Table 1.
Summary of study results on the association between pulse pressure and cerebral small vessel disease
| Reference | Index | n | Age(y) | Standardized effect estimate or direction of associationa | Adjustments | |||
|---|---|---|---|---|---|---|---|---|
|
|
||||||||
| WMH | Microbleeds | Infarcts | Age | Blood pressure | ||||
|
Cross-sectional studies (12 studies)
| ||||||||
|
Poels et al., 2010/ Verhaaren et al., 2013b |
off | 3,979 | 60 | β 0.08* | OR 1.09 | x | ||
| Tsao et al., 2013 | cent | 1,419 | 61 | β 0.002 | OR 0.97 | x | x | |
| Liao et al., 1997 (1)c | off | 843 | 63 | OR 1.32 | x | |||
| Liao et al., 1997 (2)c | off | 728 | 61 | OR 2.17* | x | |||
| Aribisala et al., 2014 | off | 694 | 73 | β 0.04 | x | |||
| Kim et al., 2011 | off | 692 | 63 | +* | x | x | ||
| Mitchell et al., 2011 | cent | 668 | 75 | β −0.02 | OR 1.71* | x | x | |
| Ochi et al., 2010 d | off | 500 | 67 | OR 1.10 | x | |||
| Kim et al., 2012 | off | 236 | 66 | +* | x | |||
| Naganuma et al., 2011 | off | 179 | 58 | OR 1.73* | x | |||
| Kwon et al., 2014 | amb | 169 | 66 | + | x | x | ||
| Henskens et al., 2008 | amb | 167 | 52 | OR 0.90 | OR 0.93 | OR 0.93 | x | x |
| De Leeuw et al., 2004 | off | 152 | 68 | + | x | |||
|
| ||||||||
|
Longitudinal studies (2 studies)
| ||||||||
| Verhaaren et al., 2013 | off | 655 | 62 | +* | x | |||
| Van Dooren et al., 2014 | amb | 169 | 53 | OR 1.95 | x | |||
Studies are ordered from largest to smallest sample size.
If available, (fully adjusted) standardized effect estimates are presented. If not, direction of association is presented.
+: higher PP associated with higher prevalence/incidence of markers of cerebral small vessel disease
−: higher PP associated with lower prevalence/incidence of markers of cerebral small vessel disease
=: no association between PP and cerebral small vessel disease; direction of association not indicated in original manuscript.
P<.05
Studies based on an overlapping population (Rotterdam study). Poels et al., 2010 describes the association between PP and microbleeds in the total population (n=3,979). Verhaaren et al., 2013 describes in a subsample (n=655) the association between PP and WMH.
Analyses stratified for European-Americans (1) and African-Americans (2). Results not available for the total study population.
Ochi et al., 2010 also evaluated the association between office PP and WMH; results for office PP were qualitatively similar to results for central PP.
y = years; WMH = white matter hyperintensities; OR = odds ratio; off = office pulse pressure; amb = ambulatory pulse pressure; cent = central pulse pressure