Height and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension

Kye Taek Ahn, Kwang-In Park, Mi Joo Kim, Jin Kyung Oh, Ji Hye Han, Hee Jin Kwon, Seon-Ah Jin, Jun-Hyung Kim, Jae-Hyeong Park, Jae-Hwan Lee, Si Wan Choi, In-Whan Seong, Jin-Ok Jeong Department of Internal Medicine, Division of Cardiology, Chungnam National University Hospital, Chungnam National Univ...

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Autores principales: Ahn KT, Park KI, Kim MJ, Oh JK, Han JH, Kwon HJ, Jin SA, Kim JH, Park JH, Lee JH, Choi SW, Seong IW, Jeong JO
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Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:22eba7925b3e459c81682924df2772112021-12-02T04:50:51ZHeight and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension1178-1998https://doaj.org/article/22eba7925b3e459c81682924df2772112016-04-01T00:00:00Zhttps://www.dovepress.com/height-and-sex-is-strongly-associated-with-radial-augmentation-index-i-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Kye Taek Ahn, Kwang-In Park, Mi Joo Kim, Jin Kyung Oh, Ji Hye Han, Hee Jin Kwon, Seon-Ah Jin, Jun-Hyung Kim, Jae-Hyeong Park, Jae-Hwan Lee, Si Wan Choi, In-Whan Seong, Jin-Ok Jeong Department of Internal Medicine, Division of Cardiology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea Objectives: Central hemodynamics may better represent the load imposed on the coronary and cerebral arteries and thereby bear a stronger relationship to cardiovascular outcomes. Methods: Patients who had confirmed hypertension as assessed by daytime 24-hour ambulatory blood pressure monitoring (≥135/85 mmHg) were enrolled. Central blood pressure and radial augmentation index (AIx) corrected for a heart rate of 75 bpm (radial AIx 75) were measured for all patients. We evaluated the association of age, height, and sex with central hemodynamics in patients with never-treated hypertension. Results: A total of 203 patients were enrolled, of whom men numbered 101 (49.7%). The median height of all patients was 162 cm, and mean age was 53.2 years. In the Pearson correlation analysis, regardless of sex difference (R=-0.627 for height, R=0.035 for age, P-value =0.005), a stronger relationship was observed between height and radial AIx 75 than between age and radial AIx 75. In the multiple regression analysis, the sex difference and height were strongly associated with elevated radial AIx 75 in all patients (adjusted R2=0.428, β=6.237, 95% confidence interval [CI] for women 1.480–10.995, P-value =0.011 and β=-0.632, 95% CI for height -0.929 to -0.335, P-value =0.009, respectively). Conclusion: In patients with never-treated hypertension, female sex and shorter height are the important risk factors of elevated radial AIx 75. Keywords: hypertension, augmentation index, height, sexAhn KTPark KIKim MJOh JKHan JHKwon HJJin SAKim JHPark JHLee JHChoi SWSeong IWJeong JODove Medical PressarticleHypertensionAugmentation indexHeightGenderGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 415-422 (2016)
institution DOAJ
collection DOAJ
language EN
topic Hypertension
Augmentation index
Height
Gender
Geriatrics
RC952-954.6
spellingShingle Hypertension
Augmentation index
Height
Gender
Geriatrics
RC952-954.6
Ahn KT
Park KI
Kim MJ
Oh JK
Han JH
Kwon HJ
Jin SA
Kim JH
Park JH
Lee JH
Choi SW
Seong IW
Jeong JO
Height and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension
description Kye Taek Ahn, Kwang-In Park, Mi Joo Kim, Jin Kyung Oh, Ji Hye Han, Hee Jin Kwon, Seon-Ah Jin, Jun-Hyung Kim, Jae-Hyeong Park, Jae-Hwan Lee, Si Wan Choi, In-Whan Seong, Jin-Ok Jeong Department of Internal Medicine, Division of Cardiology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea Objectives: Central hemodynamics may better represent the load imposed on the coronary and cerebral arteries and thereby bear a stronger relationship to cardiovascular outcomes. Methods: Patients who had confirmed hypertension as assessed by daytime 24-hour ambulatory blood pressure monitoring (≥135/85 mmHg) were enrolled. Central blood pressure and radial augmentation index (AIx) corrected for a heart rate of 75 bpm (radial AIx 75) were measured for all patients. We evaluated the association of age, height, and sex with central hemodynamics in patients with never-treated hypertension. Results: A total of 203 patients were enrolled, of whom men numbered 101 (49.7%). The median height of all patients was 162 cm, and mean age was 53.2 years. In the Pearson correlation analysis, regardless of sex difference (R=-0.627 for height, R=0.035 for age, P-value =0.005), a stronger relationship was observed between height and radial AIx 75 than between age and radial AIx 75. In the multiple regression analysis, the sex difference and height were strongly associated with elevated radial AIx 75 in all patients (adjusted R2=0.428, β=6.237, 95% confidence interval [CI] for women 1.480–10.995, P-value =0.011 and β=-0.632, 95% CI for height -0.929 to -0.335, P-value =0.009, respectively). Conclusion: In patients with never-treated hypertension, female sex and shorter height are the important risk factors of elevated radial AIx 75. Keywords: hypertension, augmentation index, height, sex
format article
author Ahn KT
Park KI
Kim MJ
Oh JK
Han JH
Kwon HJ
Jin SA
Kim JH
Park JH
Lee JH
Choi SW
Seong IW
Jeong JO
author_facet Ahn KT
Park KI
Kim MJ
Oh JK
Han JH
Kwon HJ
Jin SA
Kim JH
Park JH
Lee JH
Choi SW
Seong IW
Jeong JO
author_sort Ahn KT
title Height and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension
title_short Height and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension
title_full Height and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension
title_fullStr Height and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension
title_full_unstemmed Height and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension
title_sort height and sex is strongly associated with radial augmentation index in korean patients with never-treated hypertension
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/22eba7925b3e459c81682924df277211
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