examined SBP compared
to D BP and other combinations of SBP and D BP in predicting the risk
of IHD mortality in a long-term cohort study oflO,541 men and women in the
West of Scotland.
During a mean follow-up of 11.6 years, 1,616 deaths occurred, among
which 553 (34% 327 male, 181 female) were caused by IHD.
In a multiple logistic regression (MLR) model the predictive values of
SBP, DBP, mean arterial pressure (MAP), mean arterial index (MAl), and
pulse pressure (PP) were examined in relation to IHD mortality after
adjustment for age, body mass index (BMI), casual blood glucose, serum
cholesterol and cigarette smoking at entry. All blood pressure measures
were associated with IHD mortality in females the risk of IHD deaths was
more strongly associated with SBP in males SBP and DBP had similar
predictive strength.