Arterial blood pressure target values in the light of the SPRINT trial results Review article
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Abstract
Reduction of mortality and cardiovascular events rate is the main aim of the antihypertensive treatment. There is an ongoing discussion on the target blood pressure values and the J curve phenomenon, which is an increase of the cardiovascular events associated with low arterial pressure. Several clinical trials on this issue were published recently, including one that was of particular interest – a SPRINT trial. The authors of this study reported an increased risk of cardiovascular events and death in the group with target systolic blood pressure of less than 140 mmHg, compared with the target of less than 120 mmHg. After a detailed analysis of the study protocol and results doubts are expressed about its final interpretation and conclusions.
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