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September 6, 2017Journal of Hypertension

Antihypertensive medication use was associated with increased cardiovascular mortality compared to no treatment in young-old (HR 1.30; 95% CI 1.16-1.46) and old-old (HR 1.35; 95% CI 1.16-1.56) adults.

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Why the study?

Does antihypertensive medication use impact residual cardiovascular mortality risk in elderly individuals aged 60-89 years?

Population

n=26,133 residents aged 60-89 years from seven Japanese general populations, cross-classified by age category.

Comparison

Antihypertensive medication at baseline. vs No antihypertensive medication at baseline.

Design

Cohort

Follow-up

median 12.7 years

Key result

Antihypertensive medication use was associated with increased cardiovascular mortality compared to no treatment in young-old (HR 1.30; 95% CI 1.16-1.46) and old-old (HR 1.35; 95% CI 1.16-1.56) adults.

Authors

KAKei AsayamaTOTakayoshi OhkuboASAtsushi Satoh

Discussion

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Member takes

Overview

May reflect confounding by indication; leaves open causal effects of antihypertensives on mortality in older adults.

Study Design

Type

Cohort (n=26,133)

Multicenter

Yes

Structured PICO

Does antihypertensive medication use impact residual cardiovascular mortality risk in elderly individuals aged 60-89 years?

P
Population
26,133 residents aged 60-89 years from seven Japanese general populations, followed for a median of 12.7 years.
E
Exposure
Antihypertensive medication at baseline.
C
Comparator
No antihypertensive medication at baseline (untreated participants).
O
Outcome
Cardiovascular mortality.hard clinical

Main Result

Hazard Ratio: 1.3 (95% CI 1.16–1.46)

Elderly individuals receiving antihypertensive treatment have a higher residual risk of cardiovascular mortality compared to untreated individuals, indicating a need for continued close monitoring.

Cite This Study

Asayama et al. (2017) conducted a cohort in Cardiovascular risk (n=26,133). Antihypertensive medication vs. Untreated participants was evaluated on Cardiovascular mortality (HR 1.30, 95% CI 1.16-1.46). Antihypertensive medication use was associated with increased cardiovascular mortality compared to no treatment in young-old (HR 1.30; 95% CI 1.16-1.46) and old-old (HR 1.35; 95% CI 1.16-1.56) adults.

synapsesocial.com/papers/6a62ac37fcd714155f098bfbhttps://doi.org/10.1097/hjh.0000000000001555
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiovascular Risk With and Without Antihypertensive Drug Treatment in the Japanese General Population2014 · 71 citations
  2. 2Pharmacotherapy for hypertension in the elderly2009 · 219 citations
  3. 3Current Status of Antihypertensive Therapy for Elderly Patients in Japan.1996 · 27 citations
  4. 4Effects of antihypertensive treatment in patients over 65 years of age: a meta-analysis of randomised controlled studies2013 · 78 citations
  5. 5Association between Blood Pressure and Mortality in 80-Year-Old Subjects from a Population-Based Prospective Study in Japan2008 · 19 citations