While the relation between absolute blood pressure (BP) and outcomes in patients with heart failure (HF) is relatively well established,1,2 the prognostic significance of long-term BP changes has been assessed… Click to show full abstract
While the relation between absolute blood pressure (BP) and outcomes in patients with heart failure (HF) is relatively well established,1,2 the prognostic significance of long-term BP changes has been assessed only in retrospective analyses of randomized clinical trials.3 The prognostic significance of long-term BP changes was assessed by Schmid et al. in a retrospective analysis of 927 HF patients followed at their centre for a median of 7.7 years.4 There were 220 deaths and 70 patients undergoing heart transplantation. Both baseline BP and long-term BP changes had independent prognostic value. The patients with the stable BP values during follow-up had the best prognosis. Either an increase or a decrease > ±10 mmHg per year was associated with reduced survival with hazard ratios of 1.8 and 2.0, respectively.4
               
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