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Blood Pressure and Global Risk Assessment in a Swedish Population英文文献资料.doc

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Blood Pressure and Global Risk Assessment in a Swedish Population英文文献资料

HindawiPublishingCorporation InternationalJournalofHypertension Volume2012,ArticleID835812,7pages doi:10.1155/2012/835812 ResearchArticle BloodPressureandGlobalRiskAssessmentin aSwedishPopulation JennyEckner, CharlotteA.Larsson, LennartR?astam, andUlfLindblad 1 2 2 1 1 DepartmentofPrimaryHealthCare,InstituteofMedicine,SahlgrenskaAcademy,UniversityofGothenburg, ArvidWallgrensBacke4,Hus7,P.O.Box454,40530Gothenburg,Sweden 2 DepartmentofClinicalSciences/CommunityMedicine,LundUniversity,ClinicalResearchCentre,SUSMalm¨o, 20502Malm¨o,Sweden CorrespondenceshouldbeaddressedtoUlfLindblad,ulf.lindblad@gu.se Received5June2012;Revised27July2012;Accepted27July2012 AcademicEditor:ClaudioBorghi Copyright?2012JennyEckneretal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. This study investigated the association between SCORE and the 2007 ESH-ESC blood pressure categories and explored achievementsofbloodpressuregoalsconsideringglobalrisk.In2001–2005,arandomsampleofinhabitantsaged30–74yearsin southwesternSwedenwasinvitedtoasurveyofcardiovascularriskfactors.Thestudyenrolled2816participants(participationrate 76%).Bloodpressurewascategorizedaccordingtothe2007ESH-ESCguidelines.Globalriskof10-yearCVDdeathwasestimated usingtheSwedishSCOREchartalsoaccountingforadditionalriskfromdiabetes(SCORE-DM).SCORE-DMincreasedinboth sexesfromoptimalbloodpressuretomanifesthypertensionbutdidnotdi?erbetweenthenormalbloodpressurecategories. However,SCORE-DMbecamesigni?cantlyhigheramongthosewithtemporarilyhighbloodpressure(men3.3SD(1.7),women 1.1(1.8))andhypertension(3.6(2.0),2.0(2.0)),comparedtooptimalbloodpressure(1.6(2.9),0.6(1.9)).Inthepresenceofboth hypertensionanddiabetes,high-risksubjectsdominated(men76%,women61%),andcorrespondinglyamajorproportionof patientswithknownhypertensionwereathighriskatabloodpressure≥