review Open AccessTop 10% cited
Effects of Intensive Blood Pressure Lowering on Cardiovascular and Renal Outcomes: A Systematic Review and Meta-Analysis
PLoS Medicine · 2012 · Vol. 9(8) · pp. e1001293–e1001293
Jicheng Lv(The University of Sydney)Bruce Neal(The University of Sydney)Parya Ehteshami(The University of Sydney)Toshiharu Ninomiya(The University of Sydney)Mark Woodward(The University of Sydney)Anthony Rodgers(The University of Sydney)Haiyan Wang(The University of Sydney)Stephen MacMahon(The University of Sydney)Fiona Turnbull(The University of Sydney)Graham S. Hillis(The University of Sydney)John Chalmers(The University of Sydney)Vlado Perkovic✉(The University of Sydney)
Abstract
Intensive BP lowering regimens provided greater vascular protection than standard regimens that was proportional to the achieved difference in systolic BP, but did not have any clear impact on the risk of death or serious adverse events. Further trials are required to more clearly define the risks and benefits of BP targets below those currently recommended, given the benefits suggested by the currently available data.
Blood Pressure and Hypertension StudiesCardiovascular Health and Disease PreventionCardiovascular Syncope and Autonomic DisordersMedicineBlood pressureStroke (engine)Myocardial infarctionInternal medicineMeta-analysisIntensive careRelative riskAlbuminuriaPlacebo
MeSH terms
Antihypertensive AgentsBlood PressureCardiovascular DiseasesCardiovascular SystemClinical Trials as TopicHumansKidneyKidney DiseasesRegression AnalysisRisk FactorsTreatment Outcome
Funding
- Amgen
- Pfizer
- Servier
- Medical Research Council
- National Health and Medical Research Council
Citations
778
FWCI
6.83
field-weighted impact
References
81
Percentile
98%
vs. same field & year
Citations per year
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References
2003 World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension
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Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies
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