Optimal Blood Pressure Control Target for Older Patients with Hypertension: A Systematic Review and Meta-Analysis
Cardiovascular Innovations and Applications, ISSN: 2009-8782, Vol: 7, Issue: 1
2023
- 3Citations
- 11Captures
- 4Mentions
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Most Recent News
Report Summarizes Hypertension Study Findings from Second Affiliated Hospital of Chongqing Medical University (Optimal Blood Pressure Control Target for Older Patients with Hypertension: A Systematic Review and Meta-Analysis)
2023 APR 19 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- A new study on hypertension is now
Review Description
Objective: This study evaluated the optimal systolic blood pressure (SBP) target for older patients with hypertension. Method: A Bayesian network meta-analysis was conducted. The risk of bias of the included studies was assessed by using a modified version of the Cochrane risk of bias. The trial outcomes comprised the following clinical events: major adverse cardiovascular events (MACE), cardiovascular mortality, all-cause mortality, myocardial infarction, heart failure and stroke. Results: A total of six trials were included. We reclassified all treatment therapies into three conditions according to the final achieved SBP after intervention (<130 mmHg, 130–139 mmHg and ≥140 mmHg). Our results demonstrated that anti-hypertensive treatment with an SBP target <130 mmHg, compared with treatment with an SBP target ≥140 mmHg, significantly decreased the incidence of MACE (OR 0.43, 95%CI 0.19–0.76), but no statistical difference was found in other comparisons. Although the results showed a trend toward more intensive anti-hypertension therapy having better effects on preventing cardiovascular mortality, all-cause mortality, myocardial infarction, heart failure, and stroke, no significant differences were found among groups. Conclusions: Our meta-analysis suggested that SBP <130 mmHg might be the optimal BP control target for patients ≥60 years of age; however, further evidence is required to support our findings.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85188500783&origin=inward; http://dx.doi.org/10.15212/cvia.2023.0008; https://scienceopen.com/hosted-document?doi=10.15212/CVIA.2023.0008; https://dx.doi.org/10.15212/cvia.2023.0008; https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2023.0008
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