Hypertension

Orthostatic hypertension and major adverse events: a systematic review and meta-analysis

Eur J Prev CardiolPublished Systematic review and meta-analysis

Pooled result · All-cause mortalityResult — go to the resultHazard ratio 1.21 95% CI 1.05–1.40

Authors' conclusion

Patients with SOHT may have higher mortality risk relative to those with ONT and increased odds of stroke/cerebrovascular disease.

Study context

Population
Adults aged ≥18 years in observational/interventional studies assessing orthostatic hypertension
Participants
61,669 adults20 studies
Comparison
Systolic orthostatic hypertension (OHT) vs orthostatic normotension
Outcome
All-cause mortality
Methodological detailsrandom-effects, Quality (Newcastle-Ottawa): 11 good, 8 fair, 1 poor, Median (IQR) follow-up of prospective studies 7.85 (4.12, 10.83) years
  • Random-effects
  • Quality (Newcastle-Ottawa): 11 good, 8 fair, 1 poor
  • Median (IQR) follow-up of prospective studies 7.85 (4.12, 10.83) years

Pooled result

As reported in the abstract

Hazard ratio

1.21

95% CI 1.05–1.40

SOHTvs ONT
HR 1.21 (95% CI 1.05–1.40)

Further pooled results

OutcomeEstimate
CV mortalityTwo studiesHR 1.39 (95% CI 1.05–1.84)
Stroke/cerebrovascular diseaseOR 1.94 (95% CI 1.52–2.48)

Other outcomes (CHD, HF, neurocognitive decline)

No association; possibly weak evidence or low statistical power

Original publication

Orthostatic hypertension and major adverse events: a systematic review and meta-analysis. Eur J Prev Cardiol. Published 18 May 2023. doi:10.1093/eurjpc/zwad158

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