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Associations of High-Sensitivity Troponin and Natriuretic Peptide Levels With Outcomes After Intensive Blood Pressure Lowering

Associations of High-Sensitivity Troponin and Natriuretic Peptide Levels With Outcomes After... Key PointsQuestionWhat is the association of intensive systolic blood pressure lowering with the risk of heart failure and mortality among individuals with elevated high-sensitivity cardiac troponin T (hscTnT) and N-terminal pro–B-type natriuretic peptide (NTproBNP) levels? FindingsIn this nonprespecified post hoc analysis of the Systolic Blood Pressure Intervention Trial randomized clinical trial, intensive systolic blood pressure lowering was associated with an 8% absolute risk reduction in heart failure and mortality among individuals with elevation in both hscTnT and NTproBNP levels, compared with a 2% absolute risk reduction among individuals without elevated markers. MeaningThe risk associated with elevated hscTnT and NTproBNP levels may be modifiable with intensive systolic blood pressure lowering. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Cardiology American Medical Association

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References (61)

Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
2380-6583
eISSN
2380-6591
DOI
10.1001/jamacardio.2021.3187
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat is the association of intensive systolic blood pressure lowering with the risk of heart failure and mortality among individuals with elevated high-sensitivity cardiac troponin T (hscTnT) and N-terminal pro–B-type natriuretic peptide (NTproBNP) levels? FindingsIn this nonprespecified post hoc analysis of the Systolic Blood Pressure Intervention Trial randomized clinical trial, intensive systolic blood pressure lowering was associated with an 8% absolute risk reduction in heart failure and mortality among individuals with elevation in both hscTnT and NTproBNP levels, compared with a 2% absolute risk reduction among individuals without elevated markers. MeaningThe risk associated with elevated hscTnT and NTproBNP levels may be modifiable with intensive systolic blood pressure lowering.

Journal

JAMA CardiologyAmerican Medical Association

Published: Dec 1, 2021

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