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Hypertension is an increasingly recognised problem in haemophilia and is currently not explained by the usual risk factors. Coagulation factors may play a role in blood pressure control.© Shutterstock
Hypertension is an increasingly recognised problem in haemophilia and is currently not explained by the usual risk factors. Coagulation factors may play a role in blood pressure control.© Shutterstock

Figure 1A

Patients on demand (green) and on prophylaxis (blue) shown together
Patients on demand (green) and on prophylaxis (blue) shown together

Figure 1B

Quantile regression of systolic BP on factor usage for patients on prophylaxis
Quantile regression of systolic BP on factor usage for patients on prophylaxis

Figure 1C

Quantile regression of systolic BP on factor usage, adjusted for logBMI, for patients on prophylaxis
Quantile regression of systolic BP on factor usage, adjusted for logBMI, for patients on prophylaxis

Figure 2A

Patients on demand (green circles) and on prophylaxis (blue circles) shown together
Patients on demand (green circles) and on prophylaxis (blue circles) shown together

Figure 2B

Quantile regression of diastolic BP on factor usage for patients on prophylaxis
Quantile regression of diastolic BP on factor usage for patients on prophylaxis

Figure 2C

Quantile regression of diastolic BP on factor usage, adjusted for logBMI and HCV, for patients on prophylaxis
Quantile regression of diastolic BP on factor usage, adjusted for logBMI and HCV, for patients on prophylaxis

Hypertension categories based on American Heart Association guidelines, 2017

CATEGORYBP RANGE (MM HG)NUMBER%
Normal< 120/ 80 mm Hg5428
ElevatedSBP 12-129 mm Hg5327
HypertensionStage 1SBP 130-139 or DBP80-89 mm Hg5830
HypertensionStage 2SBP > 139 mm Hg orDBP> 90 mm Hg2815

3B. Regression coefficients for systolic blood pressure, adjusted for logBMI

QUANTILEREGRESSION COEFFICIENT X 10-395% CI X 10-3R1P
0.1 Lower-0.19-1.45, 0.700.2360.634
0.5 Median-0.05-0.89, 1.300.2350.704
0.9 Upper-0.29-3.05, 2.630.2130.672

3C. Regression coefficients for diastolic blood pressure (unadjusted)

QUANTILEREGRESSION COEFFICIENT X 10-395% CI X 10-3R1P
0.1 Lower-0.65-1.26, -0.210.0440.002
0.5 Median0.00-1.31, 0.700.0000.523
0.9 Upper-0.39-2.19, 1.290.0090.596

Demographic characteristics of patients by factor use category

MEDIAN (IQR)COMPARISON OF PROPHYLAXIS
ALL PATIENTSPROPHYLAXISON DEMANDAND ON-DEMAND PATIENTS, WILCOXON W (P)
Age (years)30 (25, 41)30 (25, 38)37 (26, 49)4510 (0.010)
Systolic BP (mmHg)125 (118, 133)124 (118, 132)125 (115, 134)3706 (0.953)
Diastolic BP (mmHg)76 (71, 82)76 (71, 81)78 (71, 85)3950 (0.462)
BMI (kg/m2)24.5 (22.0, 27.8)24.5 (22.4, 27.8)24.4 (21.4, 28.7)2878 (0.995)
Factor usage(units/kg/year)3651 (1705, 5771)4179 (2889, 6551)818 (485, 1409)1341 (<0.001)

Quantile regression for systolic and diastolic blood pressure on factor usage for patients on prophylaxisThe regression coefficients for the 0.1 (lower), 0.5 (median) and 0.9 (upper) quantiles are shown.3A. Regression coefficients for systolic blood pressure (unadjusted)

QUANTILEREGRESSION COEFFICIENT X 10-395% CI X 10-3R1P
0.1 Lower-0.29-1.68, 0.380.0040.366
0.5 Median-0.57-1.43, 0.130.0120.146
0.9 Upper-0.75-3.43, 0.750.0010.378

3D. Regression coefficients for diastolic blood pressure, adjusted for logBMI and HCV

QUANTILEREGRESSION COEFFICIENT X 10-395% CI X 10-3R1P
0.1 Lower-0.67-1.33, -0.190.2540.061
0.5 Median-0.24-0.65, 0.510.2610.914
0.9 Upper-0.01-2.59, 2.180.2660.698
eISSN:
2055-3390
Language:
English
Publication timeframe:
Volume Open
Journal Subjects:
Medicine, Basic Medical Science, other, Clinical Medicine, Pharmacy, Pharmacology