0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Systolic Blood Pressure, Diastolic Blood Pressure, and Pulse Pressure as Predictors of Risk for Congestive Heart Failure in the Framingham Heart Study

Agha W. Haider, MD, PhD; Martin G. Larson, ScD; Stanley S. Franklin, MD; and Daniel Levy, MD
[+] Article and Author Information

From the National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, Massachusetts; the National Heart, Lung, and Blood Institute, Bethesda, Maryland; Boston University School of Medicine and Beth Israel Deaconess Medical Center, Boston, Massachusetts; University of California, Irvine, Irvine, California; Veterans Administration Medical Center, West Roxbury, Massachusetts; and MCP Hahnemann University Hospital, Philadelphia, Pennsylvania.


Grant Support: By contract N01-HC-38038 from the National Heart, Lung, and Blood Institute, National Institutes of Health. Dr. Haider's fellowship was supported in part by a grant from AstraZeneca Pharmaceuticals, Wayne, Pennsylvania.

Requests for Single Reprints: Daniel Levy, MD, Framingham Heart Study, 73 Mount Wayte Avenue, Suite 2, Framingham, MA 01702-5827.

Current Author Addresses: Dr. Haider: Cardiology Department, Drexel University College of Medicine, 3300 Henry Avenue, Philadelphia, PA 19129.

Dr. Franklin: University of California, Irvine, CA 92697.

Drs. Larson and Levy: Framingham Heart Study, 73 Mount Wayte Avenue, Suite 2, Framingham, MA 01702-5827.

Author Contributions: Conception and design: A.W. Haider, M.G. Larson, S.S. Franklin, D. Levy.

Analysis and interpretation of the data: A.W. Haider, M.G. Larson, D. Levy.

Drafting of the article: A.W. Haider, D. Levy.

Critical revision of the article for important intellectual content: A.W. Haider, M.G. Larson, D. Levy.

Final approval of the article: A.W. Haider, M.G. Larson, S.S. Franklin, D. Levy.

Obtaining of funding: A.W. Haider.

Statistical expertise: M.G. Larson.

Collection and assembly of data: M.G. Larson.


Ann Intern Med. 2003;138(1):10-16. doi:10.7326/0003-4819-138-1-200301070-00006
Text Size: A A A

The Framingham Heart Study, which began in 1948, has followed 5209 participants (28 to 62 years of age at entry to the study) as part of a prospective epidemiologic study of cardiovascular disease. Enrollment criteria and study design have been published previously (21). Biennial follow-up visits included a medical history, physical examination, blood pressure measurements, 12-lead electrocardiography, and laboratory tests. Eligibility requirements for inclusion in our study were as follows: Participants had to be free of coronary heart disease and CHF and not be receiving antihypertensive therapy at Framingham Heart Study clinic baseline examinations 10, 11, or 12 (1968 to 1973). Participants were followed for onset of CHF through mid-1994.

First Page Preview

View Large
First page PDF preview

Figures

Grahic Jump Location
Figure.
Cumulative incidence of congestive heart failure according to pulse pressure tertiles at the baseline examination.

Tertile 1 was defined as pulse pressure of 26 to 48 mm Hg, tertile 2 was defined as pulse pressure of 49 to 60 mm Hg, and tertile 3 was defined as pulse pressure of 61 to 150 mm Hg.

Grahic Jump Location

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Evaluation of Risk Factors for Congestive Heart Failure

The summary below is from the full report titled “Systolic Blood Pressure, Diastolic Blood Pressure, and Pulse Pressure as Predictors of Risk for Congestive Heart Failure in the Framingham Heart Study.” It is in the 7 January 2003 issue of Annals of Internal Medicine (volume 138, pages 10-16). The authors are AW Haider, MG Larson, SS Franklin, and D Levy.

Read More...

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)