Advertisement

The association of conventionally medicated systolic and diastolic blood pressure level and mortality from cardiovascular disease: is the lower the better in high stroke population?

This is a preview of subscription content, log in to check access.

Access options

Buy single article

Instant unlimited access to the full article PDF.

US$ 39.95

Price includes VAT for USA

Subscribe to journal

Immediate online access to all issues from 2019. Subscription will auto renew annually.

US$ 199

This is the net price. Taxes to be calculated in checkout.

Fig. 1

References

  1. 1.

    Murray CJ, Lopez AD (1997) Global mortality, disability, and the contribution of risk factors: global burden of disease study. Lancet 349:1436–1442

  2. 2.

    Roth GA, Huffman MD, Moran AE et al (2015) Global cardiovascular disease burden global and regional patterns in cardiovascular mortality from 1990 to 2013 global burden of cardiovascular disease. Lancet 132:1667–1678

  3. 3.

    Wolf M, Ewen S, Mahfoud F, Böhm M et al (2018) Hypertension: history and development of established and novel treatments. Clin Res Cardiol 107:16–29

  4. 4.

    Whelton PK, Carey RM, Aronow WS et al (2018) 2017 ACC/ AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the American College of Cardiology/ American Heart Association task force on clinical practice guidelines. Hypertension 71(6)1269–1323

  5. 5.

    Yamagishi K, Sawachi S, Tamakoshi A et al (2019) Blood pressure levels and risk of cardiovascular disease mortality among Japanese men and women. J Hypertens 37(7):1366–1371

  6. 6.

    Tamakoshi A, Ozasa K, Fujino Y et al (2013) Cohort profile of the Japan collaborative cohort study at final follow-up. J Epidemiol 23:227–232

  7. 7.

    Bundy JD, Li C, Stuchlik P et al (2017) Systolic blood pressure reduction and risk of cardiovascular disease and mortality. JAMA Cardiol 2:775

  8. 8.

    Traon AP-L, Costes-Salon M-C, Galinier M et al (2002) Dynamics of cerebral blood flow autoregulation in hypertensive patients. J Neurol Sci 195:139–144

  9. 9.

    Yamori Y, Liu L, Mizushima S et al (2006) Male cardiovascular mortality and dietary markers in 25 population samples of 16 countries. J Hypertens 24:1499–1505

  10. 10.

    Zhou B, Bentham J, Di Cesare M et al (2017) Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants. Lancet 389:37–55

  11. 11.

    Ergatoudes C, Schaufelberger M, Andersson B et al (2019) Non-cardiac comorbidities and mortality in patients with heart failure with reduced vs. preserved ejection fraction: a study using the Swedish Heart Failure Registry. Clin Res Cardiol 108:1025–1033

  12. 12.

    Vidal-Petiot E, Greenlaw N, Ford I et al (2018) Relationships between components of blood pressure and cardiovascular events in patients with stable coronary artery disease and hypertension novelty and significance. Hypertension 71:168–176

  13. 13.

    Mcevoy JW, Chen Y, Rawlings A et al (2016) Diastolic blood pressure, subclinical myocardial damage, and cardiac events implications for blood pressure control. J Am Coll Cardiol 7:754

  14. 14.

    Waits GS, O’Neal WT, Sandesara PB et al (2018) Association between low diastolic blood pressure and subclinical myocardial injury. Clin Res Cardiol 107:312–318

  15. 15.

    Rapsomaniki E, Timmis A, George J et al (2014) Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1.25 million people. Lancet 383:1899–1911

  16. 16.

    Böhm M, Schumacher H, Teo KK et al (2018) Achieved diastolic blood pressure and pulse pressure at target systolic blood pressure (120–140 mmHg) and cardiovascular outcomes in high-risk patients: results from ONTARGET and TRANSCEND trials. Eur Heart J 39:3105–3114

  17. 17.

    Böhm M, Schumacher H, Teo KK et al (2017) Achieved blood pressure and cardiovascular outcomes in high-risk patients: results from ONTARGET and TRANSCEND trials. Lancet 389:2226–2237

  18. 18.

    Böhm M, Schumacher H, Teo KK et al (2019) Cardiovascular outcomes and achieved blood pressure in patients with and without diabetes at high cardiovascular risk. Eur Heart J 40:2032–2043

  19. 19.

    Baba S, Ozawa H, Sakai Y et al (1994) Heart disease deaths in a Japanese urban area evaluated by clinical and police records. Circulation 1994:89

Download references

Acknowledgements

This article was supported by young investigator award of Kishimoto foundation grant. We thank our colleagues from Osaka University Center of Medical Data Science, Advanced Clinical Epidemiology Investigator's Research Project for providing theirinsight and expertise for our research. This article was supported by Erasmus+ International Credit Mobility Grant. The JACC Study has been supported by the Grants-in-Aid for Scientific Research from the Ministry of Education, Science, Sports and Culture of Japan (61010076, 62010074, 63010074, 1010068, 2151065, 3151064, 4151063, 5151069, 6279102, and 11181101). The authors express their appreciation to Dr. Kunio Aoki, Professor Emeritus, Nagoya University School of Medicine and former chairman of the JACC Study Group, and also to by guest on May 18, 2011 aje.oxfordjournals.org Downloaded from 178 Iso et al. Am J Epidemiol 2005;161:170–179 Dr. Haruo Sugano, former Director of the Cancer Institute of the Japanese Foundation for Cancer Research, who greatly contributed to initiating the study. They also thank Dr. Aaron R. Folsom, Professor, University of Minnesota, for his valuable scientific suggestions. The present members of the JACC Study Group and their affiliations are as follows: Dr. Akiko Tamakoshi (current chairman), Nagoya University Graduate School of Medicine; Dr. Mitsuru Mori, Sapporo Medical University School of Medicine; Dr. Yutaka Motohashi, Akita University School of Medicine; Dr. Ichiro Tsuji, Tohoku University Graduate School of Medicine; Dr. Yosikazu Nakamura, Jichi Medical School; Dr. Hiroyasu Iso, Institute of Community Medicine, University of Tsukuba; Dr. Haruo Mikami, Chiba Cancer Center; Dr. Shuji Hashimoto, Fujita Health University School of Medicine; Dr. Yutaka Inaba, Juntendo University School of Medicine; Dr. Yoshiharu Hoshiyama, Showa University School of Medicine; Dr. Hiroshi Suzuki, Niigata University School of Medicine; Dr. Hiroyuki Shimizu, Gifu University School of Medicine; Dr. Hideaki Toyoshima, Nagoya University Graduate School of Medicine; Dr. Shinkan Tokudome, Nagoya City University Graduate School of Medicine; Dr. Yoshinori Ito, Fujita Health University School of Health Sciences; Dr. Shogo Kikuchi, Aichi Medical University School of Medicine; Dr. Akio Koizumi, Graduate School of Medicine and Faculty of Medicine, Kyoto University; Dr. Takashi Kawamura, Kyoto University Center for Student Health; Dr. Yoshiyuki Watanabe, Kyoto Prefectural University of Medicine, Research Institute for Neurological Diseases and Geriatrics; Dr. Tsuneharu Miki, Kyoto Prefectural University of Medicine; Dr. Chigusa Date, Faculty of Human Environmental Sciences, Mukogawa Women’s University; Dr. Kiyomi Sakata, Wakayama Medical University; Dr. Takayuki Nose, Tottori University Faculty of Medicine; Dr. Norihiko Hayakawa, Research Institute for Radiation Biology and Medicine, Hiroshima University; Dr. Takesumi Yoshimura, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan; Dr. Katsuhiro Fukuda, Kurume University School of Medicine; Dr. Naoyuki Okamoto, Kanagawa Cancer Center; Dr. Hideo Shio, Shiga Medical Center; Dr. Yoshiyuki Ohno, Nagoya University Graduate School of Medicine; Dr. Tomoyuki Kitagawa, Cancer Institute of the Japanese Foundation for Cancer Research; Dr. Toshio Kuroki, Gifu University; and Dr. Kazuo Tajima, Aichi Cancer Center Research Institute. The past Study Group investigators are listed in reference 22, except for the following seven members (affiliations reflect where they participated in the study): Dr. Takashi Shimamoto, Institute of Community Medicine, University of Tsukuba; Dr. Heizo Tanaka, Medical Research Institute, Tokyo Medical and Dental University; Dr. Shigeru Hisamichi, Tohoku University Graduate School of Medicine; Dr. Masahiro Nakao, Kyoto Prefectural University of Medicine; Dr. Takaichiro Suzuki, Research Institute, Osaka Medical Center for Cancer and Cardiovascular Diseases; Dr. Tsutomu Hashimoto, Wakayama Medical University; and Dr. Teruo Ishibashi, Asama General Hospital. We thank Hugh McGonigle, from Edanz Group (www.edanzediting.com/ac), for editing a draft of the manuscript.

Author information

Correspondence to Hiroyasu Iso.

Ethics declarations

Conflict of interest

We declare no competing interests.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary file1 (PDF 233 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Sakaniwa, R., Tromp, J., Shirai, K. et al. The association of conventionally medicated systolic and diastolic blood pressure level and mortality from cardiovascular disease: is the lower the better in high stroke population?. Clin Res Cardiol (2020). https://doi.org/10.1007/s00392-019-01587-8

Download citation

Keywords

  • Hypertension
  • Conventional blood pressure
  • Cardiovascular disease
  • Coronary heart disease
  • Stroke