BP Targets Across CKM Stages
Investigators assess stage-specific outcomes, safety, and net benefit of intensive blood pressure control in cardiovascular-kidney-metabolic syndrome.
Intensive blood pressure control to below 130/80 mmHg may lower major adverse cardiovascular events in patients with cardiovascular-kidney-metabolic syndrome (stages II to IV). This conclusion comes from a secondary analysis of a large-scale trial involving 33,736 participants aged 40 and above from rural China, with a median follow-up of over 3 years. Notably, the intervention showed the most significant reduction in stroke, while hypotension was more frequent in the intensive treatment group. The findings have limitations, reflecting the trial's rural context and potential confounding factors.
1. Intensive blood pressure control (BP <130/80 mmHg) reduces cardiovascular events.2. Study involved 33,736 participants aged 40+ from rural China.3. Follow-up median was approximately 3 years.4. Most significant reduction in stroke risk.5. Hypotension occurred more frequently in the intensive group.6. All subjects had hypertension at baseline (stage II or higher).7. Limitations include context of rural healthcare and potential confounding factors.