Hypertension

Apparent treatment-resistant hypertension associated lifetime cardiovascular risk in a longitudinal national registry

Eur J Prev CardiolPublished Retrospective cohort study

Authors' conclusion

Among individuals with hypertension, aRH that develops prior to mid-life is associated with substantially elevated cardiorenal disease risk across the lifespan.

Study context

Population
Individuals with hypertension prescribed ≥1 antihypertensive, FinnGen Study (Finland)
Participants
48,721 individuals
Exposure
aRH vs 1 antihypertensive class
  • aRHn = 5,715
Outcome
Cardiorenal outcomes
Follow-up
Across the lifespan
Methodological detailsnational registry, multivariable-adjusted Cox models
  • National registry
  • Multivariable-adjusted Cox models

Main finding

As reported in the abstract

lifetime

aRH

11.7%

5715

aRH vs One classHazard ratio (95% CI)
Renal failure
2.30(2.00–2.65)
Intracranial haemorrhage
1.50(1.08–2.05)
HF
1.40(1.24–1.63)
Cardiac death
1.79(1.45–2.21)
All-cause death
1.76(1.52–2.04)

Observational data: associations, not effects.

Original publication

Apparent treatment-resistant hypertension associated lifetime cardiovascular risk in a longitudinal national registry. Eur J Prev Cardiol. Published 2 March 2023. doi:10.1093/eurjpc/zwad066

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