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The Relationship Between Pulse Pressure and the Advancement of Cardiometabolic Diseases: Links to New Multimorbidity and Mortality in the UK Biobank Study
To investigate the association between pulse pressure (PP) and the progression of cardiometabolic diseases (CMDs), cardiometabolic multimorbidity (CMM), and all-cause mortality.
Approach:
Key Findings:
Per 1-SD increase in PP, there was a significant association with transitions from health to CMD (HR = 1.13, 95% CI: 1.12–1.14) and to CMM (HR = 1.18, 95% CI: 1.15–1.21).
Q4 versus Q1 comparisons indicated a 36% higher risk for both CMD and CMM outcomes.
The PP–CMM association was strongest among patients with stroke (HR = 1.23, 95% CI: 1.11–1.36) and in participants aged < 60 years, women, and those with BMI 18.5 ≤ 25 kg/m2.
Threshold-effect analyses identified specific risk turning points: 40 mmHg for CMD, 42 mmHg for mortality, and 52 mmHg for CMM development.
Interpretation:
Elevated pulse pressure is significantly associated with increased risks of cardiometabolic disease progression and mortality.
Limitations:
The study may not account for all potential confounding factors influencing the associations.
Findings are based on a specific cohort from the UK Biobank, which may limit generalizability.
Conclusion:
Elevated pulse pressure is linked to higher risks of CMD progression and mortality.