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Systolic blood pressure variability: risk of cardiovascular events, chronic kidney disease, dementia, and death
Xunjie Cheng, Chao Song, Feiyun Ouyang, Tianqi Ma, Lingfang He, Fang Fang, Guogang Zhang, Jiaqi Huang et al.. European Heart Journal, 2025-04-18
Topic: Risk, prevention and care in population studies
Plain-language summary
A total of 36 251 participants were included with a median follow-up time of 13.9 years. In the fully adjusted models, an increased SBPV from Period 1 to Period 2 was significantly associated with an increased risk of CVD, CHD, stroke, CKD, and overall mortality (all P for trend .05. Regarding SBPV change patterns, compared with the participants with consistently low SBPV, participants with a consistently high SBPV during the two periods had an increased risk of CVD, CHD, stroke, AF, HF, CKD, and overall mortality, with a risk evaluation of 28%-46%. The observed associations remained largely unchanged across subgroup and sensitivity analyses. An increase in SBPV over time was associated with an elevated risk of CVD, CKD, and overall mortality. These findings provide compelling evidence to inform the importance for the management of SBPV in clinical practice.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Cheng, X., Song, C., Ouyang, F., Ma, T., He, L., Fang, F., et al. (2025). Systolic blood pressure variability: risk of cardiovascular events, chronic kidney disease, dementia, and death. European Heart Journal. https://doi.org/10.1093/eurheartj/ehaf256
Vancouver
Cheng X, Song C, Ouyang F, Ma T, He L, Fang F, et al. Systolic blood pressure variability: risk of cardiovascular events, chronic kidney disease, dementia, and death. European Heart Journal. 2025. doi:10.1093/eurheartj/ehaf256. PMID: 40249367.
BibTeX
@article{cheng2025-40249367,
author = {Cheng, Xunjie and Song, Chao and Ouyang, Feiyun and Ma, Tianqi and He, Lingfang and Fang, Fang and Zhang, Guogang and Huang, Jiaqi and others},
title = {{Systolic blood pressure variability: risk of cardiovascular events, chronic kidney disease, dementia, and death}},
journal = {European Heart Journal},
year = {2025},
doi = {10.1093/eurheartj/ehaf256},
pmid = {40249367},
url = {https://doi.org/10.1093/eurheartj/ehaf256}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- A total of 36 251 participants were included with a median follow-up time of 13.9 years.
- In the fully adjusted models, an increased SBPV from Period 1 to Period 2 was significantly associated with an increased risk of CVD, CHD, stroke, CKD, and overall mortality (all P for trend .05.
- Regarding SBPV change patterns, compared with the participants with consistently low SBPV, participants with a consistently high SBPV during the two periods had an increased risk of CVD, CHD, stroke, AF, HF, CKD, and overall mortality, with a risk evaluation of 28%-46%.
- The observed associations remained largely unchanged across subgroup and sensitivity analyses.
- An increase in SBPV over time was associated with an elevated risk of CVD, CKD, and overall mortality.
Why it matters
In this study of 36,251 participants followed for a median of 13.9 years, increases in systolic blood pressure variability over time were associated with higher risk of cardiovascular disease, chronic kidney disease and overall mortality. The authors say the findings support managing systolic blood pressure variability in clinical practice, but the study does not test a dementia treatment or cure.
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Study details
- Participants251
- Evidence strengthLow
How this study scored 52/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (European Heart Journal) |
| Journal's citation record | 3 / 4 | European Heart Journal: journal h-index 456 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 251 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 3 / 7 | Cited 37 times (OpenAlex, 2026-10-10) |
| Citations per year | 3 / 5 | 12.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 5 / 6 | Cited 24.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 2 / 4 | Cited 37 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Yongping Bai: h-index 31 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Karolinska Institutet: institution h-index 1,477 (OpenAlex) |
| Multicenter collaboration | 2 / 3 | OpenAlex lists 5 institution(s) in 3 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40249367) |
| Free to read | 2 / 2 | Free to read |
| Total | 52 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1093/eurheartj/ehaf256
- PubMed: 40249367
- Original source →
- Free full text: European Heart Journal →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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