Key result
Intensive BP control strongly reduces CV events compared to standard control.
Why the study?
To systematically evaluate the impact of intensive versus standard blood pressure control on cardiovascular outcomes in patients with hypertension.
Does intensive blood pressure control reduce cardiovascular outcomes in patients with hypertension?
Meta-Analysis
Does intensive blood pressure control reduce cardiovascular outcomes in patients with hypertension?
p-value: p=<0.001
Intensive blood pressure control targeting SBP <120 or <130 mmHg significantly reduces the risk of cardiovascular events in patients with hypertension compared to standard targets.
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Supports intensive BP targets in hypertension; reinforces net CV benefit across updated RCTs.**[[1]](https://www.jacc.org/doi/10.1016/S0735-1097%2825%2901169-6)[[2]](https://www.thelancet.
BACKGROUND: This meta-analysis systematically evaluated the impact of intensive (typically targeting systolic BP [SBP] <120 or <130 mmHg) versus standard (typically targeting SBP <140 mmHg) blood pressure control on cardiovascular outcomes in patients with hypertension. MATERIALS AND METHODS: Relevant randomized controlled trials (RCTs) published up to May 2025 were identified through systematic searches of PubMed, Embase, Web of Science, and the Cochrane Library. A random-effects model was used to calculate pooled relative risks (RRs) with 95% confidence intervals (CIs). RESULTS: < 0.001). Sensitivity analyses confirmed the robustness of these findings. Additionally, the treatment effects varied by sample size, male proportion, smoking prevalence, diabetes status, and follow-up duration. CONCLUSION: Intensive blood pressure control (typically targeting SBP <120 or <130 mmHg) is strongly associated with a reduced risk of cardiovascular events. These findings support adopting lower blood pressure targets in clinical practice while emphasizing the need for individualized patient assessment.
Gao et al. (2026) conducted a meta-analysis in Hypertension. Intensive blood pressure control vs. Standard blood pressure control (targeting SBP <140 mmHg) was evaluated on Cardiovascular outcomes (p=<0.001). Intensive blood pressure control (targeting SBP <120 or <130 mmHg) is strongly associated with a reduced risk of cardiovascular events compared to standard control (P<0.001).
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