Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

Association between H-type Hypertension and Asymptomatic Extracranial Artery Stenosis

First author:Zhang Jia, Liu Yanfang

Corresponding author:Chen Shengyun,Zhao Xingquan

H-type Hypertension Asymptomatic Extracranial Arte

essential_information

2018-01-22

Published articles

Journal:Sci Rep.

Publication type: Research Article

IF(IF): 4.011

PMID: 29358636 Link To Pubmed Full text Download

Background And Purpose

Method

We included 2330 participants in this study and classified them into four groups: the control group without hypertension or hyperhomocysteinemia, isolated hypertension group, isolated hyperhomocysteinemia group and H-type hypertension group. We measured the baseline plasma total homocysteine levels and assessed ECAS by carotid duplex sonography twice at baseline and during follow up. We used a Cox regression model to analyse the association between H-type hypertension and ECAS. At baseline, 608 subjects suffered from H-type hypertension.

Conclusion

Our findings provide direct evidence for the importance of H-type hypertension in the occurrence of ECAS and as a potential therapeutic target for carotid atherosclerosis.

Main results

Within two years of follow-up, asymptomatic ECAS occurred in 250 (10.73%) participants. After adjusting for relevant risk factors, we found H-type hypertension to be an independent risk factor for asymptomatic ECAS (relative risk (RR) 3.16, 95% confidence interval (95% CI) 2.00-5.00).