NYMC Faculty Publications
Isolated Diastolic Hypertension and Incident Heart Failure in Community-dwelling Older Adults: Insights from the Cardiovascular Health Study
DOI
10.1016/j.ijcard.2017.02.142
Journal Title
International Journal of Cardiology
First Page
140
Last Page
143
Document Type
Article
Publication Date
7-1-2017
Department
Medicine
Abstract
BACKGROUND: Isolated systolic hypertension and isolated diastolic hypotension are common in older adults and associated with a higher risk of incident heart failure (HF). However, little is known about the prevalence and impact of isolated diastolic hypertension in this population.
METHODS: In the Cardiovascular Health Study (CHS), of the 5776 community-dwelling older adults ≥65years who had data on baseline systolic and diastolic blood pressure (SBP and DBP), 28 had isolated diastolic hypertension (DBP ≥90mmHg and SBP
RESULTS: Patients (n=524) had a mean (±SD) age of 71 (±5) years, 58% were women and 9% African American. There were no significant between-group age or sex differences; 37% of those with isolated diastolic hypertension (versus 7% without) were African American. Incident HF occurred in 19% and 7% of participants with and without isolated diastolic hypertension, respectively (multivariable-adjusted hazard ratio {HR}, 4.65; 95% confidence interval {CI}, 1.09-19.90; p=0.038). There was a trend toward higher cardiovascular mortality (HR, 4.59; 95% CI, 0.92-23.88; p=0.063).
CONCLUSION: Among community-dwelling older adults, isolated diastolic hypertension is rare and is associated with higher risk for incident HF and cardiovascular mortality.
Recommended Citation
Sheriff, H., Tsimploulis, A., Valentova, M., Anker, M., Deedwania, P., Aronow, W. S., & Ahmed, A. (2017). Isolated Diastolic Hypertension and Incident Heart Failure in Community-dwelling Older Adults: Insights from the Cardiovascular Health Study. International Journal of Cardiology, 238, 140-143. https://doi.org/10.1016/j.ijcard.2017.02.142
Publisher's Statement
Originally published in International Journal of Cardiology. The original material can be found here.
Comments
Please see the work itself for the complete list of authors.