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Predictive value of within-visit and visit-to-visit blood pressure variability for all-cause mortality: The Minhang Study

Journal of Hypertension Aug 19, 2021

Cai E, Chen L, Wang Y, et al. - In adults, significant positive prognostic factors for all-cause mortality include visit-to-visit and sustained high within-visit blood pressure variability.

  • A retrospective study with 11,721 adults.

  • Kaplan—Meier survival curves and Cox regression analysis were employed.

  • Significantly higher incidence of all-cause mortality was noted in participants in the top quintile of within-visit and visit-to-visit blood pressure variability and also for those with sustained high within-visit variability.

  • For the top quintile of visit-to-visit blood pressure variability, the hazard ratio for mortality rose from 48 to 55%.

  • For sustained high within-visit variability, such an estimate increased from 56 to 61%.

  • It is clinically significant to attain stable blood pressure in an effective plan of hypertension management.

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