Evidence map›Paper›PMID 40895849›Full record

ReviewCureus2025

Impact of Blood Pressure Control on Stroke and Myocardial Infarction Risk in Hypertensive Patients With and Without Diabetes: A Narrative Review.

Christy N Anyaogu, Paul A Momodu, Okelue E Okobi, Adaora T Amadi, Judah K Okechukwu, Oksana Polna, Dorcas A Adeola, Olamma A Dike, Ebere M Nwachukwu, Ogechi K Akudinobi and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. 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

11 authors.

Christy N AnyaoguMedicine, Richmond Gabriel University, Kingstown, VCT.
Paul A MomoduMedicine, International University of the Health Sciences, Basseterre, KNA.
Okelue E OkobiFamily Medicine, Larkin Community Hospital Palm Springs Campus, Miami, USA.
Adaora T AmadiFamily Medicine, Enugu State University College of Medicine, Enugu, NGA.
Judah K OkechukwuInternal Medicine, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, UKR.
Oksana PolnaInternal Medicine, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, UKR.
Dorcas A AdeolaGeneral Practice, Ladoke Akintola University of Technology, Ogbomosho, NGA.
Olamma A DikeFamily Medicine, Abia State University Teaching Hospital, Aba, NGA.
Ebere M NwachukwuKinesiology-Exercise Science, Georgia Southern University, Statesboro, USA.
Ogechi K AkudinobiFamily Medicine, Abia State University, Aba, NGA.
Hannatu GabrielGeneral Medicine, National Pirogov Memorial Medical University, Vinnytsya, UKR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertension (HTN) is a well-acknowledged and modifiable risk factor that significantly increases the risk of cardiovascular disease. Left uncontrolled, HTN may result in severe complications, including myocardial infarction and stroke. Also, when HTN coexists with diabetes, the adverse effects on cardiovascular health are amplified as a result of the combined vascular and metabolic effects. This narrative review synthesizes evidence from large observational cohorts, randomized clinical trials (e.g., Systolic Blood Pressure Intervention Trial or SPRINT, Action to Control Cardiovascular Risk in Diabetes or ACCORD), and contemporary guideline recommendations to assess these outcomes. The coexistence of diabetes mellitus with hypertension may further worsen vascular health through combined metabolic and endothelial effects, increasing rates of myocardial infarction and stroke. While pharmacological blood pressure (BP) lowering and lifestyle interventions (e.g., sodium restriction, exercise) generally reduce risk, overly aggressive diastolic BP reduction (< 60 mmHg) can pose hazards in older adults or patients with chronic kidney disease. Current strategies adjust systolic and diastolic targets based on individual factors, age, comorbidity burden, and baseline cardiovascular risk and may include combined drug regimens, dietary counseling, or device‑based therapies. Further studies should prospectively evaluate optimal BP targets in under‑represented populations (e.g., elderly ≥ 75 years, chronic kidney disease stages 3-5, sub‑Saharan cohorts) and compare pharmacologic versus lifestyle‑only strategies, particularly in patients with multiple comorbidities.

Indexed as

diabeteshigh blood pressurehypertensionmyocardial infarctionmyocardial injury

Identifiers

PMID40895849
PMCPMC12393132

What OpenQuestion holds

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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.