1943 50th GA Inaugural Address by Governor Hickenlooper, January 14, 1943

This is the Inaugural Address of Governor to the General Assembly.

1945 51th GA Inaugural Address by Governor Blue, January 11, 1945

This is the Inaugural Address of Governor to the General Assembly.

1947 52th GA Inaugural Address by Governor Blue, January 16, 1947

This is the Inaugural Address of Governor to the General Assembly.

1949 53rd GA Inaugural Address by Governor Beardsley, January 13, 1947

This is the Inaugural Address of Governor to the General Assembly.

1951 54th GA Inaugural Address by Governor Beardsley, January 11, 1951

This is the Inaugural Address of Governor to the General Assembly.

1953 55th GA Inaugural Address by Governor Beardsley, January 15, 1951

This is the Inaugural Address of Governor to the General Assembly.

1955 56th GA Inaugural Address by Governor Hoegh, January 13, 1955

This is the Inaugural Address of Governor to the General Assembly.

1957 57th GA Inaugural Address by Governor Loveless, January 17, 1957

This is the Inaugural Address of Governor to the General Assembly.

1959 5th GA Inaugural Address by Governor Loveless, January 15, 1959

This is the Inaugural Address of Governor to the General Assembly.

1963 60th GA Inaugural Address by Governor Hughes, January 17, 1963

This is the Inaugural Address of Governor to the General Assembly.

2003 80th GA Inaugural Address by Governor Vilsack, January 17, 2003

This is the Inaugural Address of Governor to the General Assembly.

2007 82nd GA Inaugural Address by Governor Culver, January 12, 2007

This is the Inaugural Address of Governor to the General Assembly.

2011 84th GA Inaugural Address by Governor Branstad, January 14, 2011

This is the Inaugural Address of Governor to the General Assembly.

Tachycardia is a strong predictor of cardiovascular events in the value trial

Objective: Tachycardia is associated with hypertension and is a predictor of cardiovascular events. The predictive effect of tachycardia might reflect its connection with hypertension. In this analysis of 15,245 VALUE study patients we explore whether tachycardia predicts cardiovascular endpoints in high risk hypertension and whether the in-trial blood pressure lowering modified the tachycardia - related risk. Methods: Heart rate from ECG readings at baseline and annually throughout the trial. Results: In the Cox Regression analysis the primary endpoint hazard ratio for a 10 beats per minute increment of baseline heart rate was 1.16 (1.12-1.2) p < 0.0001, 1.17 (1.13-1.22) p < 0.0001 and 1.22 (1.18-1.27) p < 0.0001 unadjusted, adjusted for baseline blood pressure and for blood pressure plus risk factors, respectively. Primary endpoints strikingly increased in the highest quintile of baseline heart rate (=/>79 beats). Primary endpoints in the highest heart rate quintile were 30 % higher in first, 55 % in second, 55 % in third, 52 % in fourth and 46 % in the fifth year of the study. The in-trial heart rate was also a potent predictor. The primary endpoint hazard ratios of highest heart rate quintile versus pooled lower 4 quintiles was (1.34-1.66) p < 0.0001 unadjusted, 1.52 (1.36-1.69) p <0.0001 adjusted for baseline blood pressure and risk factors and 1.52 (1.36-1.69) p < 0.0001 further adjusted for in trial pressure. The increase of primary events in the upper quintile of in-trial heart rate was 68% in the group with good and 63% in the group with inadequate blood pressure control (both p < 0.0001 by log rank test). Conclusions: 1./ Tachycardia is a short term marker and a long term predictor of adverse event in high risk hypertension. 2./ Tachycardia contributes to the residual cardiovascular risk regardless of the degree of BP control. We hypothesize heart rate lowering with appropriate drugs may further decrease the cardiovascular risk in patients with high risk hypertension and tachycardia.

Action Plan: For implementing the recommendations of the Iowa Governor's Pre-White House Conference on Library and Information Services, April 30, May 1 and 2, 1991 and the White House Conference on Library and Information Services, July 9-13, 1991

This report includes the objectives, implementation responsibilities and target dates recommended and passed by the delegates to the Iowa Governor's Pre-White House Conference on Library and Information Services (April 30-May 2, 1991) or the White House Conference on Library and Information Services (July 9-13, 1991. Text of the relevant recommendations is included for each objective.