지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 432 - 444 (13page)
- DOI
- 10.23876/j.krcp.21.245
이용수
초록· 키워드
오류제보하기
Background: Hypertension is the most important modifiable risk factor for mortality and morbidity in chronic kidney disease and cor- onary artery syndrome. The effect of hypertension prior to percutaneous coronary intervention (PCI) on the development of end-stage renal disease (ESRD) is unknown.
Methods: We used nationally representative data from the Korean National Health Insurance System?140,164 subjects were en- rolled during 2010?2015; they were free of ESRD at enrolment, underwent PCI, and were followed up until 2017. Blood pressure (BP) was measured within at least 2 years prior to PCI. The primary outcome was the development of ESRD.
Results: During a median follow-up of 5.4 years, 2,082 participants (1.5%) developed ESRD. The highest systolic BP group (>160 mmHg) showed a higher hazard ratio (3.69; 95% confidence interval, 2.61?5.23) than the reference group (110?119 mmHg). Simi- lar results were observed in the highest diastolic BP group (>120 mmHg), which showed a higher hazard ratio than the reference group (70?79 mmHg). However, ESRD risk showed a J-shaped relationship with baseline systolic and diastolic BP at 113 and 74 mmHg in diabetes mellitus subgroup, respectively, after adjustment for potential confounders.
Conclusion: Our study showed that a high systolic or diastolic BP prior to PCI was independently associated with an increased inci- dence of ESRD.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
GBD 2015 Risk Factors Collaborators / 2016 / Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015 / Lancet 388:1659~1724
Mancia G / 2013 / 2013 ESH/ESC guidelines for the management of arterial hypertension : the Task Force for the Management of Arterial Hypertension of the Euroean Society of Hypertension(ESH)and of the European Society of Cardiology(ESC) / Eur Heart J 34:2159~2219
Rosendorff C / 2015 / Treatment of hypertension in patients with coronary artery disease : a scientific statement from the American Heart Association, American College of Cardiology, and American Society of Hypertension / Circulation 131:e435~e470
Chobanian AV / 2003 / The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure : the JNC 7 report / JAMA 289:2560~2572
Lewington S / 2002 / Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies / Lancet 360:1903~1913
Mancia G / 2013 / 2013 ESH/ESC guidelines for the management of arterial hypertension : the Task Force for the Management of Arterial Hypertension of the Euroean Society of Hypertension(ESH)and of the European Society of Cardiology(ESC) / Eur Heart J 34:2159~2219
Rosendorff C / 2015 / Treatment of hypertension in patients with coronary artery disease : a scientific statement from the American Heart Association, American College of Cardiology, and American Society of Hypertension / Circulation 131:e435~e470
Chobanian AV / 2003 / The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure : the JNC 7 report / JAMA 289:2560~2572
Lewington S / 2002 / Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies / Lancet 360:1903~1913
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