Evidence map›Paper›PMID 39972175›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2025

Long-term risk of cardiovascular mortality according to age group and blood pressure categories of the latest guideline.

Michihiro Satoh, Takayoshi Ohkubo, Katsuyuki Miura, Akiko Harada, Anna Tsutsui, Atsushi Hozawa, Yuji Shimizu, Shizukiyo Ishikawa, Yoshihiro Kokubo, Tomonori Okamura and 2 more

Abstract read
In one paragraph

Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Low-Dose Telmisartan/Amlodipine in Essential Hypertension: A Phase III Trial.Journal of clinical hypertension (Greenwich, Conn.) · 2026
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Current hypertension epidemiology and contemporary approaches using the "Real-World Evidence Cycle" framework.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  8. Article
  9. The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  10. Understanding clinical inertia in hypertension management: clues from real-world data.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  11. The JSH Morning Hypertension Eradication Program Project.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  12. Delayed treatment initiation as one of the crucial factors in clinical inertia: lessons from a real-world database research.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  13. Article
  14. Carnitine metabolism in hypertensive heart failure.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
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

12 authors.

Michihiro SatohDivision of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan. satoh.mchr@tohoku-mpu.ac.jp.
Takayoshi OhkuboDepartment of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.
Katsuyuki MiuraNCD Epidemiology Research Center, Shiga University of Medical Science, Otsu, Japan.
Akiko HaradaNCD Epidemiology Research Center, Shiga University of Medical Science, Otsu, Japan.
Anna TsutsuiDepartment of Medical Statistics, Toho University School of Medicine, Tokyo, Japan.
Atsushi HozawaDepartment of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Yuji ShimizuDepartment of General Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Shizukiyo IshikawaCenter for Information, Jichi Medical University, Tochigi, Japan.
Yoshihiro KokuboDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Tomonori OkamuraDepartment of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan.
Yoshitaka MurakamiDepartment of Medical Statistics, Toho University School of Medicine, Tokyo, Japan.
Evidence for Cardiovascular Prevention from Observational Cohorts in Japan (EPOCH–JAPAN) Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examined the association between the latest blood pressure (BP) classification and cardiovascular disease (CVD) mortality risk, using data from 70,570 individuals across 10 Japanese cohorts. Participants were stratified by age (40-64 and 65-89 years) and antihypertensive treatment use. BP was classified according to the 2019 Japanese Society of Hypertension Guidelines. During a follow-up period of approximately 10 years, 2304 CVD deaths occurred. Cox models demonstrated that CVD mortality risk increased stepwise with the BP category, with this association being especially pronounced in patients aged 40-64 years, where the Grade I hypertension group showed the highest population-attributable fraction (PAF). When the treated participants were included in the hypertension group, the overall PAF for CVD mortality was 41.1%. Similar patterns were observed for CVD subtype mortality risk, with hypertension showing particularly high PAFs for intracerebral hemorrhage. These findings highlight the importance of early-stage prevention and management of hypertension.

Indexed as

Blood PressureCardiovascular DiseasesHypertensionAdultAgedAged, 80 and overAge FactorsAntihypertensive AgentsFemaleHumansJapanMaleMiddle AgedPractice Guidelines as TopicRisk FactorsAntihypertensive AgentsBlood pressureCardiovascular diseasesEpidemiologyMeta-analysisPopulation

Identifiers

PMID39972175
PMCPMC11972951

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Registered trials

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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.