Relationships between blood pressure measurements and target organ damage: Data from the Korea women's chest pain registry

• Published in: The journal of clinical hypertension (Greenwich, Conn.) Vol. 20; no. 12; pp. 1724 - 1730
• Main Authors: Kong, Min Gyu, Kim, Hack‐Lyoung, Kim, Myung‐A, Kim, Mina, Park, Seong Mi, Yoon, Hyun Ju, Shin, Mi Seung, Hong, Kyung‐Soon, Shin, Gil Ja, Shim, Wan‐Joo
• Format: Journal Article
• Language: English
• Published: United States John Wiley and Sons Inc 01.12.2018
• Subjects: Aged; Arterial Pressure - physiology; Blood Pressure - physiology; Blood Pressure Determination - methods; blood pressure measurements; Chest Pain - diagnosis; Chest Pain - physiopathology; coronary angiography; Coronary Angiography - methods; Coronary Artery Disease - diagnostic imaging; Coronary Artery Disease - physiopathology; Cross-Sectional Studies; Echocardiography - methods; Female; Glomerular Filtration Rate - physiology; Heart Ventricles - anatomy & histology; Heart Ventricles - diagnostic imaging; Heart Ventricles - physiopathology; Humans; Middle Aged; Original Paper; Prospective Studies; Registries; Republic of Korea - epidemiology; Target Organ Damage; Republic of Korea; target organ damage; coronary angiography; blood pressure measurements
• ISSN: 1524-6175; 1751-7176; 1751-7176
• DOI: 10.1111/jch.13417

This study was performed to investigate the association between four BP measurements (systolic blood pressure [SBP], diastolic blood pressure [DBP], mean arterial pressure [MAP], and pulse pressure [PP]) and four TOD parameters (left ventricular mass index [LVMI], E/e′, estimated glomerular filtration rate [eGFR], and obstructive coronary artery disease [CAD]). Data were obtained from a nation‐wide registry, composed of 652 patients (471 women, 58.4 ± 10.5 years) with suspected CAD who underwent elective invasive coronary angiography (CAG). A total of 217 patients (33.2%) had obstructive CAD (≥50%). In multivariable analyses, E/e′ was associated with SBP, MAP and PP, and CAD was associated with SBP and PP (P < 0.05 for each). All four BP measurements were not associated with LVMI and eGFR (P > 0.05 for each). In patients undergoing elective invasive CAG, SBP, and PP had stronger relationships with E/e′ and CAD than DBP and MAP.