ArticleFrontiers in cardiovascular medicine2026
Pulse pressure and cardiometabolic disease progression: associations with incident multimorbidity and mortality in UK biobank.
Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Although pulse pressure (PP) predicts individual cardiometabolic diseases (CMDs), its role in the progression of cardiometabolic multimorbidity (CMM) remains uncertain. This study aimed to investigate the association between PP and CMD progression, from incident CMD to CMM development and all-cause mortality. Methods: UK Biobank participants ( Results: Among 403,851 UK Biobank participants who were free of CMD at baseline, per 1-SD increase in PP was significantly associated 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), with Q4 versus Q1 comparisons indicating 36% higher risks for both outcomes. Notably, the PP-CMM association was strongest among patients with stroke, with an HR of 1.23 (95% CI: 1.11-1.36) per 1-SD increase. Subgroup analyses further showed that this association was most pronounced in participants aged < 60 years, women, and those with BMI 18.5 ≤ 25 kg/m Conclusion: Our study demonstrates that elevated PP is significantly associated with higher risks of CMD progression and mortality.
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