Hypertension

Degree of Joint Risk Factor Control and Incident Heart Failure in Hypertensive Patients

JACC Heart FailPublished Prospective cohort study

Authors' conclusion

The joint risk factor control is associated with a lower risk of incident HF in an accumulative and sex-specific manner.

Study context

Population
UK Biobank participants with diagnosed hypertension and matched nonhypertensive controls, followed up until May 31, 2021matched cohort
Exposure
Degree of joint risk factor control in hypertensive patients vs nonhypertensive controls
  • Hypertensionn = 75,293
  • Nonhypertensive controln = 256,619reference
Outcome
Incident HF
Methodological detailsmatched
  • Matched

Main finding

As reported in the abstract

Incident HF by joint risk factor control (hypertensive patients)
Hazard ratio (95% CI)
Controlling ≥6 risk factors62% lower risk; optimal control, among hypertensive patients
0.38(0.31–0.45)
Hypertension, controlling ≥6 risk factorsvs Nonhypertensive controls
0.79(0.67–0.94)
Each additional risk factor controlled: lower heart failure (HF) risk
20%

Observational data: associations, not effects.

Further findings

Incident HF by sex and medication use (subgroups)

Protective associations broadly stronger in men than women and in medication users than nonusers
P for interaction < 0.05

Original publication

Degree of Joint Risk Factor Control and Incident Heart Failure in Hypertensive Patients. JACC Heart Fail. Published 1 March 2023. doi:10.1016/j.jchf.2023.01.006

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

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