Does targeting a systolic blood pressure of less than 120 mm Hg reduce major adverse cardiovascular events and all-cause mortality in patients who were at increased cardiovascular risk?
Patients who were at increased cardiovascular risk
Targeting a systolic blood pressure of less than 120 mm Hg
Targeting a systolic blood pressure of less than 140 mm Hg
Major adverse cardiovascular eventshard clinical
Intensive blood pressure control targeting a systolic blood pressure of <120 mm Hg reduces major adverse cardiovascular events and all-cause mortality in high-risk patients compared to a standard <140 mm Hg target.
Among patients who were at increased cardiovascular risk, targeting a systolic blood pressure of less than 120 mm Hg resulted in lower rates of major adverse cardiovascular events and lower all-cause mortality than targeting a systolic blood pressure of less than 140 mm Hg, both during receipt of the randomly assigned therapy and after the trial. Rates of some adverse events were higher in the intensive-treatment group. (Funded by the National Institutes of Health; SPRINT ClinicalTrials.gov number, NCT01206062.).
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Cora E. Lewis
Preventive Cardiology
New England Journal of Medicine
National Heart Lung and Blood Institute
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Cora E. Lewis (Wed,) studied this question.
synapsesocial.com/papers/69c42ff864fa21b43f0861d4 — DOI: https://doi.org/10.1056/nejmoa1901281