HypertensionCohort study

Antihypertensive treatment in young adults and cardiovascular risk: a population-based cohort study

Eur Heart JPublished

  • Population-based cohort study
  • healthcare utilization database

Authors' conclusion

In a real-life setting, adherence to antihypertensive drug treatment reduced CV risk in young adults as much as in middle-aged patients.

Study context

Population
Residents aged 18–55 years newly prescribed antihypertensive drugs, Lombardy (Italy), 2009–2017
Participants
286,751 residents
Exposure
Adherent vs non-adherent to antihypertensive drugs
Outcome
Hospital admissions for CV events
Follow-up
About 6 years

Main finding

As reported in the abstract

Hospitalization for CV outcome, by age group · about 6 years
Adherent vs Non-adherentHazard ratio (95% CI)
aged 18-39 years
0.78(0.65–0.94)
aged 40-55 years
0.80(0.76–0.84)

Observational data: associations, not effects.

Secondary outcomes

Cardiovascular (CV) and all-cause mortality, by age group

CV mortality, aged 40-55 (adherent vs non-adherent)
−18%, 6-28%
All-cause mortality, aged 40-55 (adherent vs non-adherent)
−30%, 27-33%
No significant effects on CV or all-cause mortality, aged 18-39

Original publication

Antihypertensive treatment in young adults and cardiovascular risk: a population-based cohort study. Eur Heart J. Published 25 September 2025. doi:10.1093/eurheartj/ehaf744

Summarised from the published abstract; every number is checked against it