Evidence map›Paper›PMID 40857275›Full record

ReviewCardiovascular research2025

Blood pressure management in secondary prevention after myocardial infarction.

Massimo Volpe, Giovanna Gallo, Tomasz J Guzik, Bryan Williams, Franz H Messerli

Abstract readReview
In one paragraph

Review in Cardiovascular research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Challenges and Perspectives in Optimising the Treatment of Arterial Hypertension: Role of the Ramipril-Amlodipine-Hydrochlorothiazide Single-Pill Combination.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Review
  2. 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

5 authors.

Massimo VolpeDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Via di Grottarossa 1035-1035, 00189 Rome, Italy.ORCID 0000-0002-9642-8380
Giovanna GalloDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Via di Grottarossa 1035-1035, 00189 Rome, Italy.ORCID 0000-0003-4845-117X
Tomasz J GuzikCentre for Cardiovascular Sciences, BHF Cardiovascular Research Centre, University of Edinburgh, Edinburgh, UK.
Bryan WilliamsUCL Hospitals Biomedical Research Centre, University College London (UCL), Institute of Cardiovascular Science, National Institute for Health Research, London, UK.ORCID 0000-0002-8094-1841
Franz H MesserliKantonsspital Luzern and Department of BioMedical Research, University of Bern, Bern, Switzerland.

Funding

Italian Ministry of Health
6 · The paper itself

Abstract

The management of blood pressure (BP) in secondary prevention after acute myocardial infarction (AMI) remains a matter of debate. Since no dedicated trials have specifically addressed BP control in patients recovering from an acute coronary syndrome, there are no evidence-based, prospective data to define precise BP targets in this population. Moreover, major international guidelines devote surprisingly little attention to BP management in the post-AMI setting, despite its recognized importance in reducing recurrent cardiovascular events. On one hand, BP-lowering may improve cardiac function by reducing afterload and myocardial oxygen consumption and by facilitating favourable ventricular remodelling. On the other hand, the concept of a J-shaped association-whereby excessive lowering of diastolic blood pressure may paradoxically increase cardiovascular risk, particularly in the early post-AMI period-remains a matter of ongoing uncertainty. Despite decades of investigation, this issue has not been definitively resolved and continues to raise debate within both the scientific community and among clinicians. In this review, we examine the current evidence supporting BP control in the context of secondary prevention following AMI, with an updated focus on the ongoing debate surrounding the potential implications of the J-shaped phenomenon.

Indexed as

Antihypertensive AgentsBlood PressureHypertensionMyocardial InfarctionSecondary PreventionHumansRecurrenceRisk AssessmentRisk FactorsTreatment OutcomeAntihypertensive AgentsAcute coronary syndromesBlood pressure managementCoronary artery diseaseJ-curve phenomenonSecondary prevention

Identifiers

PMID40857275
PMCPMC12560770

What OpenQuestion holds

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LicenceCC BY
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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.