Hypertension

Efficacy and safety of intensive antihypertensive strategy in patients with low diastolic blood pressure: a secondary analysis of a cluster randomised trial

HeartPublished post hoc analysis of the China Rural Hypertension Control Project

Authors' conclusion

The intensive BP intervention led by non-physician providers is both effective and safe in reducing CVD and mortality across all baseline DBP groups.

Study context

Population
General hypertensive population, stratified by baseline diastolic BP (DBP) quartilesdivided into four baseline DBP quartiles
Participants
33,288 participants
Comparison
Intervention group vs usual care, stratified by baseline DBP quartiles
Methodological detailssecondary analysis of a cluster randomised trial
  • Secondary analysis of a cluster randomised trial

Primary result

As reported in the abstract

Cardiovascular outcomes, by baseline DBP quartile
intervention group vs usual careAdjusted hazard ratio (95% CI)P value
Q1: DBP ≤80.7 mm Hg
0.69(0.58–0.83)
P < 0.001
Q2: 80.7-87.3 mm Hg
0.60(0.50–0.71)
P < 0.001
Q3: 87.3-94.3 mm Hg
0.59(0.49–0.71)
P < 0.001
Q4: >94.3 mm Hg
0.67(0.56–0.78)
P < 0.001

Original publication

Efficacy and safety of intensive antihypertensive strategy in patients with low diastolic blood pressure: a secondary analysis of a cluster randomised trial. Heart. Published 9 December 2025. doi:10.1136/heartjnl-2025-326413

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

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