医学
脉冲波速
冲程(发动机)
心脏病学
内科学
危险系数
动脉硬化
置信区间
前瞻性队列研究
四分位数
比例危险模型
队列
队列研究
脉冲压力
外科
血压
工程类
机械工程
作者
Sae Young Jae,Kevin S. Heffernan,Sudhir Kurl,Setor K. Kunutsor,Jari A. Laukkanen
标识
DOI:10.1177/1747493020963762
摘要
Increased aortic stiffness, assessed as carotid-femoral pulse wave velocity (cfPWV), contributes to cerebrovascular damage and is predictive of cerebrovascular events.We sought to examine the association between estimated pulse wave velocity (ePWV), a proxy of carotid-femoral pulse wave velocity, and stroke and its subtypes (ischemic and hemorrhagic) in a prospective cohort of 2666 men (aged mean 53.1, range 42-61 years) enrolled in the Kuopio Ischemic Heart Disease cohort study.During a median 28-year follow-up, 471 incident stroke (397 ischemic and 94 hemorrhagic) events occurred. After adjusting for several established and emerging risk factors including age and pulse pressure, comparing the p versus bottom quartiles of ePWV, there was an increased risk of stroke (hazard ratio [HR] 2.37, 95% Confidence Interval [CI]: 1.57-3.58), ischemic stroke (HR 2.23, 95% CI, 1.42-3.50), and hemorrhagic stroke (HR 3.57, 95% CI, 1.45-8.76).These findings demonstrate that ePWV is independently associated with the risk of stroke in middle-aged men.
科研通智能强力驱动
Strongly Powered by AbleSci AI