{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T20:13:36Z","timestamp":1781036016112,"version":"3.54.1"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"19","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,10]]},"abstract":"\n Background<\/jats:title>\n \n Characterizing and assessing the prevalence, awareness, and treatment patterns of patients with isolated diastolic hypertension (\n IDH<\/jats:styled-content>\n ) can generate new knowledge and highlight opportunities to improve their care.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n We used data from the China PEACE (Patient\u2010centered Evaluative Assessment of Cardiac Events) Million Persons Project, which screened 2\u00a0351\u00a0035 participants aged 35 to 75\u00a0years between 2014 and 2018.\n IDH<\/jats:styled-content>\n was defined as systolic and diastolic blood pressure of <140 and \u226590\u00a0mm\u00a0Hg; awareness as self\u2010reported diagnosis of hypertension; and treatment as current use of antihypertensive medications. Of the 2\u00a0310\u00a0184 participants included (mean age 55.7\u00a0years; 59.5% women); 73\u00a0279 (3.2%) had\n IDH<\/jats:styled-content>\n , of whom 63\u00a0112 (86.1%) were untreated, and only 6512 (10.3%) of the untreated were aware of having hypertension. When compared with normotensives, participants who were <60\u00a0years, men, at least college educated, had body mass index of >28\u00a0kg\/m\n 2<\/jats:sup>\n , consumed alcohol, had diabetes mellitus, and prior cardiovascular events were more likely to have\n IDH<\/jats:styled-content>\n (all\n P<\/jats:italic>\n <0.01). Among those with\n IDH<\/jats:styled-content>\n , higher likelihood of awareness was associated with increased age, women, college education, body mass index of >28\u00a0kg\/m\n 2<\/jats:sup>\n , higher income, diabetes mellitus, prior cardiovascular events, and Central or Eastern region (all\n P<\/jats:italic>\n <0.05). Most treated participants with\n IDH<\/jats:styled-content>\n reported taking only 1 class of antihypertensive medication.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n IDH<\/jats:styled-content>\n affects a substantial number of people in China, however, few are aware of having hypertension and most treated participants are poorly managed, which suggests the need to improve the diagnosis and treatment of people with\n IDH<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.119.012954","type":"journal-article","created":{"date-parts":[[2019,9,28]],"date-time":"2019-09-28T09:10:09Z","timestamp":1569661809000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":52,"title":["Prevalence, Awareness, and Treatment of Isolated Diastolic Hypertension: Insights From the China PEACE Million Persons 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