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Cited by 531

The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.

Sphygmomanometrically Determined Pulse Pressure Is a Powerful Independent Predictor of Recurrent Events After Myocardial Infarction in Patients With Impaired Left Ventricular Function

Mitchell, Gary F., Moyé, Lemuel A., Braunwald, Eugene, Rouleau, Jean-Lucien, Bernstein, Victoria, Geltman, Edward M., Flaker, Greg C., Pfeffer, Marc A., Investigators, for the SAVE·1997·Circulation

Abstract

Background There is increasing evidence of a link between conduit vessel stiffness and cardiovascular events, although the association has never been tested in a large post–myocardial infarction patient population. Methods and Results We evaluated the relationship between baseline pulse pressure, measured by sphygmomanometry 3 to 16 days after myocardial infarction, and subsequent adverse clinical events in the 2231 patients enrolled in the SAVE Trial. Increased pulse pressure was associated with increased age, left ventricular ejection fraction, female sex, history of prior infarction, diabetes, and hypertension and use of digoxin and calcium channel blockers. Over a 42-month period, there were 503 deaths, 422 cardiovascular deaths, and 303 myocardial infarctions. Pulse pressure was significantly related to each of these end points as a univariate predictor. In a multivariate analysis, pulse pressure remained a significant predictor of total mortality (relative risk, 1.08 per 10 mm Hg increment in pulse pressure; 95% CI, 1.00 to 1.17; P <.05) and recurrent myocardial infarction (relative risk, 1.12; 95% CI, 1.01 to 1.23; P <.05) after control for age; left ventricular ejection fraction; mean arterial pressure; sex; treatment arm (captopril or placebo); smoking history; history of prior myocardial infarction, diabetes, or hypertension; and treatment with β-blockers, calcium channel blockers, digoxin, aspirin, or thrombolytic therapy. Conclusions These data provide strong evidence for a link between pulse pressure, which is related to conduit vessel stiffness, and subsequent cardiovascular events after myocardial infarction in patients with left ventricular dysfunction.

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Crossref · 10.1161/01.cir.96.12.4254

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Metadata

Authors
Mitchell, G. F., Moyé, L. A., Braunwald, E., Rouleau, J.-L., Bernstein, V., Geltman, E. M., Flaker, G. C., Pfeffer, M. A., & Investigators, F. T. S.
Venue
Circulation
Published
1997-12-16
Volume
96
Issue
12
Pages
4254-4260
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2125097212
Cited by
531
References
53
FWCI
14.18
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Sphygmomanometrically Determined Pulse Pressure Is a Powerful Independent Predictor of Recurrent Events After Myocardial Infarction in Patients With Impaired Left Ventricular Function. https://app.cochat.ai/papers/10.1161/01.cir.96.12.4254
The paper
Mitchell, G. F., Moyé, L. A., Braunwald, E., Rouleau, J.-L., Bernstein, V., Geltman, E. M., Flaker, G. C., Pfeffer, M. A., & Investigators, F. T. S. (1997). Sphygmomanometrically Determined Pulse Pressure Is a Powerful Independent Predictor of Recurrent Events After Myocardial Infarction in Patients With Impaired Left Ventricular Function. Circulation. https://doi.org/10.1161/01.cir.96.12.4254

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.