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Aortic root diameter and longitudinal blood pressure tracking.

Publication ,  Journal Article
Ingelsson, E; Pencina, MJ; Levy, D; Aragam, J; Mitchell, GF; Benjamin, EJ; Vasan, RS
Published in: Hypertension
September 2008

Proximal aortic diameter, including aortic root (AoR) diameter, has been inversely related to pulse pressure in cross-sectional studies. So, investigators have hypothesized that a smaller AoR diameter may increase the risk of developing hypertension. Prospective studies are lacking to test this hypothesis. We measured AoR diameter in 3195 Framingham Study participants (mean age: 49 years; 57% women; 8460 person-examinations) free from hypertension and previous cardiovascular disease who underwent routine echocardiography. We related AoR to hypertension incidence and blood pressure (BP) progression (increment of >or=1 category, as defined by the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure). On follow-up (median: 4 years), 1267 individuals (15%; 661 women) developed hypertension, and 2978 participants experienced BP progression (35%; 1588 women). In logistic regression models adjusted for age, sex, and height, AoR was positively associated with hypertension incidence (odds ratio: 1.15; 95% CI: 1.08 to 1.23) and BP progression (odds ratio: 1.09; 95% CI: 1.04 to 1.14) on follow-up. However, adjustment for other factors known to influence BP tracking (baseline systolic and diastolic BP, smoking, diabetes, and weight) rendered these relations statistically nonsignificant (odds ratio: 1.03; 95% CI: 0.96 to 1.11 for hypertension incidence; odds ratio: 1.03; 95% CI: 0.97 to 1.08 for BP progression). In our large community-based sample of nonhypertensive individuals, AoR diameter was not associated with hypertension incidence or BP progression prospectively after adjustment for potential confounders. Our prospective study does not support the notion that a smaller AoR predisposes to hypertension.

Duke Scholars

Published In

Hypertension

DOI

EISSN

1524-4563

Publication Date

September 2008

Volume

52

Issue

3

Start / End Page

473 / 477

Location

United States

Related Subject Headings

  • Risk Factors
  • Prospective Studies
  • Predictive Value of Tests
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Incidence
  • Hypertension
  • Humans
  • Follow-Up Studies
 

Citation

APA
Chicago
ICMJE
MLA
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Ingelsson, E., Pencina, M. J., Levy, D., Aragam, J., Mitchell, G. F., Benjamin, E. J., & Vasan, R. S. (2008). Aortic root diameter and longitudinal blood pressure tracking. Hypertension, 52(3), 473–477. https://doi.org/10.1161/HYPERTENSIONAHA.108.114157
Ingelsson, Erik, Michael J. Pencina, Daniel Levy, Jayashri Aragam, Gary F. Mitchell, Emelia J. Benjamin, and Ramachandran S. Vasan. “Aortic root diameter and longitudinal blood pressure tracking.Hypertension 52, no. 3 (September 2008): 473–77. https://doi.org/10.1161/HYPERTENSIONAHA.108.114157.
Ingelsson E, Pencina MJ, Levy D, Aragam J, Mitchell GF, Benjamin EJ, et al. Aortic root diameter and longitudinal blood pressure tracking. Hypertension. 2008 Sep;52(3):473–7.
Ingelsson, Erik, et al. “Aortic root diameter and longitudinal blood pressure tracking.Hypertension, vol. 52, no. 3, Sept. 2008, pp. 473–77. Pubmed, doi:10.1161/HYPERTENSIONAHA.108.114157.
Ingelsson E, Pencina MJ, Levy D, Aragam J, Mitchell GF, Benjamin EJ, Vasan RS. Aortic root diameter and longitudinal blood pressure tracking. Hypertension. 2008 Sep;52(3):473–477.

Published In

Hypertension

DOI

EISSN

1524-4563

Publication Date

September 2008

Volume

52

Issue

3

Start / End Page

473 / 477

Location

United States

Related Subject Headings

  • Risk Factors
  • Prospective Studies
  • Predictive Value of Tests
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Incidence
  • Hypertension
  • Humans
  • Follow-Up Studies