Heart failure & cardiomyopathies

Systolic blood pressure time in target range and long-term outcomes in patients with ischemic cardiomyopathy

Am Heart JPublished Post-hoc analysis of the STICH randomised trial

Authors' conclusion

In patients with ICM, the higher TTR was significantly associated with decreased risk of all-cause mortality, CV mortality and the composite outcome of all-cause mortality plus CV rehospitalization, regardless of whether the patient received coronary artery bypass grafting or medical therapy, and the level of baseline SBP.

Study context

Population
Patients with ischemic cardiomyopathy in the surgical treatment of ischemic heart failure trial; Systolic blood pressure (SBP) target range 110 to 130 mm Hgtrial enrolled 2,136
Participants
1,194 patients
Comparison
SBP time in target range (TTR) quartiles
Primary endpoint
All-cause mortality

Primary result

As reported in the abstract

Estimate (95% CI)
Quartile 3 vs Quartile 4
adjusted HR 1.32(0.98–1.78)
Quartile 2 vs Quartile 4
adjusted HR 1.40(1.03–1.90)
Quartile 1 vs Quartile 4
adjusted HR 1.53(1.14–2.04)
Per 29.28% (1-SD) decrement in TTRsignificantly increased risk
HR 1.15(1.04–1.26)

Further findings

Cardiovascular (CV) mortality; composite of all-cause mortality plus CV rehospitalization; subgroups (CABG or medical therapy, baseline SBP)

Similar results observed

Original publication

Systolic blood pressure time in target range and long-term outcomes in patients with ischemic cardiomyopathy. Am Heart J. Published 3 March 2023. doi:10.1016/j.ahj.2022.12.011

Summarised from the published abstract; every number is checked against it

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