Target Blood Pressure for Treatment of Isolated Systolic Hypertension in the Elderly by Toshio Ogihara, Takao Saruta, Hiromi Rakugi, Hiroaki Matsuoka,

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Presentation transcript:

Target Blood Pressure for Treatment of Isolated Systolic Hypertension in the Elderly by Toshio Ogihara, Takao Saruta, Hiromi Rakugi, Hiroaki Matsuoka, Kazuaki Shimamoto, Kazuyuki Shimada, Yutaka Imai, Kenjiro Kikuchi, Sadayoshi Ito, Tanenao Eto, Genjiro Kimura, Tsutomu Imaizumi, Shuichi Takishita, and Hirotsugu Ueshima Hypertension Volume 56(2):196-202 August 1, 2010 Copyright © American Heart Association, Inc. All rights reserved.

Figure 1. Study profile. Figure 1. Study profile. Toshio Ogihara et al. Hypertension. 2010;56:196-202 Copyright © American Heart Association, Inc. All rights reserved.

Figure 2. Changes in BP during treatment. Figure 2. Changes in BP during treatment. The BP differences between the 2 groups were statistically significant during the follow-up period. Toshio Ogihara et al. Hypertension. 2010;56:196-202 Copyright © American Heart Association, Inc. All rights reserved.

Figure 3. Kaplan-Meier estimates of the primary end point. Figure 3. Kaplan-Meier estimates of the primary end point. The primary end point is a composite of sudden death, fatal and nonfatal stroke, fatal and nonfatal myocardial infarction, heart failure death, other cardiovascular death, unplanned hospitalization because of cardiovascular diseases, and renal dysfunction. The hazard ratio was adjusted for the following covariates: sex, age, BMI, smoking, dyslipidemia, diabetes mellitus, and antihypertensive agents used before enrollment. A, Intention-to-treat analysis; B, per-protocol analysis. Toshio Ogihara et al. Hypertension. 2010;56:196-202 Copyright © American Heart Association, Inc. All rights reserved.

Figure 4. Comparisons of hazard ratios and 95% CIs for the primary end point and secondary end point. Figure 4. Comparisons of hazard ratios and 95% CIs for the primary end point and secondary end point. Hazard ratio was adjusted for the following covariates: sex, age, BMI, smoking, dyslipidemia, diabetes mellitus, and antihypertensive agents used before enrollment. 1Data include sudden death, fatal and nonfatal stroke, fatal and nonfatal myocardial infarction, heart failure death, other cardiovascular death, unplanned hospitalization because of cardiovascular diseases, renal dysfunction (doubling of serum creatinine and creatinine, to >2.0 mg per 100 mL, or introduction of dialysis). 2Data include cardiovascular death, nonfatal stroke (exclude transient ischemic attack), and nonfatal myocardial infarction. Toshio Ogihara et al. Hypertension. 2010;56:196-202 Copyright © American Heart Association, Inc. All rights reserved.

Figure 5. Comparisons of hazard ratios and 95% CIs for primary end point in each prespecified subgroup. Figure 5. Comparisons of hazard ratios and 95% CIs for primary end point in each prespecified subgroup. Hazard ratio was adjusted for covariates: sex, age, BMI, smoking, dyslipidemia, diabetes mellitus, and antihypertensive agents used before enrollment. 1Data show the number of events/number of patients. Toshio Ogihara et al. Hypertension. 2010;56:196-202 Copyright © American Heart Association, Inc. All rights reserved.