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Appendix 1 (online)

Estimated pulse wave velocity (ePWV) in this study was calculated using the equations published by the Reference Values for Arterial Stiffness Collaboration in 2010 (5), which illustrate how carotid-femoral pulse wave velocity (cfPWV) are affected by age and mean arterial blood pressure (MAP). The equation derived from the reference population in 2010 was used to calculate ePWV for subjects with cardiovascular risk factors in this study (equation 1) and the equation derived from the normal population in 2010 was used to calculate ePWV for subjects without risk factor and not smoking in this study (equation 2).

Equation 1

PWV = 9.58748315543126-0.402467539733184*age+4.56020798207263*10-3*age2- 2.6207705511664*10-5*age2*mbp+ 3.1762450559276*10-3*age*MBP-

1.83215068503821*10-2*MBP

2 PWV = 4.62-0.13*age+0.0018*age2+0.0006*age*MBP+0.0284*MBP.

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Supplementary data 1 (online)

Bland Altman plot for the Bland Altman analysis demonstrating a relative difference of -0.3% [95%

confidence interval (CI) = -15% – +17%] in the whole MONICA10 cohort.

Statistics BlandAltmanVariabel

N Valid 2366

Missing 1

Mean -,0032

Std. Deviation ,08028

Minimum -,25

Maximum ,42

Percentiles 2,5 -,1527

97,5 ,1665

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Suplementary data 2 (online)

Reclassification one SCORE category up if ePWV was over 10 m/s in the untreated subjects from the Paris cohort.

No events Events New SCORE

Old SCORE Low Moderate High Very High

Low 222 21

Moderate 48 61

High 25

Very high 1

NRI = (Pup, events – Pdown, events) – (Pup, nonevents – Pdown, nonevents) = (14/26 – 0/26) – (107/378 – 0/378) = 25.5 % , P > 0.05

Reclassification one SCORE category up if cfPWV was over 10 m/s in the untreated subjects from the Paris cohort.

No events Events New SCORE

Old SCORE Low Moderate High Very High

Low 108 135

Moderate 33 76

High 3 22

Very high 1

NRI = (Pup, events – Pdown, events) – (Pup, nonevents – Pdown, nonevents) = (24/26 – 0/26) – (233/378 – 0/378) = 30.7 %, P > 0.05

New SCORE

Old SCORE Low Moderate High Very High

Low 9

Moderate 3 9

High 5

Very high

New SCORE

Old SCORE Low Moderate High Very High

Low 1 8

Moderate 1 11

High 5

Very high

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