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July 4, 2023European Journal of Preventive CardiologyOpen Access

Issue 30.10 focus on arterial hypertension

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Why the study?

Arterial hypertension remains poorly controlled in clinical practice, prompting this focus issue dedicated to topics ranging from hypertension epidemiology and risk stratification to control strategies.

Population

Patients with or at risk for arterial hypertension across various cohorts discussed in the issue.

Comparison

Various hypertension management and risk… vs Standard care, standard blood pressure targets…

Design

Editorial

Key result

Intensive blood pressure treatment lowered total mortality (OR 0.75; 95% CI 0.60-0.94), but severe adverse events mediated an increase in mortality (OR 1.03; 95% CI 1.01-1.05) in older adults.

Authors

GPG F ParatiMPMassimo Piepoli

Discussion

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Overview

HSBP may drive CV risk in elderly hypertension; leaves open whether targeting it improves outcomes in trials.

Structured PICO

P
Population
An editorial summarizing multiple studies on arterial hypertension, including epidemiology, risk stratification, and the balance of benefits and harms in intensive blood pressure control.
E
Exposure
Various hypertension management and risk stratification strategies (e.g., intensive blood pressure lowering, SCORE2 assessment with carotid plaque/IMT, HDL-P measurement).
C
Comparator
Standard care, standard blood pressure targets, or conventional risk assessment.
O
Outcome
Cardiovascular events and all-cause mortality.

Main Result

Odds Ratio: 0.75 (95% CI 0.6–0.94)

This issue focus summarizes recent advances in hypertension, emphasizing the benefits and risks of intensive blood pressure control and the value of enhanced risk stratification tools.

Limitations

  • Definition of HSBP (≥ 110–115 mmHg) in the GBD analysis
  • Inclusion of individuals already at the age of 60 in the GBD analysis

Cite This Study

Parati et al. (2023) conducted an editorial in Arterial hypertension. Intensive blood pressure treatment vs. Standard treatment was evaluated on Total mortality (OR 0.75, 95% CI 0.60-0.94). Intensive blood pressure treatment lowered total mortality (OR 0.75; 95% CI 0.60-0.94), but severe adverse events mediated an increase in mortality (OR 1.03; 95% CI 1.01-1.05) in older adults.

synapsesocial.com/papers/6a97c8f4d7321b963774ac8fhttps://doi.org/10.1093/eurjpc/zwad213
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Also Consider

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

  1. 1Intensive Systolic Blood Pressure Lowering Strategy in Adults With Hypertension: Is Lower Still Better?2023 · 1 citations
  2. 2Intensive vs Standard Blood Pressure Control in Adults 80 Years or Older: A Secondary Analysis of the Systolic Blood Pressure Intervention Trial2019 · 81 citations
  3. 3New evidence for the diastolic J‐curve effect challenges the safety of intensive blood pressure control2017 · 9 citations
  4. 4Achieved systolic blood pressure and cardiovascular outcomes in 60–80-year-old patients: the Strategy of Blood Pressure Intervention in the Elderly Hypertensive Patients (STEP) trial2023 · 12 citations
  5. 5The Effects of Intensive Blood Pressure Control on Cardiovascular Outcomes Based on 10-Year ASCVD Risk Score: An Analysis of a Clinical Trial2021 · 5 citations