Sex Difference in the Association Between Brachial Pulse Pressure and Coronary Artery Disease: The Korean Women's Chest Pain Registry (KoROSE)

Hack Lyoung Kim, Myung A. Kim, Wan Joo Shim, Sohee Oh, Mina Kim, Seong-Mi Park, Yong Hyun Kim, Jin Oh Na, Mi Seung Shin, Hyun Ju Yoon, Gil Ja Shin, Yunkyung Cho, Sung Eun Kim, Kyung Soon Hong, Kyoung Im Cho

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

This study was performed to investigate the association between brachial pulse pressure (PP) and the presence/extent of obstructive coronary artery disease (CAD) in men and women. Study data were obtained from a nation-wide registry composed of 632 patients (173 men and 459 women, 58.1±10.5 years) with suspected CAD who underwent invasive coronary angiography. PP was higher in patients with obstructive CAD (≥50% stenosis) than those without CAD in both sexes (P=.032 in men; P<.001 in women). However, PP increased proportionally with the increasing number of obstructed coronary arteries in women (P<.001) but not in men (P=.070). Multiple logistic-regression analyses demonstrated that higher PP (≥50.5 mm Hg) was an independent factor for determining obstructive CAD even after controlling for potential confounders in women (odds ratio, 2.83; 95% confidence interval, 1.40–5.73; P=.004). These results were consistent in 173 selected women matched with 173 men based on age and CAD severity. In conclusion, the association between brachial PP and obstructive CAD was more pronounced in women than in men. Brachial PP can be a simple and useful indicator of CAD especially in women.

Original languageEnglish
Pages (from-to)38-44
Number of pages7
JournalJournal of Clinical Hypertension
Volume19
Issue number1
DOIs
Publication statusPublished - 2017 Jan 1

Fingerprint

Chest Pain
Sex Characteristics
Registries
Coronary Artery Disease
Arm
Blood Pressure
Coronary Angiography
Coronary Vessels
Pathologic Constriction
Logistic Models
Odds Ratio
Regression Analysis
Confidence Intervals

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

Cite this

Sex Difference in the Association Between Brachial Pulse Pressure and Coronary Artery Disease : The Korean Women's Chest Pain Registry (KoROSE). / Kim, Hack Lyoung; Kim, Myung A.; Shim, Wan Joo; Oh, Sohee; Kim, Mina; Park, Seong-Mi; Kim, Yong Hyun; Na, Jin Oh; Shin, Mi Seung; Yoon, Hyun Ju; Shin, Gil Ja; Cho, Yunkyung; Kim, Sung Eun; Hong, Kyung Soon; Cho, Kyoung Im.

In: Journal of Clinical Hypertension, Vol. 19, No. 1, 01.01.2017, p. 38-44.

Research output: Contribution to journalArticle

Kim, Hack Lyoung ; Kim, Myung A. ; Shim, Wan Joo ; Oh, Sohee ; Kim, Mina ; Park, Seong-Mi ; Kim, Yong Hyun ; Na, Jin Oh ; Shin, Mi Seung ; Yoon, Hyun Ju ; Shin, Gil Ja ; Cho, Yunkyung ; Kim, Sung Eun ; Hong, Kyung Soon ; Cho, Kyoung Im. / Sex Difference in the Association Between Brachial Pulse Pressure and Coronary Artery Disease : The Korean Women's Chest Pain Registry (KoROSE). In: Journal of Clinical Hypertension. 2017 ; Vol. 19, No. 1. pp. 38-44.
@article{0cced83f5ebf4e22aaee45f277028382,
title = "Sex Difference in the Association Between Brachial Pulse Pressure and Coronary Artery Disease: The Korean Women's Chest Pain Registry (KoROSE)",
abstract = "This study was performed to investigate the association between brachial pulse pressure (PP) and the presence/extent of obstructive coronary artery disease (CAD) in men and women. Study data were obtained from a nation-wide registry composed of 632 patients (173 men and 459 women, 58.1±10.5 years) with suspected CAD who underwent invasive coronary angiography. PP was higher in patients with obstructive CAD (≥50{\%} stenosis) than those without CAD in both sexes (P=.032 in men; P<.001 in women). However, PP increased proportionally with the increasing number of obstructed coronary arteries in women (P<.001) but not in men (P=.070). Multiple logistic-regression analyses demonstrated that higher PP (≥50.5 mm Hg) was an independent factor for determining obstructive CAD even after controlling for potential confounders in women (odds ratio, 2.83; 95{\%} confidence interval, 1.40–5.73; P=.004). These results were consistent in 173 selected women matched with 173 men based on age and CAD severity. In conclusion, the association between brachial PP and obstructive CAD was more pronounced in women than in men. Brachial PP can be a simple and useful indicator of CAD especially in women.",
author = "Kim, {Hack Lyoung} and Kim, {Myung A.} and Shim, {Wan Joo} and Sohee Oh and Mina Kim and Seong-Mi Park and Kim, {Yong Hyun} and Na, {Jin Oh} and Shin, {Mi Seung} and Yoon, {Hyun Ju} and Shin, {Gil Ja} and Yunkyung Cho and Kim, {Sung Eun} and Hong, {Kyung Soon} and Cho, {Kyoung Im}",
year = "2017",
month = "1",
day = "1",
doi = "10.1111/jch.12862",
language = "English",
volume = "19",
pages = "38--44",
journal = "Journal of Clinical Hypertension",
issn = "1524-6175",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Sex Difference in the Association Between Brachial Pulse Pressure and Coronary Artery Disease

T2 - The Korean Women's Chest Pain Registry (KoROSE)

AU - Kim, Hack Lyoung

AU - Kim, Myung A.

AU - Shim, Wan Joo

AU - Oh, Sohee

AU - Kim, Mina

AU - Park, Seong-Mi

AU - Kim, Yong Hyun

AU - Na, Jin Oh

AU - Shin, Mi Seung

AU - Yoon, Hyun Ju

AU - Shin, Gil Ja

AU - Cho, Yunkyung

AU - Kim, Sung Eun

AU - Hong, Kyung Soon

AU - Cho, Kyoung Im

PY - 2017/1/1

Y1 - 2017/1/1

N2 - This study was performed to investigate the association between brachial pulse pressure (PP) and the presence/extent of obstructive coronary artery disease (CAD) in men and women. Study data were obtained from a nation-wide registry composed of 632 patients (173 men and 459 women, 58.1±10.5 years) with suspected CAD who underwent invasive coronary angiography. PP was higher in patients with obstructive CAD (≥50% stenosis) than those without CAD in both sexes (P=.032 in men; P<.001 in women). However, PP increased proportionally with the increasing number of obstructed coronary arteries in women (P<.001) but not in men (P=.070). Multiple logistic-regression analyses demonstrated that higher PP (≥50.5 mm Hg) was an independent factor for determining obstructive CAD even after controlling for potential confounders in women (odds ratio, 2.83; 95% confidence interval, 1.40–5.73; P=.004). These results were consistent in 173 selected women matched with 173 men based on age and CAD severity. In conclusion, the association between brachial PP and obstructive CAD was more pronounced in women than in men. Brachial PP can be a simple and useful indicator of CAD especially in women.

AB - This study was performed to investigate the association between brachial pulse pressure (PP) and the presence/extent of obstructive coronary artery disease (CAD) in men and women. Study data were obtained from a nation-wide registry composed of 632 patients (173 men and 459 women, 58.1±10.5 years) with suspected CAD who underwent invasive coronary angiography. PP was higher in patients with obstructive CAD (≥50% stenosis) than those without CAD in both sexes (P=.032 in men; P<.001 in women). However, PP increased proportionally with the increasing number of obstructed coronary arteries in women (P<.001) but not in men (P=.070). Multiple logistic-regression analyses demonstrated that higher PP (≥50.5 mm Hg) was an independent factor for determining obstructive CAD even after controlling for potential confounders in women (odds ratio, 2.83; 95% confidence interval, 1.40–5.73; P=.004). These results were consistent in 173 selected women matched with 173 men based on age and CAD severity. In conclusion, the association between brachial PP and obstructive CAD was more pronounced in women than in men. Brachial PP can be a simple and useful indicator of CAD especially in women.

UR - http://www.scopus.com/inward/record.url?scp=85009239986&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009239986&partnerID=8YFLogxK

U2 - 10.1111/jch.12862

DO - 10.1111/jch.12862

M3 - Article

C2 - 27364854

AN - SCOPUS:85009239986

VL - 19

SP - 38

EP - 44

JO - Journal of Clinical Hypertension

JF - Journal of Clinical Hypertension

SN - 1524-6175

IS - 1

ER -