Table 2.
First author or acronym [ref.] | Year of publication | Total number of subjects | Entry criteria of age, years | Patients | Treatment or goal BP | Comment |
---|---|---|---|---|---|---|
Intensive vs. less intensive BP lowering without defined goals | ||||||
ADVANCE [21] | 2007 | 11,140 | >55 Hypertension and type 2 DM | Perindopril/indapamide combination vs. placebo | No evidence of J-curve | |
NAVIGATOR [29] | 2010 | 9,306 | >50 | CAD, CV risk factors or impaired glucose tolerance | Valsartan vs. placebo | Valsartan led to a 21% reduction in the incidence of stroke but did not reduce the rate of CV events |
ROADMAP [22] | 2011 | 4,447 | 18–75 | Hypertension and type 2 DM | Olmesartan vs. placebo | Among patients with pre-existing CAD, those in the lowest quartile of SBP and those in the highest quartile of SBP reduction during the double-blind treatment had the highest rates of CV disease |
Intensive vs. less intensive BP lowering with defined goals | ||||||
ACCORD-BP [19] | 2007 | 4,733 | >55 | Hypertension and type 2 DM | SBP <120 vs. <140 mm Hg | No significant difference |
JATOS [17] | 2008 | 4,418 | 65–85 | Hypertensive patients | SBP <130 vs. <140 mm Hg | No significant difference |
VALISH [18] | 2010 | 3,260 | 70–84 | Isolated systolic hypertension | SBP >140 to <150 vs. <140 mm Hg | No significant difference |
INTERACT2 [31, 32] | 2013 | 2,839 | Mean 63.2 | ICH and SBP 150–220 mm Hg | Intensive (<140 mm Hg) vs. less intensive BP lowering | Intensive BP lowering better |
SPRINT [20] | 2015 | 9,361 | >50 | Hypertension with an increased CV risk and without DM or a history of stroke | SBP <120 vs. <140 mm Hg | SBP <120 mm Hg better |
BP = Blood pressure; CAD = coronary artery disease; CV = cardiovascular; DM = diabetes mellitus; ICH = intracerebral hemorrhage; SBP = systolic blood pressure.