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Review

Hypertension and stroke: an appraisal of the evidence and implications for clinical management

, &
Pages 609-616 | Received 20 Oct 2015, Accepted 14 Jan 2016, Published online: 12 Feb 2016

References

  • Society of Actuaries. Blood pressure: report of the Joint Committee on Mortality of the Association of Life Insurance Medical Directors and the Actuarial Society of America. New York (NY): Society of Actuaries; 1925.
  • Freis ED. The role of hypertension. Am J Hypertens. 1960;50:11–13.
  • Veterans Administrative Cooperative Study Group on Antihypertensive Agents. Effects of treatment on morbidity in hypertension: results in patients with diastolic blood pressures averaging 115 through 129 mm Hg. JAMA. 1967;202:1028–1034. doi:10.1001/jama.1967.03130240070013.
  • VA Cooperative Study on Hypertension. Effects of treatment on morbidity in hypertension, II: results in patients with diastolic blood pressure averaging 90 through 114 mm Hg. JAMA. 1970;213:1143–1152.
  • Stamler J, Stamler R, Neaton JD. Blood pressure, systolic and diastolic, and cardiovascular risks: US population data. Arch Intern Med. 1993;153:598–615.
  • Flack JM, Neaton J, Grimm R Jr, et al. Blood pressure and mortality among men with prior myocardial infarction: Multiple Risk Factor Intervention Trial Research Group. Circulation. 1995;92:2437–2445.
  • Cherry DK, Woodwell DA. National Ambulatory Medical Care Survey: 2000 summary. Adv Data. 2002;328:1–32.
  • Lackland DT, Roccella EJ, Deutsch AF, et al.; on behalf of American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Quality of Care and Outcomes Research, and Council on Functional Genomics and Translational Biology. Factors influencing the decline in stroke mortality: a statement from the American Heart Association/American Stroke Association. Stroke. 2014;45:315–353.
  • Vasan RS, Beiser A, Seshadri S, et al. Residual lifetime risk for developing hypertension in middle-aged women and men: the Framingham Heart Study. JAMA. 2002;287:1003–1010.
  • Lloyd-Jones DM, Hong Y, Labarthe D, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s Strategic Impact Goal through 2020 and beyond. Circulation. 2010;121:586–613. doi:10.1161/CIRCULATIONAHA.109.192703.
  • Lewington S, Clarke R, Qizilbash N, et al. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360:1903–1913.
  • Lackland DT, Keil JE, Gazes PC, et al. Outcomes of black and white hypertensive individuals after 30 years of follow-up. Clin Exp Hypertens. 1995;17:1091–1105. doi:10.3109/10641969509033654.
  • O’Donnell MJ, Xavier D, Liu L, et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet. 2010;376:112–123. doi:10.1016/S0140-6736(10)60834-3.
  • Li C, Engstrom G, Hedblad B, et al. Blood pressure control and risk of stroke: a population-based prospective cohort study. Stroke. 2005;36:725–730.
  • Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1997;157:2413–2446.
  • Chobanian AV, Bakris GL, Black HR, et al. The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure the JNC 7 report. JAMA. 2003;289:2560–2572. doi:10.1001/jama.289.19.2560.
  • Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. Report of the Joint National Committee on detection, evaluation, and treatment of high blood pressure: a cooperative study. JAMA. 1977;237:255–261.
  • Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The 1980 report of the Joint National Committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1980;140:1280–1285. doi:10.1001/archinte.1980.00330210028018.
  • Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The 1988 report of the Joint National Committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1988;148:1023–1038.
  • Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The 1984 Report of the Joint National Committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1984;144:1045–1057. doi:10.1001/archinte.1984.00350170211032.
  • Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The fifth report of the Joint National Committee on detection, evaluation, and treatment of high blood pressure (JNC V). Arch Intern Med. 1993;153:154–183.
  • Handler J, Lackland DT. Translation of hypertension treatment guidelines into practice: a review of implementation. J Am Soc Hypertens. 2011;5:197–207. doi:10.1016/j.jash.2011.03.002.
  • Bertoia ML, Waring ME, Gupta PS, et al. Implications of new hypertension guidelines in the United States. Hypertension. 2012;60:639–644. doi:10.1161/HYPERTENSIONAHA.112.193714.
  • Institute of Medicine. Finding what works in health care: Standards for systematic reviews. Washington (DC): National Academies Press; 2011. [cited 2015 Sep 14]. Available from: http://www.iom.edu/Reports/2011/Finding-What-Works-in-Health-Care-Standards-for-systematic-Reviews.aspx.
  • James PA, Oparil S, Carter BL, et al. Evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311:507–520. doi:10.1001/jama.2013.284427.
  • Weber MA, Schiffrin EL, White WB, et al. Clinical practice guidelines for the management of hypertension in the community: A statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens (Greenwich). 2014;16:14–26.
  • Rosendorff C, Lackland DT, Allison M, et al.; on behalf of the American Heart Association Councils on Clinical Cardiology; High Blood Pressure Research; Cardiovascular and Stroke Nursing; Cardiovascular Radiology and Intervention; Epidemiology and Prevention; Nutrition, Physical Activity, and Metabolism; Peripheral Vascular Disease; and the Stroke Council. Treatment of hypertension in patients with coronary artery disease: A scientific statement from the American Heart Association, American College of Cardiology, and American Society of Hypertension. Circulation. 2015;131:e435–e470. doi:10.1161/CIR.0000000000000207.
  • Lackland DT. Systolic blood pressure target levels: Evidence for benefits in stroke. Hypertension. 2015;65:39–40. doi:10.1161/HYPERTENSIONAHA.114.04486.
  • Eccles MP, Grimshaw JM, Shekelle P, et al. Developing clinical practice guidelines: target audiences, identifying topics for guidelines, guideline group composition and functioning and conflicts of interest. Implement Sci. 2012;7:60. doi:10.1186/1748-5908-7-60.
  • Ansari MT, Tsertsvadze A, Moher D. Grading quality of evidence and strength of recommendations: a perspective. PLoS Med. 2009;6(9):e1000151. doi:10.1371/journal.pmed.1000151.
  • Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924–926. doi:10.1136/bmj.39489.470347.AD.
  • Guyatt GH, Oxman AD, Kunz R, et al. What is “quality of evidence“ and why is it important to clinicians? BMJ. 2008;336:995–998. doi:10.1136/bmj.39490.551019.BE.
  • Woolf S, Schünemann HJ, Eccles MP, et al. Developing clinical practice guidelines: types of evidence and outcomes; values and economics, synthesis, grading, and presentation and deriving recommendations. Implement Sci. 2012;7:61.
  • Shekelle P, Woolf S, Grimshaw JM, et al. Developing clinical practice guidelines: reviewing, reporting, and publishing guidelines; updating guidelines; and the emerging issues of enhancing guideline implementability and accounting for comorbid conditions in guideline development. Implement Sci. 2012;7:62.
  • Neal B, MacMahon S, Chapman N. Effects of ACE inhibitors, calcium antagonists, and other blood-pressure-lowering drugs: results of prospectively designed overviews of randomised trials: Blood pressure lowering treatment trialists’ collaboration. Lancet. 2000;356:1955–1964.
  • Ogden LG, He J, Lydick E, et al. Long-term absolute benefit of lowering blood pressure in hypertensive patients according to the JNC VI risk stratification. Hypertension. 2000;35:539–543.
  • Kostis JB, Davis BR, Cutler J, et al. Prevention of heart failure by antihypertensive drug treatment in older persons with isolated systolic hypertension: SHEP Cooperative Research Group. JAMA. 1997;278:212–216.
  • SHEP cooperative research group. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension: final results of the Systolic Hypertension in the Elderly Program (SHEP): SHEP cooperative research group. JAMA. 1991;265:3255–3264.
  • Staessen JA, Thijs L, Fagard R, et al. Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension: Systolic hypertension in Europe trial investigators. JAMA. 1999;282:539–546.
  • Black HR, Elliott WJ, Neaton JD, et al. Baseline characteristics and early blood pressure control in the CONVINCE Trial. Hypertension. 2001;37:12–18.
  • Cushman WC, Ford CE, Cutler JA, et al. Success and predictors of blood pressure control in diverse North American settings: the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). J Clin Hypertens (Greenwich). 2002;4:393–404.
  • Lackland DT, Egan BM, Mountford WK, et al. Thirty-year survival for black and white hypertensive individuals in the Evans County Heart Study and the hypertension detection and follow-up program. J Am Soc Hypertens. 2008;2:448–454.
  • Borhani NO, Mercuri M, Borhani PA, et al. Final outcome results of the Multicenter Isradipine Diuretic Atherosclerosis Study (MIDAS): a randomized controlled trial. JAMA. 1996;276:785–791.
  • Devereux RB, Dahlof B, Kjeldsen SE, et al. Effects of losartan or atenolol in hypertensive patients without clinically evident vascular disease: a substudy of the LIFE randomized trial. Ann Intern Med. 2003;139:169–177.
  • Hansson L, Hedner T, Lund-Johansen P, et al. Randomised trial of effects of calcium antagonists compared with diuretics and betablockers on cardiovascular morbidity and mortality in hypertension: the Nordic Diltiazem (NORDIL) study. Lancet. 2000;356:359–365.
  • Julius S, Alderman MH, Beevers G, et al. Cardiovascular risk reduction in hypertensive black patients with left ventricular hypertrophy: the LIFE study. J Am Coll Cardiol. 2004;43:1047–1055.
  • Kjeldsen SE, Lyle PA, Kizer JR, et al. The effects of losartan compared to atenolol on stroke in patients with isolated systolic hypertension and left ventricular hypertrophy: the LIFE study. J Clin Hypertens (Greenwich). 2005;7:152–158.
  • Lindholm LH, Ibsen H, Dahlof B, et al. Cardiovascular morbidity and mortality in patients with diabetes in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol. Lancet. 2002;359:1004–1010.
  • Mancia G, Brown M, Castaigne A, et al. Outcomes with nifedipine GITS or co-amilozide in hypertensive diabetics and nondiabetics in Intervention as a Goal in Hypertension (INSIGHT). Hypertension. 2003;41:431–436.
  • Mochizuki S, Dahlof B, Shimizu M, et al. Valsartan in a Japanese population with hypertension and other cardiovascular disease (Jikei Heart Study): a randomised, open-label, blinded endpoint morbidity-mortality study. Lancet. 2007;369:1431–1439.
  • Reims HM, Oparil S, Kjeldsen SE, et al. Losartan benefits over atenolol in non-smoking hypertensive patients with left ventricular hypertrophy: the LIFE study. Blood Press. 2004;13:376–384.
  • Schrader J, Luders S, Kulschewski A, et al., MOSES Study Group. Morbidity and mortality after stroke, eprosartan compared with nitrendipine for secondary prevention: principal results of a prospective randomized controlled study (MOSES). Stroke. 2005;36:1218–1226.
  • Trenkwalder P, Elmfeldt D, Hofman A, et al. The Study on COgnition and Prognosis in the Elderly (SCOPE): major CV events and stroke in subgroups of patients. Blood Press. 2005;14:31–37.
  • Weber MA, Bakris GL, Jamerson K, et al. Cardiovascular events during differing hypertension therapies in patients with diabetes. J Am Coll Cardiol. 2010;56:77–85.
  • Bakris GL, Gaxiola E, Messerli FH, et al. Clinical outcomes in the diabetes cohort of the INternational VErapamil SR-Trandolapril study. Hypertension. 2004;44:637–642.
  • Kjeldsen SE, Dahlof B, Devereux RB, et al. Effects of losartan on cardiovascular morbidity and mortality in patients with isolated systolic hypertension and left ventricular hypertrophy: a Losartan Intervention for Endpoint Reduction (LIFE) substudy. JAMA. 2002;288:1491–1498.
  • Lithell H, Hansson L, Skoog I, et al. The Study on Cognition and Prognosis in the Elderly (SCOPE): principal results of a randomized double-blind intervention trial. J Hypertens. 2003;21:875–886.
  • Czernichow S, Zanchetti A, Turnbull F, et al. The effects of blood pressure reduction and of different blood pressure-lowering regimens on major cardiovascular events according to baseline blood pressure: meta-analysis of randomized trials. J Hypertens. 2011;29:4–16.
  • Lee M, Saver JL, Hong KS, et al. Does achieving an intensive versus usual blood pressure level prevent stroke? Ann Neurol. 2012;71:133–140.
  • Law MR, Morris JK, Wald NJ. Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies. BMJ. 2009;338:b1665.
  • He J, Whelton PK. Elevated systolic blood pressure and risk of cardiovascular and renal disease: overview of evidence from observational epidemiologic studies and randomized controlled trials. Am Heart J. 1999;138:211–219.
  • Zanchetti A, Mancia G, Black HR, et al. Facts and fallacies of blood pressure control in recent trials: implications in the management of patients with hypertension. J Hypertens. 2009;27:673–679.
  • Grassi G, Arenare F, Trevano FQ, et al. Primary and secondary prevention of stroke by antihypertensive treatment in clinical trials. Curr Hypertens Rep. 2007;9:299–304.
  • Hansson L. Future goals for the treatment of hypertension in the elderly with reference to STOP-Hypertension, SHEP, and the MRC trial in older adults. Am J Hypertens. 1993;6(suppl):40S–43S.
  • Systolic Blood Pressure Intervention Trial (SPRINT). [cited 2015 Sep 25]. Available from: http://www.clinicaltrials.gov/ct2/show/NCT01206062?term=SPRINT&rank=3.
  • Freis ED. The Veterans Administration cooperative study on antihypertensive agents: implications for stroke prevention. Stroke. 1974;5:76–77.
  • The Dutch TIA Trial Study Group. A comparison of two doses of aspirin (30 mg vs 283 mg a day) in patients after a transient ischemic attack or minor ischemic stroke: the Dutch TIA Trial Study Group. N Engl J Med. 1991;325:1261–1266.
  • The SPS3 Study Group. Blood pressure targets in patients with recent lacunar stroke: the SPS3 randomised trial. Lancet. 2013;382:507–515.
  • PATS Collaborating Group. Post-stroke Antihypertensive Treatment Study. A preliminary result. Chin Med J (Engl). 1995;108:710–717.
  • PROGRESS Collaborative Group. Randomised trial of a perindopril-based blood-pressure-lowering regimen among 6,105 individuals with previous stroke or transient ischaemic attack. Lancet. 2001;358:1033–1041.
  • Chapman N, Huxley R, Anderson C, et al. Effects of a perindopril-based blood pressure-lowering regimen on the risk of recurrent stroke according to stroke subtype and medical history: the progress trial. Stroke. 2004;35:116–121.
  • The Heart Outcomes Prevention Evaluation Study Investigators. Effects of an angiotensin-converting-enzyme inhibitor, Ramipril, on cardiovascular events in high risk patients. N Engl J Med. 2000;342:145–153.
  • Heart Outcomes Prevention Evaluation Study Investigators. Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: results of the hope study and micro-hope substudy. Lancet. 2000;355:253–259.
  • Hypertension-Stroke Cooperative Study Group. Effect of antihypertensive treatment on stroke recurrence. JAMA. 1974;229:409–418.
  • Carter AB. Hypotensive therapy in stroke survivors. Lancet. 1970;1:485–489.
  • Eriksson SOB, Wster PO. Atenolol in secondary prevention after stroke. Cerebrovasc Dis. 1995;5:21–25.
  • Lakhan SE, Sapko MT. Blood pressure lowering treatment for preventing stroke recurrence: A systematic review and meta-analysis. Int Arch Med. 2009;2:30.
  • Lackland DT, Elkind MSV, D’Agostino R, et al.; on behalf of the American Heart Association Stroke Council; Council on Epidemiology and Prevention; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; Council on Peripheral Vascular Disease; Council on Quality of Care and Outcomes Research. Inclusion of stroke in cardiovascular risk prediction instruments: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2012;43:1998–2027.
  • Ovbiagele B, Diener H-C, Yusuf S, et al., PROFESS Investigators. Level of systolic blood pressure within the normal range and risk of recurrent stroke. JAMA. 2011;306:2137–2144.
  • Psaty BM, Furburg CD, Kuller LH, et al. Association between blood pressure level and the risk of myocardial infarction, stroke, and total mortality. Arch Intern Med. 2001;161:1183–1192.
  • Yusuf S, Teo KK, Pogue J, et al.; ONTARGET Investigators. Telmisartan, ramipril, or both in patients at high risk for vascular events. N Engl J Med. 2008;358:1547–1559.
  • Verdecchia P, Reboldi G, Angeli F, et al. Systolic and diastolic blood pressure changes in relation to myocardial infarction and stroke in patients with coronary artery disease. Hypertension. 2015;65:108–114.
  • Zanchetti A, Thomopoulos C, Parati G. Randomized controlled trials of blood pressure lowering in hypertension: a critical reappraisal. Circ Res. 2015;116:1058–1073.
  • Xie X, Atkins E, Lv J, et al. Effects of intensive blood pressure lowering on cardiovascular and renal outcomes: updated systematic review and meta-analysis. Lancet. 2015. [cited 2015 Nov 30]. doi:10.1016/S0140-6736(15)00805-3.
  • Mancia G, Fagard R, Narkiewicz K, et al. ESH/ESC Guidelines for the management of arterial hypertension. Eur Heart J. 2013;34:2159–2219.
  • Wright JT Jr., Fine LJ, Lackland DT, et al. Evidence supporting a systolic blood pressure goal of less than 150 mm Hg in patients aged 60 years or older: the minority view. Ann Intern Med. 2014;160:499–503.
  • Mozaffarian D, Benjamin EJ, Go AS, et al.; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics – 2015 update: a report from the American Heart Association [published online ahead of print December 17, 2014]. Circulation. 2015;131:434–441.
  • Institute of Medicine. Clinical practice guidelines we can trust [Internet]. Washington (DC): National Academies Press; 2011. Available from: http://www.iom.edu/Reports/2011.
  • Cushman WC, Evans GW, Byington RP, et al.; ACCORD Study Group. Effects of intensive blood-pressure control in type 2 diabetes mellitus. N Engl J Med. 2010;362:1575–1585.
  • Ambrosius WT, Sink KM, Foy CG, et al.; The SPRINT Study Research Group. The design and rationale of a multicenter clinical trial comparing two strategies for control of systolic blood pressure: the Systolic Blood Pressure Intervention Trial (SPRINT). Clin Trials. 2014;11(5):532–546.
  • The SPRINT Research Group. A randomized trial of intensive versus standard blood-pressure control. N Engl J Med. 2015;373:2103–2116.
  • Perkovic V, Rodgers A. Redefining blood-pressure targets – SPRINT starts the marathon. N Engl J Med. 2015;373:2175–2178.
  • Drazen JM, Morrissey S, Campion EW, et al. A SPRINT to the Finish. N Engl J Med. 2015;373:2174–2175.

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