View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
TUESDAY, Dec. 20 (HealthDay News) -- Changes in blood pressure (BP) during middle age significantly impact lifetime risk (LTR) for cardiovascular disease (CVD), with a possible dose-response effect for the number of years with high BP on the LTR of CVD, coronary heart disease, and stroke, according to research published online Dec. 19 in Circulation.
Norrina Allen, Ph.D., of the Northwestern University Feinberg School of Medicine in Chicago, and colleagues analyzed data from 61,585 participants in the Cardiovascular Lifetime Risk Pooling Project, a pooling of 17 U.S. epidemiological cohort studies. Researchers tracked BP changes for an average of 14 years prior to age 55, then followed the patients until the occurrence of a first cardiovascular event (including heart attack or stroke), death, or age 95. Age 55 was considered the index point for middle age.
The researchers found that people who maintain or reduce their BP to normal levels during middle age have the lowest LTR of CVD (22 to 41 percent), while those with hypertension by age 55 have the highest LTR (42 to 69 percent). At an average age of 55 years, 49.4 percent of men and 47.5 percent of women had prehypertension, with a LTR for CVD of 52.5 percent for men and 39.9 percent for women. The investigators predicted that almost 70 percent of all men who develop high blood pressure in middle age will experience a CVD event by age 85. Some gender and racial differences in hypertension and LTR existed, with women having higher increases in blood pressure during middle age (40 percent of women) and blacks having a higher LTR for CVD compared with whites of the same sex.
"Individuals who experience increases or decreases in BP in middle age have associated higher and lower remaining LTR for CVD. Prevention efforts should continue to emphasize the importance of lowering BP and avoiding or delaying the incidence of hypertension to reduce the LTR for CVD," the authors write.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top