PMID- 35325892 OWN - NLM STAT- MEDLINE DCOM- 20220519 LR - 20220626 IS - 1423-0135 (Electronic) IS - 1018-1172 (Linking) VI - 59 IP - 3 DP - 2022 TI - Association between Arteriosclerosis and Uncontrolled Blood Pressure in Patients with Essential Hypertension: Cross-Sectional Observational Study Results of the BEST Study. PG - 189-198 LID - 10.1159/000520744 [doi] AB - Whether arteriosclerosis can influence the hypertension control remains incompletely understood. We hypothesized that higher arteriosclerosis may be associated with uncontrolled hypertension. Arteriosclerosis was assessed by carotid femoral artery pulse wave velocity (CF-PWV) and uncontrolled hypertension (systolic blood pressure [BP] >/=130 mm Hg or diastolic BP >/=80 mm Hg). The multivariable-adjusted logistic regression was used for analysis. A total of 1,428 patients with essential hypertension (mean age 68 years, 49.6% male) were enrolled into the study from 2010 to 2017. The BP was uncontrolled in 50.7% of the participants and the mean level of CF-PWV was 12.3 m/s. All the cardiovascular risk factors were worse and CF-PWV was higher in patients with uncontrolled hypertension (all p < 0.05). Multivariable-adjusted logistic regression analysis showed that CF-PWV as a continuous variable (odd ratio [OR] 1.093, 95% confidence interval [CI] 1.046-1.142) was independently associated with uncontrolled hypertension, after male (OR 1.511) and total cholesterol (OR 1.167), followed by body mass index (OR 1.092), fasting plasma glucose (OR 1.075), and creatinine (OR 1.010) (all p < 0.05). As a binary variable, CF-PWV >12 m/s was also independently associated with uncontrolled hypertension (OR 1.690, 95% CI 1.320-2.164, p < 0.05). Arteriosclerosis is independently associated with uncontrolled BP in patients with hypertension. CI - (c) 2022 S. Karger AG, Basel. FAU - Liu, Huan AU - Liu H AD - Vascular Medicine Center, Peking University Shougang Hospital, Beijing, China, sgliuhuan@163.com. AD - Vascular Health Research Center of Peking University Health Science Center, Beijing, China, sgliuhuan@163.com. FAU - Huang, Wei AU - Huang W AD - Vascular Medicine Center, Peking University Shougang Hospital, Beijing, China. FAU - Liu, Jinbo AU - Liu J AD - Vascular Medicine Center, Peking University Shougang Hospital, Beijing, China. AD - Vascular Health Research Center of Peking University Health Science Center, Beijing, China. FAU - Zhao, Na AU - Zhao N AD - Vascular Medicine Center, Peking University Shougang Hospital, Beijing, China. FAU - Wang, Hongyu AU - Wang H AD - Vascular Medicine Center, Peking University Shougang Hospital, Beijing, China. AD - Vascular Health Research Center of Peking University Health Science Center, Beijing, China. AD - Key Laboratory of Molecular Cardiovascular Sciences, Peking University, Ministry of Education, Beijing, China. AD - Peking University Clinical Research Institute, Beijing, China. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20220324 PL - Switzerland TA - J Vasc Res JT - Journal of vascular research JID - 9206092 SB - IM MH - Aged MH - *Arteriosclerosis/complications/diagnosis/epidemiology MH - Blood Pressure MH - Essential Hypertension/complications/diagnosis/epidemiology MH - Female MH - Humans MH - *Hypertension/diagnosis/epidemiology MH - Male MH - Pulse Wave Analysis MH - Risk Factors MH - *Vascular Stiffness OTO - NOTNLM OT - Arterial stiffness OT - Arteriosclerosis OT - Carotid femoral artery pulse wave velocity OT - Hypertension EDAT- 2022/03/25 06:00 MHDA- 2022/05/20 06:00 CRDT- 2022/03/24 20:15 PHST- 2021/08/30 00:00 [received] PHST- 2021/10/28 00:00 [accepted] PHST- 2022/03/25 06:00 [pubmed] PHST- 2022/05/20 06:00 [medline] PHST- 2022/03/24 20:15 [entrez] AID - 000520744 [pii] AID - 10.1159/000520744 [doi] PST - ppublish SO - J Vasc Res. 2022;59(3):189-198. doi: 10.1159/000520744. Epub 2022 Mar 24.