Type 2 & other diabetes

Early-Onset Hypertension and Sex-Specific Residual Risk for Cardiovascular Disease in Type 2 Diabetes

Diabetes CarePublished Secondary analysis of a randomised trial of intensive vs standard blood pressure (BP) control

Primary result · Multivariable-adjusted CVD risk per decade earlier age at hypertension diagnosisResult — go to the resultHazard ratio 1.11 CI 1.03–1.21

Authors' conclusion

Women with type 2 diabetes and early-onset hypertension may represent a higher-risk subpopulation that not only contributes to the excess in diabetes-related CVD risk for women but may benefit from intensive BP control.

Study context

Population
Adults with T2D (49% women), by age at hypertension diagnosis49% women
Participants
3,792 adults
Comparison
Intensive vs standard BP control, by age at hypertension diagnosis, in women and men
Primary endpoint
Incident cardiovascular disease (CVD) events
Methodological detailssex-specific analysis, multivariable-adjusted
  • Sex-specific analysis
  • Multivariable-adjusted

Primary result

As reported in the abstract

Multivariable-adjusted CVD risk per decade earlier age at hypertension diagnosis

Hazard ratio

1.11

CI 1.03–1.21

P = 0.006

Per decade earlier age at hypertension diagnosis
HR 1.11 (CI 1.03–1.21); P = 0.006

Per decade earlier age at hypertension diagnosis, as printed

Further findings

OutcomeP value
Attenuation of excess CVD risk of early-diagnosed hypertension with intensive vs standard therapy, womenExcess risk attenuated in womenP = 0.036
Attenuation of excess CVD risk of early-diagnosed hypertension with intensive vs standard therapy, menNot attenuated in menP = 0.76

Original publication

Early-Onset Hypertension and Sex-Specific Residual Risk for Cardiovascular Disease in Type 2 Diabetes. Diabetes Care. Published 24 April 2024. doi:10.2337/dc23-2275

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