Relationship among multifaceted factors including blood pressure at discharge and long-term clinical outcome in patients with cardiovascular diseases

Clin Exp Hypertens. 2016;38(8):725-732. doi: 10.1080/10641963.2016.1200065. Epub 2016 Dec 12.

Abstract

The relationship among blood pressure (BP) levels at discharge, other multifaceted factors assessed in cardiac rehabilitation programs, and prognosis for up to 2 years was examined in 154 consecutive cases (132 patients; 69 males; 79 ± 12 years, mean ± SD). A total of 72 composite events occurred (58 rehospitalizations from cardiovascular causes and 14 all-cause death events). The relationship between the systolic BP (SBP) at discharge and the long-term prognosis formed a J-shaped curve, with the event rate being lowest in patients with SBP of 115-125 mmHg. This relationship was still significant after adjustment of multifaceted factors assessed in cardiac rehabilitation programs.

Keywords: Blood pressure; cardiac rehabilitation; elderly; heart failure; ischemic heart disease; prognosis.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Blood Pressure / physiology*
  • Blood Pressure Determination
  • Cardiac Rehabilitation / methods*
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / physiopathology*
  • Cardiovascular Diseases / therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Japan / epidemiology
  • Male
  • Patient Discharge / trends*
  • Prognosis
  • Prospective Studies
  • Survival Rate / trends
  • Time Factors