Hypertension

Blood Pressure Variability and Risk of Atrial Fibrillation in Adults With Type 2 Diabetes

JACC AdvPublished Secondary analysis of the ACCORD randomised trial

Authors' conclusion

In a large cohort of adults with type 2 diabetes, higher variability in SBP and DBP was independently associated with an increased risk of AF.

Study context

Population
Adults with T2DM with ≥5 blood pressure (BP) measurements in the first 24 months of ACCORD155 developed atrial fibrillation (AF)
Participants
8,399 adults
Comparison
Highest vs lowest quartile of visit-to-visit BP variability
Primary endpoint
Incident AF (follow-up ECGs)
Follow-up
Median 5 years

Primary result

As reported in the abstract

Highest quartile vs Lowest quartileRelative risk (95% CI)
Coefficient of variation of SBP
1.85(1.13–3.03)
Coefficient of variation of DBP
1.63(1.01–2.65)

Further findings

OutcomeRR (95% CI)
Incident AF, highest quartile of both SBP and DBP variabilityvs lowest 3 quartiles of both2-fold higher risk1.94 (1.29–2.93)

Original publication

Blood Pressure Variability and Risk of Atrial Fibrillation in Adults With Type 2 Diabetes. JACC Adv. Published 30 June 2023. doi:10.1016/j.jacadv.2023.100382

Composed by AI from the published abstract and checked against it. How Briefs are made →

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