학술논문

Can Antihypertensive Treatment Restore the Risk of Cardiovascular Disease to Ideal Levels?: The Coronary Artery Risk Development in Young Adults (CARDIA) Study and the Multi-Ethnic Study of Atherosclerosis (MESA).
Document Type
article
Source
Journal of the American Heart Association. 4(9)
Subject
Humans
Kidney Diseases
Hypertrophy
Left Ventricular
Hypertension
Antihypertensive Agents
Treatment Outcome
Incidence
Prevalence
Risk Assessment
Risk Factors
Longitudinal Studies
Blood Pressure
Time Factors
Adolescent
Adult
Aged
Aged
80 and over
Middle Aged
United States
Female
Male
Coronary Artery Disease
Young Adult
antihypertensive treatment
cardiovascular disease risk
cumulative blood pressure
end‐organ damage
end-organ damage
Hypertrophy
Left Ventricular
and over
Cardiorespiratory Medicine and Haematology
Language
Abstract
BackgroundIt is unclear whether antihypertensive treatment can restore cardiovascular disease risk to the risk level of persons with ideal blood pressure (BP) levels.Methods and resultsData from the Multi-Ethnic Study of Atherosclerosis (MESA) and the Coronary Artery Risk Development in Young Adults (CARDIA) study were analyzed. Outcomes were compared among participants without or with antihypertensive treatment at 3 BP levels: 100, and twice the incident cardiovascular disease rate over 9.5 years of follow-up than those with BP 3000 mm Hg-years in 25 years), the increase in left ventricular mass index accelerated.ConclusionsThe data suggest that based on the current approach, antihypertensive treatment cannot restore cardiovascular disease risk to ideal levels. Emphasis should be placed on primordial prevention of BP increases to further reduce cardiovascular disease morbidity and mortality.