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[Stratification-system of cardiovascular risk in JSH2009]
1Second Department of Internal Medicine, Sapporo Medical University School of Medicine.
Insights
The Japanese Society of Hypertension (JSH2009) risk stratification system effectively predicts cardiovascular events in hypertension management. This study validates its utility and accuracy for clinical practice.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- The Japanese Society of Hypertension (JSH) released guidelines in 2009 (JSH2009) for hypertension management.
- These guidelines utilize a risk stratification system based on cardiovascular prognosis to guide treatment strategies.
- The clinical utility and validity of this specific risk stratification system required examination.
Purpose:
- To assess the utility and validity of the JSH2009 risk stratification system.
- To determine if the JSH2009 system accurately predicts cardiovascular events.
- To evaluate the system's applicability in real-world hypertension management.
Summary:
- A study involving 2,000 residents from the Tanno-Sobetsu cohort, with no prior cardiovascular events or hypertension medication, was conducted.
- Participants were followed for 13 years, during which cardiovascular events were monitored.
- Analysis revealed a statistically significant linear increase in cardiovascular events correlating with higher risk stratification levels defined by JSH2009.
Impact:
- The findings confirm the utility and validity of the JSH2009 risk stratification system for hypertension management.
- This validated system can aid clinicians in stratifying cardiovascular risk more accurately.
- The study supports the use of JSH2009 for improved patient outcomes in hypertensive individuals.
Abstract:
Recently, Guidelines for the Management of Hypertension of Japanese Society of Hypertension (JSH2009) has been reported. JSH2009 shows the treatment strategy of hypertension by risk stratification-system examined based on a cardiovascular prognosis. We examined a utility and validity of this risk stratification-system. The subjects included 2,000 Tanno-Sobetsu study residents, with no history of cardiovascular events nor medication of hypertension. Among the all subjects, any cases of cardiovascular events were observed during 13 years of follow-up. The analysis revealed statistically significant linear increases in cardiovascular events according to the level from low to high of the risk stratification-system. The results show the utility and validity in the hypertensive practice risk stratification-system shown in JSH2009.
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