Hazard ratios with 95% confidence intervals for CVD incidence associated with age, sex and cluster in the full Cox regression model. The study sample consisted of 3726 individuals with grade 2 hypertension and 11 020 reference individuals from FINRISK 1997, 2002, and 2007 cohorts. CVD, cardiovascular disease; HR, hazard ratio; MC, the metabolically challenged cluster with higher blood glucose and body‐mass index; non‐MC, the non‐metabolically challenged cluster with lower blood glucose and body‐mass index. *Here the non‐MC cluster was used as the reference group