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. Author manuscript; available in PMC: 2020 Sep 1.
Published in final edited form as: Hypertension. 2020 Jan 27;75(3):660–667. doi: 10.1161/HYPERTENSIONAHA.119.14309

Table 4.

Association of post-randomization orthostatic hypotension as a time-varying covariate with trial outcomes and serious adverse events by blood pressure goal assignment, N=8,792.

Standard Blood Pressure Goal Intensive Blood Pressure Goal P-interaction
Events HR (95% CI) P Events HR (95% CI) P
Outcomes
 Primary outcome 369 0.94 (0.62, 1.44) 0.79 280 1.04 (0.63, 1.72) 0.87 0.52
 Secondary outcomes
  Myocardial infarction 144 1.01 (0.51, 1.99) 0.98 102 0.87 (0.33, 2.26) 0.78 0.81
  Acute coronary syndrome 44 0.35 (0.05, 2.73) 0.32 40 2.56 (1.04, 6.31) 0.04 0.03
  Stroke 85 0.52 (0.18, 1.50) 0.23 71 1.18 (0.42, 3.32) 0.75 0.35
  Heart failure 105 1.33 (0.66, 2.69) 0.42 82 0.34 (0.10, 1.23) 0.10 0.15
  Death from cardiovascular causes 72 0.72 (0.25, 2.09) 0.55 50 0.53 (0.12, 2.40) 0.41 0.79
  Death from any cause 201 1.40 (0.85, 2.29) 0.18 163 0.72 (0.35, 1.48) 0.37 0.19
  Primary outcome or death 475 1.09 (0.76, 1.55) 0.65 381 1.01 (0.66, 1.56) 0.95 0.88
Serious Adverse Events
 Hypotension 74 3.26 (1.56, 6.81) 0.002 146 1.35 (0.71, 2.59) 0.36 0.31
 Syncope 103 1.57 (0.72, 3.43) 0.26 144 1.55 (0.82, 2.95) 0.18 0.87
 Bradycardia 78 1.96 (0.92, 4.18) 0.08 98 1.85 (0.89, 3.86) 0.10 0.63
 Electrolyte abnormality 125 0.99 (0.46, 2.10) 0.97 173 0.91 (0.46, 1.80) 0.79 0.92
 Injurious Fall 305 1.17 (0.74, 1.84) 0.50 349 1.14 (0.73, 1.78) 0.56 0.72
 Acute kidney injury or acute renal failure 118 1.77 (0.88, 3.55) 0.11 199 0.99 (0.51, 1.93) 0.97 0.19

Models were adjusted for baseline orthostatic hypotension and the following baseline characteristics: age, sex, race, treatment assignment, systolic blood pressure, diastolic blood pressure, body mass index, high density lipoprotein cholesterol, total cholesterol, statin use, chronic kidney disease, estimated glomerular filtration rate, subclinical or clinical cardiovascular disease, smoking status, or number of hypertensive medications

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