Research Article

Effect of Intensive Blood Pressure Control on Cardiovascular Remodeling in Hypertensive Patients with Nephrosclerosis

Table 4

Mean (SE) rate of change of blood pressure measurements after 9 months of follow-up by randomized treatment assignment (mmHg/year).

Treatment assignment Both BP groupsLow BP  goalUsual BP  goalP  value for low versus usual BP

Pulse pressure
 ACE0.85 (0.15)0.57 (0.22)1.13 (0.21)
 BB0.68 (0.17)0.38 (0.25)0.99 (0.23)
 CCB0.71 (0.27)0.24 (0.39)1.18 (0.38)
 All drug groups0.75 (0.11)0.42 (0.15)1.08 (0.15)0.002
Systolic BP
 ACE−0.02 (0.22)−0.38 (0.32)0.34 (0.31)
 BB−0.25 (0.21)−0.68 (0.31)0.18 (0.28)
 CCB−0.64 (0.32)−1.28 (0.47)−0.01 (0.45)
 All drug groups−0.24 (0.14)−0.68 (0.20)0.21 (0.19)0.001
Diastolic BP
 ACE−0.84 (0.14)−0.90 (0.21)−0.78 (0.18)
 BB−0.88 (0.12)−1.01 (0.17)−0.76 (0.17)
 CCB−1.33 (0.21)−1.54 (0.32)−1.12 (0.26)
 All drug groups−0.96 (0.08)−1.07 (0.13)−0.84 (0.11)0.16

Analysis based on pulse pressures at non-GFR protocol visits from 9 months after randomization through the end of follow-up. The analysis was restricted to 1043 patients with at least 1 blood pressure measurement after 9 months and was performed without covariate adjustment.