Blood pressure targets in the treatment of high blood pressure: a reappraisal of the J-shaped phenomenon

Blood pressure targets in the treatment of high blood pressure: a reappraisal of the J-shaped phenomenon

Por: F D Fuchs y S C Fuchs.  Journal of Human Hypertension (2014) 28, 80–84. ( 8 January 2014).

The risk that lowering blood pressure (BP) excessively increases the incidence of cardiovascular disease—the J-shaped phenomenon—has been a matter of concern endorsed by many experts, particularly in patients with coronary heart disease and diabetes. The results of the Action to Control Cardiovascular Risk in Type 2 Diabetes (ACCORD) trial strengthened the idea that it may be futile to lower BP more intensively in patients with diabetes. Nevertheless, there seems to be no direct J-shaped relation between BP-lowering treatment and outcome.