PMID- 15331792
OWN - NLM
STAT- MEDLINE
DCOM- 20050322
LR  - 20220330
IS  - 1524-4628 (Electronic)
IS  - 0039-2499 (Linking)
VI  - 35
IP  - 10
DP  - 2004 Oct
TI  - Prediction of stroke by self-measurement of blood pressure at home versus casual 
      screening blood pressure measurement in relation to the Joint National Committee 
      7 classification: the Ohasama study.
PG  - 2356-61
AB  - BACKGROUND AND PURPOSE: To compare the predictive power of self-measured home 
      blood pressure (HBP) and casual blood pressure (CBP) for stroke risk in relation 
      to the Joint National Committee 7 (JNC-7) classification. METHODS: HBP and CBP 
      measurements were taken in 1702 subjects (> or =40 years) without a history of 
      stroke, who were followed up for an average of 11 years. Subjects were classified 
      into 4 groups on the basis of either HBP or CBP, according to the JNC-7 criteria: 
      group 1 (HBP <115/75 mm Hg; CBP <120/80 mm Hg); group 2 (115/75< or =HBP<135/85 
      mm Hg; 120/80< or =CBP<140/90 mm Hg); group 3 (135/85< or =HBP<150/95 mm Hg; 
      140/90< or =CBP<160/100 mm Hg); and group 4 (HBP> or =150/95 mm Hg; CBP > or 
      =160/100 mm Hg). Groups 2, 3, and 4 were further divided into 2 subgroups (a and 
      b): those without and with cardiovascular disease risks, respectively. The risk 
      of the first stroke in these groups was examined by the Cox hazards model 
      adjusted for age and sex. RESULTS: The stroke risk in groups 3b and 4b (defined 
      by HBP and CBP) was 2 to 5x higher than that in group 1 with significant 
      differences. The risk in groups 2a, 3a, and even 4a was not significantly 
      different from that in group 1 by the CBP-based classification, but the risk in 
      group 4a was significantly higher than that in group 1 by the HBP-based 
      classification, which also showed a stepwise increase in risk from groups 2a to 
      4a. CONCLUSIONS: The JNC-7 classification had a stronger predictive power using 
      HBP-based classification compared with CBP-based classification, suggesting the 
      usefulness of HBP in the management of hypertension.
FAU - Asayama, Kei
AU  - Asayama K
AD  - Department of Clinical Pharmacology and Therapeutics, Tohoku University Graduate 
      School of Pharmaceutical Science and Medicine, Sendai, Japan.
FAU - Ohkubo, Takayoshi
AU  - Ohkubo T
FAU - Kikuya, Masahiro
AU  - Kikuya M
FAU - Metoki, Hirohito
AU  - Metoki H
FAU - Hoshi, Haruhisa
AU  - Hoshi H
FAU - Hashimoto, Junichiro
AU  - Hashimoto J
FAU - Totsune, Kazuhito
AU  - Totsune K
FAU - Satoh, Hiroshi
AU  - Satoh H
FAU - Imai, Yutaka
AU  - Imai Y
LA  - eng
PT  - Journal Article
DEP - 20040826
PL  - United States
TA  - Stroke
JT  - Stroke
JID - 0235266
SB  - IM
MH  - Aged
MH  - *Blood Pressure Determination
MH  - Female
MH  - Humans
MH  - Hypertension/*diagnosis
MH  - Japan
MH  - Male
MH  - Middle Aged
MH  - Proportional Hazards Models
MH  - Risk Assessment
MH  - Stroke/*prevention & control
EDAT- 2004/08/28 05:00
MHDA- 2005/03/23 09:00
CRDT- 2004/08/28 05:00
PHST- 2004/08/28 05:00 [pubmed]
PHST- 2005/03/23 09:00 [medline]
PHST- 2004/08/28 05:00 [entrez]
AID - 01.STR.0000141679.42349.9f [pii]
AID - 10.1161/01.STR.0000141679.42349.9f [doi]
PST - ppublish
SO  - Stroke. 2004 Oct;35(10):2356-61. doi: 10.1161/01.STR.0000141679.42349.9f. Epub 
      2004 Aug 26.