{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:22:03Z","timestamp":1747185723069,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82160639"],"award-info":[{"award-number":["82160639"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The study aimed to assess the impact of changes in blood pressure on cardiovascular events in the Chinese population. It enrolled 33 179 Chinese participants aged \u226535 years (57.1% women) without CVD at baseline. BP status was defined according to the 2017 ACC\/AHA hypertension guidelines. The type of BP change was defined as change in BP status from baseline to the end of follow\u2010up, included stable BP\u00a0&lt;130\/80, &lt;130\/80 to \u2265130\/80, \u2265130\/80 to\u00a0&lt;130\/80\u00a0mm Hg, persistent BP \u2265130\/80\u00a0mm Hg. The hazard ratio (HR) of incident CVD by change in BP category was estimated using Cox proportional hazards and Fine\u2013Gray models. During median follow\u2010up of 3.17 years, 2023 CVD events occurred. Compared with BP\u00a0&lt;120\/80, 120\u2013129\/&lt;80\u00a0mm Hg at baseline (HR\u00a0=\u00a01.66, 95% CI: 1.09\u20132.53), 130\u2013139\/80\u201389\u00a0mm Hg (HR\u00a0=\u00a01.35, 95% CI: 0.94\u20131.95), and \u2265140\/90\u00a0mm Hg (HR\u00a0=\u00a02.46, 95% CI: 1.78\u20133.40) were risk factors for CVD. Compared with the group with stable BP\u00a0&lt;130\/80\u00a0mm Hg, the risk of CVD was 1.88 (95% CI: 1.40\u20132.53) in the group with persistent BP \u2265130\/80\u00a0mm Hg and 1.40 (95% CI: 1.01\u20131.94) in the group of BP decreased to\u00a0&lt;130\/80\u00a0mm Hg. These results showed that BP 120\u2013129\/&lt;80, 130\u2013139\/80\u201389, and \u2265140\/90\u00a0mm Hg were associated with a high risk of CVD. Over time, persistent BP \u2265130\/80\u00a0mm Hg increased the risk of CVD, but a return to\u00a0&lt;130\/80\u00a0mm Hg from hypertension decreased the risk of CVD.<\/jats:p>","DOI":"10.1111\/jch.14888","type":"journal-article","created":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T05:20:05Z","timestamp":1724995205000},"page":"1219-1227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk analysis of blood pressure changes on cardiovascular disease in Chinese population"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1647-5991","authenticated-orcid":false,"given":"Lei","family":"Xu","sequence":"first","affiliation":[{"name":"School of Public Health Inner Mongolia Medical University Hohhot China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Affiliated Hospital of Inner Mongolia Medical University Hohhot China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1472-4731","authenticated-orcid":false,"given":"Tao","family":"Yan","sequence":"additional","affiliation":[{"name":"School of Public Health Inner Mongolia Medical University Hohhot China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lehui","family":"Li","sequence":"additional","affiliation":[{"name":"School of Public Health Inner Mongolia Medical University Hohhot China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Miao","sequence":"additional","affiliation":[{"name":"School of Public Health Inner Mongolia Medical University Hohhot China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zixuan","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Disease Control and Prevention the First Hospital of Hohhot Hohhot 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