作者
Massimo Volpe, Giovanna Gallo, Allegra Battistoni, Giuliano Tocci
发表日期
2019/3/29
期刊
Circulation Research
卷号
124
期号
7
页码范围
972-974
出版商
Lippincott Williams & Wilkins
简介
Volpe et al Newer Aspects of the 2018 European Guidelines 973 and could be exposed to a relevant risk. Recent randomized clinical trials and meta-analyses have indeed suggested to reconsider these thresholds and most importantly, the consequent clinical behaviors. SPRINT is paradigmatically quoted to support the beneficial effect of a more intensive BP control in high-risk patients in the high-normal range. Those who were randomized to an SBP target< 120 mm Hg (intensive treatment) had a better cardiovascular outcome than those who were randomized to an SBP target< 140 mm Hg (standard treatment). 9 However, several specific methodological criticisms, mostly linked to the unique BP measurement technique, have been raised to SPRINT, 11 and although the study unequivocally shows that a tighter BP control is beneficial, 9 the implications of its results in a larger population remain controversial. The …
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