PMID- 21318164 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 2042-0056 (Electronic) IS - 2090-8105 (Print) VI - 2010 DP - 2011 Jan 17 TI - Ankle blood pressure and pulse pressure as predictors of cerebrovascular morbidity and mortality in a prospective follow-up study. PG - 729391 LID - 10.4061/2010/729391 [doi] LID - 729391 AB - Background and Objective. We examined the association of elevated ankle blood pressure (ABP), together with exercise blood pressure, with incident cerebrovascular (CV) morbidity and mortality in a prospective follow-up study of 3,808 patients. The results were compared with pulse pressure, another indicator of arterial stiffness. Methods. Patients with normal ankle and exercise brachial blood pressures were taken as the reference group. Pulse pressure was considered as quartiles with the lowest quartile as the reference category. Results. A total of 170 subjects had a CV event during the follow-up. Multivariate adjusted hazard ratio of a CV event was 2.24 (95% CI 1.43-3.52, P < .0001) in patients with abnormal ABP. The pulse pressure was significant only in the model adjusted for age and sex. Conclusion. The risk of a future CV event was elevated already in those patients among whom elevated ABP was the only abnormal finding. As a risk marker, ABP is superior to the pulse pressure. FAU - Hietanen, Heikki J AU - Hietanen HJ AD - Department of Clinical Physiology, Helsinki Deaconess Institute, Alppikatu 2, 00530 Helsinki, Finland. FAU - Paakkonen, Rauni AU - Paakkonen R FAU - Salomaa, Veikko AU - Salomaa V LA - eng PT - Journal Article DEP - 20110117 PL - United States TA - Stroke Res Treat JT - Stroke research and treatment JID - 101529024 PMC - PMC3026983 EDAT- 2011/02/15 06:00 MHDA- 2011/02/15 06:01 PMCR- 2011/01/17 CRDT- 2011/02/15 06:00 PHST- 2010/08/23 00:00 [received] PHST- 2010/11/24 00:00 [revised] PHST- 2010/12/23 00:00 [accepted] PHST- 2011/02/15 06:00 [entrez] PHST- 2011/02/15 06:00 [pubmed] PHST- 2011/02/15 06:01 [medline] PHST- 2011/01/17 00:00 [pmc-release] AID - 10.4061/2010/729391 [doi] PST - epublish SO - Stroke Res Treat. 2011 Jan 17;2010:729391. doi: 10.4061/2010/729391.