The International Database of Central Arterial Properties for Risk Stratification: Research Objectives and Baseline Characteristics of Participants
Author:
Aparicio Lucas S12ORCID, Huang Qi-Fang3ORCID, Melgarejo Jesus D2ORCID, Wei Dong-Mei2ORCID, Thijs Lutgarde2ORCID, Wei Fang-Fei24ORCID, Gilis-Malinowska Natasza5ORCID, Sheng Chang-Sheng3ORCID, Boggia José6ORCID, Niiranen Teemu J78ORCID, Odili Augustine N9ORCID, Stolarz-Skrzypek Katarzyna10ORCID, Barochiner Jessica1ORCID, Ackermann Daniel11ORCID, Kawecka-Jaszcz Kalina10ORCID, Tikhonoff Valérie12ORCID, Zhang Zhen-Yu2ORCID, Casiglia Edoardo12ORCID, Narkiewicz Krzysztof5ORCID, Filipovský Jan13ORCID, Schutte Aletta E1415ORCID, Yang Wen-Yi216ORCID, Jula Antti M7, Woodiwiss Angela J17ORCID, Bochud Murielle18ORCID, Norton Gavin R17ORCID, Wang Ji-Guang3ORCID, Li Yan3ORCID, Staessen Jan A1920ORCID, Aparicio L S, Barochiner J, Wei D-M, Melgarejo J D, Thijs L, Staessen J A, Wei F-F, Yang W-Y, Zhang Z-Y, An D W, Cheng Y B, Guo Q H, Huang J F, Huang Q F, Li Y, Sheng C S, Wang J G, Filipovský J, Seidlerová J, Juhanoja E P, Jula A M, Lindroos A S, Niiranen T J, Sivén S S, Casiglia E, Pizzioli A, Tikhonoff V, Chori B S, Danladi B, Odili A N, Oshaju H, Kucharska W, Kunicka K, Gilis-Malinowska N, Narkiewicz K, Sakiewicz W, Swierblewska E, Kawecka-Jaszcz K, Stolarz-Skrzypek K, Rajzer M, Mels C, Kruger R, Mokwatsi G, Schutte A E, Norton G R, Woodiwiss A J, Ackermann D, Bochud M, Ehret G, Álvarez-Vaz R, Américo C, Baccino C, Borgarello L, Florio L, Moliterno P, Noboa A, Noboa O, Olascoaga A, Parnizari P, Pécora M,
Affiliation:
1. Servicio de Clínica Médica, Sección Hipertensión Arterial, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina 2. Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium 3. Center for Epidemiological Studies and Clinical Trials and Center for Vascular Evaluations, Shanghai Key Laboratory of Hypertension, Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China 4. Department of Cardiology, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China 5. Hypertension Unit, Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland 6. Centro de Nefrología and Departamento de Fisiopatología, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay 7. Department of Chronic Disease Prevention, Finnish Institute for Health and Welfare, Turku, Finland 8. Department of Medicine, University of Turku and Turku University Hospital, Turku, Finland 9. Department of Internal Medicine, Faculty of Clinical Sciences, College of Health Sciences, University of Abuja, Abuja, Nigeria 10. First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland 11. Clinic for Nephrology and Hypertension, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland 12. Department of Medicine, University of Padua, Padua, Italy 13. Faculty of Medicine, Charles University, Pilsen, Czech Republic 14. Hypertension in Africa Research Team (HART), South African Medical Research Council and Unit of Hypertension and Cardiovascular Disease, North-West University, Potchefstroom, South Africa 15. School of Population Health, University of New South Wales, The George Institute for Global Health, Sydney, Australia 16. Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 17. Cardiovascular Pathophysiology and Genomics Research Unit, Schools of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa 18. Institute of Social and Preventive Medicine, University Hospital of Lausanne, Lausanne, Switzerland 19. Research Institute Alliance for the Promotion of Preventive Medicine, Mechelen, Belgium 20. Biomedical Sciences Group, Faculty of Medicine, University of Leuven, Leuven, Belgium
Abstract
Abstract
OBJECTIVE
To address to what extent central hemodynamic measurements, improve risk stratification, and determine outcome-based diagnostic thresholds, we constructed the International Database of Central Arterial Properties for Risk Stratification (IDCARS), allowing a participant-level meta-analysis. The purpose of this article was to describe the characteristics of IDCARS participants and to highlight research perspectives.
METHODS
Longitudinal or cross-sectional cohort studies with central blood pressure measured with the SphygmoCor devices and software were included.
RESULTS
The database included 10,930 subjects (54.8% women; median age 46.0 years) from 13 studies in Europe, Africa, Asia, and South America. The prevalence of office hypertension was 4,446 (40.1%), of which 2,713 (61.0%) were treated, and of diabetes mellitus was 629 (5.8%). The peripheral and central systolic/diastolic blood pressure averaged 129.5/78.7 mm Hg and 118.2/79.7 mm Hg, respectively. Mean aortic pulse wave velocity was 7.3 m per seconds. Among 6,871 participants enrolled in 9 longitudinal studies, the median follow-up was 4.2 years (5th–95th percentile interval, 1.3–12.2 years). During 38,957 person-years of follow-up, 339 participants experienced a composite cardiovascular event and 212 died, 67 of cardiovascular disease.
CONCLUSIONS
IDCARS will provide a unique opportunity to investigate hypotheses on central hemodynamic measurements that could not reliably be studied in individual studies. The results of these analyses might inform guidelines and be of help to clinicians involved in the management of patients with suspected or established hypertension.
Funder
Internal Medicine Service, Hospital Italiano de Buenos Aires European Union European Research Council European Research Area Net for Cardiovascular Diseases National Natural Science Foundation of China Ministry of Science and Technology Shanghai Commissions of Science and Technology Shanghai Municipal Health Commission Charles University Research Fund Academy of Finland Paavo Nurmi Foundation Urmas Pekkala Foundation Hospital District of South-Western Finland Foundation for Polish Science South African Medical Research Council South African Research Chairs Initiative Department of Science and Technology and National Research Foundation of South Africa UK Medical Research Council Asociación Española Primera en Salud Swiss National Science Foundation
Publisher
Oxford University Press (OUP)
Subject
Internal Medicine
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