Relationship between H Type Hypertension and Acute Coronary Syndromes among the Chinese Population: A Meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

 HOUXiao-wen ^1,2 , WANGChong ^1,2 , CHENXin ^1,2 ,  SHIJing-pu ^1,2

1. Department of Clinical Epidemiology and Evidence-based Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China;
2. MOE Virtual Research Center of Evidence-based Medicine at China Medical University, Shenyang 110001, China;

Corresponding author：

SHIJing-pu, Email: sjp562013@126.com

Keywords：

H type hypertension; Acute coronary syndrome; Case-control study; Meta-analysis

DOI：

10.7507/1672-2531.20150210

Video：

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Objective To systematically review the association between H type hypertension and acute coronary syndromes in China. Methods We electronically searched databases including PubMed, Web of Science, CNKI, CBM, VIP and WanFang Data databases to collect case-control studies about the association between H type hypertension and acute coronary syndromes among the Chinese population from inception to May, 2015. Two reviewers independently screened literature, extracted data, and evaluated the risk of bias of included studies. Then, meta-analysis was performed by using RevMan 5.2 software. Results A total 6 studies involving 992 patients were included. Among these cases, 438 cases were in the acute coronary syndromes group (case group) and 554 were in the control group. The results of metaanalysis showed that: proportion of H type hypertension patients in the case group was significantly higher than that in the control group (OR=3.32, 95%CI 2.21 to 4.98, P<0.000 01). Conclusion Current evidence shows that, H type hypertension may be associated with acute coronary syndromes in the Chinese population. Due to the limited quantity and quality of included studies, more high quality studies are needed to verify the above conclusion.

Citation： HOUXiao-wen, WANGChong, CHENXin, SHIJing-pu. Relationship between H Type Hypertension and Acute Coronary Syndromes among the Chinese Population: A Meta-analysis. Chinese Journal of Evidence-Based Medicine, 2015, 15(11): 1273-1276. doi: 10.7507/1672-2531.20150210 Copy

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11.	钟静敏, 许庆波, 叶海鹏, 等. H型高血压与冠状动脉病变的关系研究. 实用心脑肺血管病杂志, 2013, 21(5):34-35.
12.	杨莉莉, 赵宇, 邵海峰, 等. H型高血压与急性冠脉综合征发病相关性及同型半胱氨酸水平研究. 中国全科医学, 2013, 16(8A): 2609-2611.
13.	安全宇. 老年患者高同型半胱氨酸高血压与不稳定型心绞痛的关系研究. 首都医药, 2014, (10):32-33.
14.	Rioufol G, Finet G, Ginon I, et al. Multiple atherosclerotic plaque rupture in acute coronary syndrome:a three-vessel intravascular ultrasound study. Circulation, 2002, 106(7):804-808.
15.	Rasmussen LM, Hansen PR, Ledet T. Homocysteine and the production of collagens, proliferation and apoptosis in human arterial smooth muscle cells. APMIS, 2004, 112(9):598-604.
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17.	Ault KA, Cannon CP, Mitchell J, et al. Platelet activation in patients after an acute coronary syndrome:results from the TIMI-12 trial. Thrombolysis in Myocardial Infarction. J Am Coll Cardiol, 1999, 33(3):634-639.
18.	van Wagoner DR. Is homocysteine a mediator of atrial dysfunction or just another marker of endothelial dysfunction? Europace, 2008, 10(8):899-900.
19.	Al-Obaidi MK, Stubbs PJ, Amersey R, et al. Acute and convalescent changes in plasma homocysteine concentrations in acute coronary syndromes. Heart, 2001, 85(4):380-384.
20.	刘迎春, 吴德云, 高宗恩, 等. 高血压患者颈动脉粥样硬化与同型半胱氨酸的相关性研究. 中国循证医学杂志, 2015, 15(5):503-507.
21.	Graham IM, Daly LE, Refsum HM, et al. Plasma homocysteine as a risk factor for vascular disease. The European Concerted Action Project. JAMA, 1997, 277(22):1775-1781.

1. 卫生部. 第四次国家卫生服务总调查报告. 2008.
2. Hao L, Ma J, Zhu J, et al. High prevalence of hyperhomocysteinemia in Chinese adults is associated with low folate, vitamin B-12, and vitamin B-6 status. J Nutr, 2007, 137(2):407-413.
3. Sacco RL, Adams R, Albers G, et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: a statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: co-sponsored by the Council on Cardiovascular Radiology and Intervention:the American Academy of Neurology affirms the value of this guideline. Circulation, 2006, 113(10):409-449.
4. 胡大一, 徐希平. 有效控制"H型"高血压-预防卒中的新思路. 中华内科杂志, 2008, 47(12):976-977.
5. Lenfant C, Chobanian AV, Jones DW, et al. Seventh report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7):resetting the hypertension sails. Hypertension, 2003, 41(6):1178-1179.
6. Jneid H, Anderson JL, Wright RS, et al. 2012 ACCF/AHA focused update of the guideline for the management of patients with unstable angina/Non-ST-elevation myocardial infarction:a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation, 2012, 126(7):875-910.
7. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in metaanalyses. Eur J Epidemiol, 2010, 25(9):603-605.
8. 丁智晓. H型高血压对急性冠脉综合征的影响. 实用心脑肺血管病杂志, 2012, 20(9):1433-1434.
9. 赖诚民. H型高血压与冠状动脉粥样硬化的相关性研究. 中国民族民间医药, 2012, (23):17.
10. 胡立禄, 姜大春, 唐旭东. H型高血压与冠状动脉粥样硬化的关系. 西南国防医药, 2012, 22(1):33-35.
11. 钟静敏, 许庆波, 叶海鹏, 等. H型高血压与冠状动脉病变的关系研究. 实用心脑肺血管病杂志, 2013, 21(5):34-35.
12. 杨莉莉, 赵宇, 邵海峰, 等. H型高血压与急性冠脉综合征发病相关性及同型半胱氨酸水平研究. 中国全科医学, 2013, 16(8A): 2609-2611.
13. 安全宇. 老年患者高同型半胱氨酸高血压与不稳定型心绞痛的关系研究. 首都医药, 2014, (10):32-33.
14. Rioufol G, Finet G, Ginon I, et al. Multiple atherosclerotic plaque rupture in acute coronary syndrome:a three-vessel intravascular ultrasound study. Circulation, 2002, 106(7):804-808.
15. Rasmussen LM, Hansen PR, Ledet T. Homocysteine and the production of collagens, proliferation and apoptosis in human arterial smooth muscle cells. APMIS, 2004, 112(9):598-604.
16. Ross R. Atherosclerosis-an inflammatory disease. N Engl J Med, 1999, 340(2):115-126.
17. Ault KA, Cannon CP, Mitchell J, et al. Platelet activation in patients after an acute coronary syndrome:results from the TIMI-12 trial. Thrombolysis in Myocardial Infarction. J Am Coll Cardiol, 1999, 33(3):634-639.
18. van Wagoner DR. Is homocysteine a mediator of atrial dysfunction or just another marker of endothelial dysfunction? Europace, 2008, 10(8):899-900.
19. Al-Obaidi MK, Stubbs PJ, Amersey R, et al. Acute and convalescent changes in plasma homocysteine concentrations in acute coronary syndromes. Heart, 2001, 85(4):380-384.
20. 刘迎春, 吴德云, 高宗恩, 等. 高血压患者颈动脉粥样硬化与同型半胱氨酸的相关性研究. 中国循证医学杂志, 2015, 15(5):503-507.
21. Graham IM, Daly LE, Refsum HM, et al. Plasma homocysteine as a risk factor for vascular disease. The European Concerted Action Project. JAMA, 1997, 277(22):1775-1781.

Chinese Journal of Evidence-Based Medicine

Relationship between H Type Hypertension and Acute Coronary Syndromes among the Chinese Population: A Meta-analysis

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