Evidence map›Paper›PMID 27767292›Full record

Observational studyJournal of clinical hypertension (Greenwich, Conn.)2017

Low Blood Pressure Is Associated With Greater Risk for Cardiovascular Events in Treated Adults With and Without Apparent Treatment-Resistant Hypertension.

Brent M Egan, Bo Kai, C Shaun Wagner, Douglas O Fleming, Joseph H Henderson, Archie H Chandler, Angelo Sinopoli

Abstract readObservational Study
In one paragraph

Observational study in Journal of clinical hypertension (Greenwich, Conn.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Personalized Blood Pressure Targets in Shock: What If Your Normal Blood Pressure Is "Low"?American journal of respiratory and critical care medicine · 2020
    Article
  5. Article
  6. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Brent M EganDepartment of Medicine, University of South Carolina School of Medicine-Greenville, Greenville, SC, USA.
Bo KaiDepartment of Mathematics, College of Charleston, Charleston, SC, USA.
C Shaun WagnerCare Coordination Institute, Greenville Health System, Greenville, SC, USA.
Douglas O FlemingCare Coordination Institute, Greenville Health System, Greenville, SC, USA.
Joseph H HendersonDepartment of Medicine, University of South Carolina School of Medicine-Greenville, Greenville, SC, USA.
Archie H ChandlerDepartment of Medicine, University of South Carolina School of Medicine-Greenville, Greenville, SC, USA.
Angelo SinopoliDepartment of Medicine, University of South Carolina School of Medicine-Greenville, Greenville, SC, USA.
Prisma Health · USUniversity of South Carolina · USCollege of Charleston · US

Funding

Controlling Blood Pressure in Treatment Resistant Hypertension: A Pilot StudyR34HL105880 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI EGAN, BRENT M, LAKEN, MARILYN · 2011 to 2012
$664k
NHLBI NIH HHS R34 HL105880
6 · The paper itself

Abstract

Apparent treatment-resistant hypertension (aTRH) may confound the reported relationship between low blood pressure (BP) and increased cardiovascular disease (CVD) in treated hypertensive patients. Incident CVD was assessed in treated hypertensive patients with and without aTRH (BP ≥140 and/or ≥90 mm Hg on ≥3 medications or <140/<90 mm Hg on ≥4 BP medications) at three BP levels: 1: <120 and/or <70 mm Hg and <140/<90 mm Hg; 2: 120-139/70-89 mm Hg; and 3: ≥140 and/or ≥90 mm Hg. Electronic health data were matched to emergency and hospital claims for incident CVD in 118 356 treated hypertensive patients. In adults with and without aTRH, respectively, CVD was greater in level 1 versus level 2 (multivariable hazard ratio, 1.88 [95% confidence interval [CI], 1.70-2.07]; 1.71 [95% CI, 1.59-1.84]), intermediate in level 1 versus level 3 (hazard ratio, 1.32 [95% CI, 1.21-1.44]; 0.99, [95% CI, 0.92-1.07]), and lowest in level 2 versus level 3 (hazard ratio, 0.70 [95% CI, 0.65-0.76]; 0.58, [95% CI, 0.54-0.62]). Low treated BP was associated with more CVD than less stringent BP control irrespective of aTRH.

Indexed as

AdultAgedAged, 80 and overDrug ResistanceFemaleHeart DiseasesHumansHypertensionHypotensionMaleMiddle Aged

Identifiers

PMID27767292
PMCPMC5837034
OpenAlexW2536937163

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.