Blood pressure-lowering treatment strategies based on cardiovascular risk versus blood pressure: A meta-analysis of individual participant data.
Kunal N KarmaliDonald M Lloyd-JonesJoep van der LeeuwDavid C GoffSalim YusufAlberto ZanchettiPaul P GlasziouRodney JacksonMark WoodwardAnthony RodgersBruce C NealEivind BergeKoon TeoBarry R DavisJohn ChalmersCarl PepineKazem RahimiJohan Sundströmnull nullPublished in: PLoS medicine (2018)
A blood pressure-lowering treatment strategy based on predicted cardiovascular risk is more effective than one based on blood pressure levels alone across a range of thresholds. These results support using cardiovascular risk assessment to guide blood pressure treatment decision-making in moderate- to high-risk individuals, particularly for primary prevention.