Hypertension (HTN), Valid MeSH Conditions
Conditions
Keywords
hypertension, cardiovascular death
Brief summary
Despite advances in antihypertensive therapy, some patients with well-controlled blood pressure still experience fatal outcomes. This paradox raises critical questions about the efficacy of blood pressure-targeted interventions and whether BP control alone ensures survival. This systematic review and meta-analysis aims to evaluate all-cause mortality and cardiovascular death among hypertensive patients who achieved BP targets in RCTs or open-label trials. To determine whether achieving controlled blood pressure through intentional intervention (pharmacological or procedural) in RCTs or open-label studies reduces mortality (all-cause and cardiovascular) in hypertensive patients.
Detailed description
Sensitivity Analyses Excluding high-risk of bias studies Excluding short follow-up (\<1 year)
Interventions
Any intervention (pharmacological, device-based, lifestyle) intentionally directed at lowering BP Control groups receiving placebo, standard of care, or no intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults ≥18 years with diagnosed hypertension Blood pressure controlled at target values defined by the study (e.g., \<140/90 mmHg or \<130/80 mmHg) Any comorbidity allowed unless the study focuses on pregnancy or pediatric population
Exclusion criteria
* Observational or retrospective studies Pediatric or pregnant participants Case reports, editorials, or conference abstracts without full data Studies not reporting mortality outcomes separately for controlled BP
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality | 100 year | All cause mortality by controlable hypertension treatment |
Countries
Thailand
Contacts
DejthidaNathaphong