Evidence map›Paper›PMID 41573492›Full record

ReviewCureus2025

Hypertension and Risk of Stroke: A Systematic Review and Meta-Analysis.

Ahmad Mohammad, Indresh Yadav, Usman G Lashari, Sarah Sabra, Adam Sabra, Mariam Sabra, Fatima Tariq, Jaisingh Rajput

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Ahmad MohammadDepartment of Internal Medicine, Hurley Medical Cente, Michigan State University, Flint, USA.
Indresh YadavDepartment of Internal Medicine, Zucker School of Medicine at Hofstra/Northwell Health at Vassar Brothers Medical Center, Poughkeepsie, USA.
Usman G LashariDepartment of Medicine, Brown University, Providence, USA.
Sarah SabraDepartment of Pharmacy, Arnold & Marie Schwartz College of Pharmacy and Health Sciences, New York City, USA.
Adam SabraDepartment of Pharmacy, Arnold & Marie Schwartz College of Pharmacy and Health Sciences, New York City, USA.
Mariam SabraGeneral Medicine, Alexandria University, Alexandria, EGY.
Fatima TariqDepartment of Medicine, Yameen Medical and Surgical Centre, Faisalabad, PAK.
Jaisingh RajputDepartment of Family Medicine, Montgomery Baptist Family Medicine Residency Program, Montgomery, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite strong evidence linking hypertension (HTN) to stroke, updated syntheses are needed to refine risk estimates by stroke subtype and population group. This systematic review quantified HTN-associated stroke risk and examined variations across subtypes. Across 24 studies (n = 1.8 million), HTN increased overall stroke risk by approximately twofold (odds ratio (OR)/hazard ratio (HR)/risk ratio (RR): 1.3-2.1), with the strongest association observed for hemorrhagic stroke (OR = 2.1) and among Asian populations (RR = 2.0). Women had a higher risk (HR = 1.5) than men (HR = 1.3). Each 5-mmHg reduction in systolic blood pressure (SBP) lowered stroke risk by 22% (RR = 0.78), while intensive control (SBP < 120 mmHg) reduced incidence by 41% among people with diabetes. Post-stroke BP management (SBP < 140 mmHg) decreased recurrence by 35% (HR = 0.65). Considerable heterogeneity (I² = 93.2%) was attributed to variations in HTN definitions and population characteristics. Overall, HTN remains a potent and modifiable stroke risk factor, with differential effects by subtype and sex. Intensive and targeted BP control, particularly in high-risk groups, significantly reduces stroke burden. Standardized methods and tailored interventions are needed to address heterogeneity and optimize prevention strategies.

Indexed as

epidemiologyhypertensionmeta-analysisrisk factorsstroke

Identifiers

PMID41573492
PMCPMC12823101

What OpenQuestion holds

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LicenceCC BY
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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.