Cochrane · systematic review · CD004349

Blood pressure targets in adults with hypertension

Arguedas, JA, Leiva, V, Wright, JM · Cochrane Database of Systematic Reviews · 2020 · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 66.7%Moderate 1 · 16.7%High 1 · 16.7%

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

Lower BP target compared to standard BP target for hypertension

Population: adult patients with hypertension
6 questions
OutcomeEffectEvidenceStatus / GRADE
Total mortality
Lower BP target vs standard BP target
RR 0.95 [0.86, 1.05]NRHigh
Total serious adverse events№ of participants: 18165(6 RCTs)
Lower BP target vs standard BP target
RR 1.04 [0.99, 1.08]NRModerate
Myocardial infarction№ of participants: 38,198(8 RCTs)
Lower BP target vs standard BP target
RR 0.84 [0.73, 0.96]NRLow
Stroke№ of participants: 37,087(7 RCTs)
Lower BP target vs standard BP target
RR 0.88 [0.77, 1.01]NRLow
Congestive heart failure№ of participants: 15,859(5 RCTs)
Lower BP target vs standard BP target
RR 0.75 [0.6, 0.92]NRLow
Other serious adverse events
Lower BP target vs standard BP target
RR 1.44 [1.32, 1.59]NRLow