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Diastolic blood pressure J-curve in patients with and without a history of coronary revascularization

Diastolic blood pressure J-curve in patients with and without a history of coronary revascularization
In the International Verapamil SR-Trandolapril (INVEST) trial, history of coronary revascularization appeared to reduce the rise in the primary outcome of death, myocardial infarction, or stroke at diastolic blood pressure <70 to 75 mmHg, which suggests that low diastolic blood pressure contributes to adverse outcomes.
* Coronary artery bypass graft or percutaneous coronary intervention.
From Annals of Internal Medicine, Messerli FH, Mancia G, Conti CR, et al. Dogma disputed: Can aggressively lowering blood pressure in hypertensive patients with coronary artery disease be dangerous? Volume 144, Issue 12, pages 884-93. Copyright © 2006 American College of Physicians. All Rights Reserved. Reprinted with the permission of American College of Physicians, Inc.
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