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Association of Total Mortality and Cardiovascular Endpoints With the Timing of the First and Second Systolic Peak of the Aortic Pulse Wave

Title: Association of Total Mortality and Cardiovascular Endpoints With the Timing of the First and Second Systolic Peak of the Aortic Pulse Wave
Authors: Cheng Y. B.; An D. W.; Aparicio L. S.; Huang Q. F.; Yu Y. L.; Sheng C. S.; Niiranen T. J.; Wei F. F.; Boggia J.; Stolarz-Skrzypek K.; Gilis-Malinowska N.; Tikhonoff V.; Wojciechowska W.; Casiglia E.; Narkiewicz K.; Yang W. Y.; Filipovský J.; Kawecka-Jaszcz K.; Wang J. G.; Nawrot T. S.; Li Y.; Staessen J. A.
Contributors: Cheng, Y. B.; An, D. W.; Aparicio, L. S.; Huang, Q. F.; Yu, Y. L.; Sheng, C. S.; Niiranen, T. J.; Wei, F. F.; Boggia, J.; Stolarz-Skrzypek, K.; Gilis-Malinowska, N.; Tikhonoff, V.; Wojciechowska, W.; Casiglia, E.; Narkiewicz, K.; Yang, W. Y.; Filipovský, J.; Kawecka-Jaszcz, K.; Wang, J. G.; Nawrot, T. S.; Li, Y.; Staessen, J. A.
Publisher Information: WILEY
Publication Year: 2025
Collection: Padua Research Archive (IRIS - Università degli Studi di Padova)
Subject Terms: cardiovascular risk; mortality; population science; pulse wave transit time; waveform analysi
Description: Prognostic significance of the timing in the cardiac cycle of the first (TP1) and second (TP2) systolic peak of the central aortic pulse wave is ill-defined. Incidence rates and standardized multivariable-adjusted hazard ratios (HRs) of adverse health outcomes associated with TP1 and TP2, estimated by the SphygmoCor software, were assessed in the International Database of Central Arterial Properties for Risk Stratification (IDCARS) (n = 5529). Model refinement was assessed by the integrated discrimination (ID) and net reclassification (NR) improvement. Over 4.1 years (median), 201 participants died and 248 and 159 patients experienced cardiovascular or cardiac endpoints. Mean TP1 and TP2, standardized for cohort, sex, age, and heart rate, were 103 and 228 ms. Shorter TP1 and TP2 were associated with higher mortality and shorter TP1 with a higher risk of cardiovascular and cardiac endpoints (trend p ≤ 0.004). The HRs relating total mortality and cardiovascular endpoints to TP2 were 0.82.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/39821625; info:eu-repo/semantics/altIdentifier/wos/WOS:001398811900001; volume:27; issue:1; journal:THE JOURNAL OF CLINICAL HYPERTENSION; https://hdl.handle.net/11577/3549271
DOI: 10.1111/jch.14962
Availability: https://hdl.handle.net/11577/3549271; https://doi.org/10.1111/jch.14962
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.E094B379
Database: BASE