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REFLECTIONS
                                                                                                                   Hypertension
     Hypertension Global Newsletter #7 2024


     the seven trials included participants with diabetes.      to <140 mmHg, there was a significant reduction in major CVD
                                                                events (HR, 0.82 [95% CI, 0.74–0.91]), but all-cause mortality
     Intensive SBP lowering to a target of <130 mmHg significantly   was marginally insignificant (HR, 0.85 [95% CI, 0.71–1.01]).
                                                                                                                   Hypertension
     reduced the risk of major CVD compared with a target of ≥130   In addition to the overall CVD benefit, there was a significant
     mmHg (HR, 0.78 [95% CI, 0.70–0.87]) and reduced the risk of   reduction in stroke, coronary heart disease, heart failure, and
     all-cause mortality (HR, 0.89 [95% CI, 0.79–0.99]). In a subset   CVD mortality. Adverse events were significantly more likely in
     of four studies that examined an SBP <120 mmHg compared    the intensive SBP target groups, but the absolute risks were low.

                                Randomisation to more or less intensive SBP lowering on major CVD events
































                               Randomisation to more or less intensive SBP lowering on all-cause mortality





































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