Hypertension

Tirzepatide and blood pressure reduction: stratified analyses of the SURMOUNT-1 randomised controlled trial

HeartPublished Post hoc analysis of the SURMOUNT-1 randomised controlled trial

Authors' conclusion

In these post hoc analyses, in participants with obesity or overweight, tirzepatide was associated with reduced blood pressure consistently across participant groups primarily via weight loss, with relatively few blood pressure-related adverse events.

Study context

Population
People with obesity or overweight with weight-related complications
Comparison
Tirzepatide vs placebo
Primary endpoint
Change in SBP and DBP, overall and across subgroups
Follow-up
72 weeks
Methodological detailsstratified subgroup analyses, mediation analysis
  • Stratified subgroup analyses
  • Mediation analysis

Primary result

As reported in the abstract

Net BP reduction vs placebo

Net reduction

6.8 mm Hg

SBP; significant

Net reduction

4.2 mm Hg

DBP; significant

Further findings

Normal BP · week 72 · any tirzepatide group

Proportion of BP reduction explained by weight loss (mediation analysis)

SBP reduction explained by weight loss
68%
DBP reduction explained by weight loss
71%

Safety

Low BP adverse events

Infrequent, but rate higher with tirzepatide

Original publication

Tirzepatide and blood pressure reduction: stratified analyses of the SURMOUNT-1 randomised controlled trial. Heart. Published 31 July 2024. doi:10.1136/heartjnl-2024-324170

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