Prognostic power of lower pulse pressure on long-term all-cause mortality in octogenarians with acute coronary syndrome

Li, Shijun; Barywani, Salim Bary; Fu, Michael

doi:10.1097/hjh.0000000000000403

Cited by 8 publications

(13 citation statements)

References 32 publications

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“…Li et al [7] indicated that PP lower than 50 mm and higher than 70 mmHg increased the mortality rates significantly in patients with ACS who were over 80 years old. Patients with PP between these two values had the best prognosis.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, no upper or lower limit was determined for blood pressure values. Patients with blood pressure values between 170/100 mmHg and 130/60 mmHg were considered similarly since their PP was 70 mmHg [7] . In our study, A-STEMI patients with normal SBP and DBP were followed according to the recommendations of current guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…The highest mortality and MACE rates were also in this group. Li et al [7] e El-Menyar et al [8] also showed that PP reduction in patients with ACS was associated with stroke and mortality. In both studies, PP was calculated according to the blood pressure values measured from the arm by experienced health personnel.…”

Section: Discussionmentioning

confidence: 99%

“…In both studies, PP was calculated according to the blood pressure values measured from the arm by experienced health personnel. Li et al [7] followed-up the patients with AMI while El-Menyar et al [8] followed-up all patients with ACS. As it is known, in all the ACS subgroups, CO does not fall to the same level, and the neuroendocrine system is not activated at the same degree.…”

Section: Discussionmentioning

confidence: 99%

“…It is suggested that the power of PP for predicting cardiovascular events is higher than that of SBP and DBP [6] . The PP of AMI patients, which is measured with the aid of a cuff from the arm at the time of the first admission to the emergency service, is one of the determinants of in-hospital and post-discharge long-term prognoses [7,8] . However, the central blood pressure measured from the aorta has a stronger association with early and long-term outcomes of cardiovascular pathologies than the blood pressure measured from the arm [9,10] .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The Importance of Intra-aortic Pulse Pressure After Anterior ST-segment Elevation Myocardial Infarction

Gül¹,

Cerit²,

Şentürk³

et al. 2018

Braz J Cardiovasc Surg

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ObjectiveTo evaluate the association of pulse pressure (PP) with mortality and major adverse cardiac events (MACE) in one-year period after anterior ST-elevation myocardial infarction (A-STEMI).MethodsA total of 261 consecutive patients whose blood pressure was measured with the aid of a catheter before primary percutaneous coronary intervention (PPCI) between August 2016 and February 2017 were included in the study. The patients were divided into three groups according to pulse pressure (PP) (Group 1, PP<35 mmHg; Group 2, 35≤PP≤50 mmHg; Group 3, PP>50 mmHg).ResultsThe mean age of the patients was 63.4±14.1 years, and 206 of them were male. The groups were similar in terms of age and diastolic blood pressure (DBP). The ratio of female patients in Group 1 was higher, and their systolic blood pressure (SBP) was lower than those from the other groups (P=0.005 vs. P=0.042). The rates of MACE and mortality were higher in Group 1. The predictive PP values were calculated to be 42.5 mmHg for development of MACE and 41.5 mmHg for mortality. One-year survival ratio was worse in Group 1 than in the others according to Kaplan-Meier analysis (P<0.001).ConclusionThe values of PP which was measured intra-aortically in patients with A-STEMI were associated with mortality and MACE in the one-year follow-up period.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%