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RESEARCH PRODUCT

Systemic vascular resistance predicts the development of hypertension: the cardiovascular risk in young Finns study

Heikki AatolaLeo-pekka LyytikäinenAtte HaaralaMika KähönenOlli T. RaitakariOlli T. RaitakariKalle SipiläTeemu KoivistoinenTerho LehtimäkiMarkus JuonalaEmilia KähönenNina Hutri-kähönen

subject

AdultMalemedicine.medical_specialtyHemodynamicsBlood Pressure030204 cardiovascular system & hematology03 medical and health sciences0302 clinical medicineInternal medicineInternal MedicinemedicineHumansLongitudinal Studies030212 general & internal medicineFinlandbusiness.industryGeneral Medicinemedicine.anatomical_structureBlood pressureHeart Disease Risk FactorsSystemic hemodynamicsHypertensionVascular resistanceCardiologyFemaleVascular ResistanceCardiology and Cardiovascular Medicinebusiness

description

To study whether systemic hemodynamics, especially systemic vascular resistance, predicts the development of hypertension and improves the risk prediction of incident hypertension beyond common risk factors in the risk models in young adults.Typical risk factors for hypertension in the risk prediction models (systolic and diastolic blood pressure, parental history of hypertension, age, sex, body-mass index, smoking), laboratory values (high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, glucose, insulin, C-reactive protein), heart rate (HR), stroke index (SI), and systemic vascular resistance index (SVRI) calculated by whole-body impedance cardiography were evaluated in 2007 and blood pressure in 2011 in 1293 Finnish adults (aged 30-45 years; females 56%;Of hemodynamic variables, SVRI and HR evaluated in 2007 were independently associated with systolic blood pressure (These findings suggest that systemic vascular resistance index predicts the incidence of hypertension in young adults and that the evaluation of systemic hemodynamics could provide an additional tool for hypertension risk prediction.

https://doi.org/10.1080/08037051.2020.1783992