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February 15, 2023HypertensionOpen Access

Systolic Blood Pressure and Cardiovascular Risk: Straightening the Evidence

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Why the study?

The BP level at which treatment is no longer efficacious remains uncertain, and observational data show potential risk even at normal or optimal BP ranges.

Design

Editorial

Key result

Mendelian Randomization and observational studies suggest a linear relationship between systolic and diastolic blood pressure and cardiovascular events, even at levels considered normal or optimal.

Authors

CMCian P. McCarthyPNPradeep Natarajan

Discussion

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Member takes

Overview

Does not yet support treating below current thresholds; leaves open need for RCTs targeting optimal-range BP.

PICO

P
Population
Hypertension and Cardiovascular Risk
E
Exposure / Comparator
Systolic and diastolic blood pressure

This article discusses the evolving definition of hypertension and the role of observational and Mendelian Randomization studies in understanding the linear relationship between blood pressure and cardiovascular risk.

Limitations

  • Interpretation of observational studies is tempered by the possibilities of residual confounding or reverse causation

Cite This Study

McCarthy et al. (2023) conducted an editorial in Hypertension and Cardiovascular Risk. Systolic and diastolic blood pressure was evaluated. Mendelian Randomization and observational studies suggest a linear relationship between systolic and diastolic blood pressure and cardiovascular events, even at levels considered normal or optimal.

synapsesocial.com/papers/6aa81aae95a386ecd3876d7bhttps://doi.org/10.1161/hypertensionaha.123.20788
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Also Consider

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

  1. 1The Evolution of Blood Pressure Thresholds and Targets over Time: A Historical Review2026
  2. 2Incident Cardiovascular Disease Among Adults With Blood Pressure <140/90 mm Hg2017 · 76 citations
  3. 3Hypertensive Therapy: Part I2004 · 54 citations
  4. 4Prognostic Value of Systolic and Diastolic Blood Pressure in Treated Hypertensive Men2002 · 176 citations
  5. 5Risk Stratification by Self-Measured Home Blood Pressure across Categories of Conventional Blood Pressure: A Participant-Level Meta-Analysis2014 · 88 citations