Revisiting the J-curve Phenomenon. An Old New Concept?

Title:Revisiting the J-curve Phenomenon. An Old New Concept?

Volume: 10 Issue: 1

Author(s): Daniel Medeiros Moreira, Milton Ricardo Poffo, Ramses Miotto, Sulyane Matos De Menezes Alves, Ademilson Rogerio Ferreira and Erlon Oliveira de Abreu-Silva

Affiliation:

Keywords: Cardiovascular disease, cardiovascular risk, blood pressure, hypertension, hypertension treatment, j-curve.

Abstract: Cohort studies have demonstrated the association between blood pressure and increased cardiovascular events. There are different therapeutic strategies to achieve goals of systolic and diastolic blood pressure. For a long time, therapeutic targets were not well defined and the concept of "smaller is better" was used diffusely. However, clinical trials have shown the presence of a "J-curve" in different clinical situations: below a certain level of blood pressure, more aggressive reductions may not represent benefit and increase the incidence of adverse events in elderly patients, patients with coronary artery disease, patients with diabetes or chronic renal failure.

Cite this article as:

Moreira Medeiros Daniel, Poffo Ricardo Milton, Miotto Ramses, Alves Matos De Menezes Sulyane, Ferreira Rogerio Ademilson and Abreu-Silva Oliveira de Erlon, Revisiting the J-curve Phenomenon. An Old New Concept?, Current Hypertension Reviews 2014; 10 (1) . https://dx.doi.org/10.2174/157340211001141111144954