Hypertension, risk factors and coronary artery stenosis: A case-control study

Although hypertension is introduced as a major risk factor for cardiovascular diseases (CVDs), our knowledge about the nature of the association is hindered. The aim of this study was to assess the concurrent associations of several factors including serologic, anthropometric and coronary artery ste...

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Main Authors: Zahra Sedaghat, Mohammadjavad Zibaeenejad, Mohammad Fararouei
Format: Article
Language:English
Published: Taylor & Francis Group 2019-02-01
Series:Clinical and Experimental Hypertension
Subjects:
Online Access:http://dx.doi.org/10.1080/10641963.2018.1462376
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author Zahra Sedaghat
Mohammadjavad Zibaeenejad
Mohammad Fararouei
author_facet Zahra Sedaghat
Mohammadjavad Zibaeenejad
Mohammad Fararouei
author_sort Zahra Sedaghat
collection DOAJ
description Although hypertension is introduced as a major risk factor for cardiovascular diseases (CVDs), our knowledge about the nature of the association is hindered. The aim of this study was to assess the concurrent associations of several factors including serologic, anthropometric and coronary artery stenosis (CAS) with blood pressure. This is a case-control study on 163 hypertensive patients (SBP > 140 mmHg or DBP > 80 mmHg) and 227 healthy participants. All participants underwent angiography due to classic symptoms of CVDs. Controlling for other study variables, significant associations between CAS (OR yes/no = 1.99, 95%CI: 1.18–3.34 P = 0.006), BMI (kg/m2) (OR = 1.08, 95%CI: 1.03–1.14, P = 0.002) and age (year) (OR = 1.03, 95%CI = 1.005–1.05, p = 0.01) with hypertension were found. However, according to the results of the stratified analysis, no such associations were found among those with significant CAS. BMI and age were the only significant predictors of hypertension among participants with no CAS. Abdominal obesity was not remained in the final model regardless of the presence or absence of stenosis. As expected, stenosis itself was significantly associated with hypertension. This study suggested that BMI and age are the most powerful predictors of hypertension among those without CAS. As the result, it can be concluded that CAS alters the association between several factors and hypertension.
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spelling doaj.art-b2a2ff4ecfe145b1b8b8aa41c2bba6f92023-09-19T15:19:27ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062019-02-0141218118610.1080/10641963.2018.14623761462376Hypertension, risk factors and coronary artery stenosis: A case-control studyZahra Sedaghat0Mohammadjavad Zibaeenejad1Mohammad Fararouei2HIV/AIDS Research center, Shiraz University of Medical SciencesHIV/AIDS Research center, Shiraz University of Medical SciencesHIV/AIDS Research center, Shiraz University of Medical SciencesAlthough hypertension is introduced as a major risk factor for cardiovascular diseases (CVDs), our knowledge about the nature of the association is hindered. The aim of this study was to assess the concurrent associations of several factors including serologic, anthropometric and coronary artery stenosis (CAS) with blood pressure. This is a case-control study on 163 hypertensive patients (SBP > 140 mmHg or DBP > 80 mmHg) and 227 healthy participants. All participants underwent angiography due to classic symptoms of CVDs. Controlling for other study variables, significant associations between CAS (OR yes/no = 1.99, 95%CI: 1.18–3.34 P = 0.006), BMI (kg/m2) (OR = 1.08, 95%CI: 1.03–1.14, P = 0.002) and age (year) (OR = 1.03, 95%CI = 1.005–1.05, p = 0.01) with hypertension were found. However, according to the results of the stratified analysis, no such associations were found among those with significant CAS. BMI and age were the only significant predictors of hypertension among participants with no CAS. Abdominal obesity was not remained in the final model regardless of the presence or absence of stenosis. As expected, stenosis itself was significantly associated with hypertension. This study suggested that BMI and age are the most powerful predictors of hypertension among those without CAS. As the result, it can be concluded that CAS alters the association between several factors and hypertension.http://dx.doi.org/10.1080/10641963.2018.1462376hypertensionbmiblood pressureangiographycoronary artery stenos
spellingShingle Zahra Sedaghat
Mohammadjavad Zibaeenejad
Mohammad Fararouei
Hypertension, risk factors and coronary artery stenosis: A case-control study
Clinical and Experimental Hypertension
hypertension
bmi
blood pressure
angiography
coronary artery stenos
title Hypertension, risk factors and coronary artery stenosis: A case-control study
title_full Hypertension, risk factors and coronary artery stenosis: A case-control study
title_fullStr Hypertension, risk factors and coronary artery stenosis: A case-control study
title_full_unstemmed Hypertension, risk factors and coronary artery stenosis: A case-control study
title_short Hypertension, risk factors and coronary artery stenosis: A case-control study
title_sort hypertension risk factors and coronary artery stenosis a case control study
topic hypertension
bmi
blood pressure
angiography
coronary artery stenos
url http://dx.doi.org/10.1080/10641963.2018.1462376
work_keys_str_mv AT zahrasedaghat hypertensionriskfactorsandcoronaryarterystenosisacasecontrolstudy
AT mohammadjavadzibaeenejad hypertensionriskfactorsandcoronaryarterystenosisacasecontrolstudy
AT mohammadfararouei hypertensionriskfactorsandcoronaryarterystenosisacasecontrolstudy