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Relationship between brachial-ankle pulse wave velocity and incident hypertension according to 2017 ACC/AHA high blood pressure guidelines

Journal of the American Heart Association Aug 22, 2019

Lee SJ, Avolio A, Seo DC, et al. - Via performing a large cohort study of 10,360 Korean adults, researchers examined if brachial-ankle pulse wave velocity (baPWV) measurements, as a measure of arterial stiffness, could predict incident hypertension, even when applying updated hypertension criteria. According to the 2017 ACC/AHA Guidelines, they defined hypertension as 130/80 mm Hg. Hypertension developed in 2,000 individuals (19.3%) developed during the follow-up period (median 2.17 years). Findings revealed an increased risk of hypertension among individuals in the highest baPWV quartile group vs the lowest baPWV quartile group even after adjusting for several confounding factors. Hence a strong and independent correlation of baPWV with hypertension exist among relatively healthy people. Furthermore, in patients with known risk factors, baPWV was predictive of incident hypertension.
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