Cochrane · systematic review · CD003186

Antiplatelet agents and anticoagulants for hypertension

Shantsila, E, Kozieł-Siołkowska, M, Lip, GYH · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

HypertensionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 80%Moderate 0 · 0%High 1 · 20%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Aspirin compared to placebo for adults with hypertension

Population: adults with hypertension (patients with atrial fibrillation, congestive heart failure, pre‐eclampsia or pulmonary hypertension were excluded)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Total mortality
Aspirin vs placebo
OR 0.97 [0.87, 1.08]3 studies · 35794 participantsLow
Downgraded: risk of bias, imprecision
Cardiovascular mortality
Aspirin vs placebo
OR 0.98 [0.82, 1.17]3 studies · 35794 participantsLow
Downgraded: risk of bias, imprecision
Non‐fatal cardiovascular events
Aspirin vs placebo
OR 0.63 [0.45, 0.87]1 study · 2540 participantsLow
Downgraded: risk of bias
Major bleedinga
Aspirin vs placebo
OR 1.77 [1.34, 2.32]2 studies · 21330 participantsHigh
All cardiovascular events
Aspirin vs placebo
OR 0.86 [0.77, 0.96]3 studies · 35794 participantsLow
Downgraded: risk of bias, imprecision