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Titolo:
BLACK-WHITE DIFFERENCES IN ELECTROCARDIOGRAPHIC LEFT-VENTRICULAR MASSAND ITS ASSOCIATION WITH BLOOD-PRESSURE (THE ARIC STUDY)
Autore:
ARNETT DK; RAUTAHARJU P; CROW R; FOLSOM AR; EKELUND LG; HUTCHINSON R; TYROLER HA; HEISS G;
Indirizzi:
UNIV N CAROLINA,SCH PUBL HLTH,DEPT EPIDEMIOL,CB 7400,MCGAVRAN GREENBERG BLDG CHAPEL HILL NC 27599 UNIV ALBERTA,CARDIAC EPIDEMIOL COORDINATING & RES CTR EPICORE,DIV CARDIOL EDMONTON AB CANADA UNIV MINNESOTA,SCH PUBL HLTH,DIV EPIDEMIOL MINNEAPOLIS MN 55455 UNIV MISSISSIPPI,MED CTR,DEPT MED JACKSON MS 39216
Titolo Testata:
The American journal of cardiology
fascicolo: 3, volume: 74, anno: 1994,
pagine: 247 - 252
SICI:
0002-9149(1994)74:3<247:BDIELM>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
HYPERTENSION; HYPERTROPHY; HEART; MEN; HEALTH; PREVALENCE; MORTALITY; CRITERIA; PROGRAM; DISEASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
D.K. Arnett et al., "BLACK-WHITE DIFFERENCES IN ELECTROCARDIOGRAPHIC LEFT-VENTRICULAR MASSAND ITS ASSOCIATION WITH BLOOD-PRESSURE (THE ARIC STUDY)", The American journal of cardiology, 74(3), 1994, pp. 247-252

Abstract

Black-white differences in the association between antihypertensive therapy, continuous measures of mean arterial and pulse pressures and left ventricular (LV) mass estimated from a multivariable electrocardiographic algorithm were examined in 6,020 men (23% black) and 7,970 women (29% black) participating in the Atherosclerosis Risk in Communities (ARIC) study. Mean arterial and pulse pressures, weight, the percentage of subjects taking antihypertensive medication, and LV mass were higher in black than in white men (98 vs 89 mm Hg, 47 vs 46 mm Hg, 188 vs 187 pounds, 30% vs 17%, and 243 vs 217 g, respectively). Results ofsimilar direction but greater magnitude were observed in black versuswhite women (mean arterial pressure, 94 vs 85 mm Hg; pulse pressure, 50 vs 47 mm Hg; weight, 180 vs 153 pounds; percent treated, 42% vs 18%; and LV mass, 203 vs 169 g, respectively). In multivariable regression analyses, blacks had higher levels of LV mass, and LV mass increasedmore sharply with increasing mean arterial pressure in blacks than inwhites after adjusting for age, pulse pressure, and weight. At equal mean arterial and pulse pressures, age, and weight, treated blacks hadhigher LV mass than treated whites. These data indicate that blacks have higher LV mass than whites, and a more pronounced blood pressure-LV mass relation after controlling for other risk factors acid treatment status. Given the prognostic importance of LV hypertrophy, intensified efforts to understand the ethnic differentials in LV mass may provide strategies to reduce excess cardiovascular mortality in African-Americans.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 06:51:21