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. 1999 Sep;89(9):1414-7.
doi: 10.2105/ajph.89.9.1414.

Blood pressure level and incidence of myocardial infarction among patients treated for hypertension

R C Kaplan  1 , B M Psaty, S R Heckbert, N L Smith, R N Lemaitre
Affiliations

Blood pressure level and incidence of myocardial infarction among patients treated for hypertension

R C Kaplan et al. Am J Public Health. 1999 Sep.

Abstract

Objectives: This study examined the relationship between achieved blood pressure and risk of myocardial infarction among patients treated for hypertension.

Methods: Blood pressure and other cardiovascular risk factors were assessed among 718 myocardial infarction case patients and 2136 matched controls.

Results: Blood pressure level was directly related to risk of myocardial infarction. Patients with treated hypertension who had mild elevations in blood pressure accounted for a larger share of the excess myocardial infarction incidence than those who had higher blood pressure readings.

Conclusions: Achieving normotensive levels in treated hypertensive patients with uncontrolled blood pressure might prevent more than 15% of myocardial infarctions in the treated hypertensive population.

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