{"title":"Association between pulse wave velocity and cerebral microbleeds: a systematic review and meta-analysis. Author's response to comments from Cui, Ruixin (2025).","authors":"Carla Geovanna Lever-Megina, Iván Cavero-Redondo, Alicia Saz-Lara","doi":"10.1038/s41440-025-02294-w","DOIUrl":"https://doi.org/10.1038/s41440-025-02294-w","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evidence for the relation between obesity and nocturnal blood pressure patterns.","authors":"Ionas Papassotiriou, Sotiria Spiliopoulou, Gerasimos Barlas, Damianos Dragonas, Konstantinos Rizogiannis, Nefeli Tsoutsoura, Efstathios Manios","doi":"10.1038/s41440-025-02290-0","DOIUrl":"https://doi.org/10.1038/s41440-025-02290-0","url":null,"abstract":"<p><p>Obesity often leads to elevated blood pressure (BP) and hypertension, but its effect on nocturnal BP patterns has not been adequately examined. Therefore, the aim of this study was to examine the association between body mass index (BMI)/obesity and nocturnal hypertension and BP dipping. 6767 adult patients (53.6% females) were included in this study, measured for their weight and height to estimate BMI, and they categorized as normal weight, overweight or obese. A 24-hour ambulatory BP monitoring was also performed by all patients. Nocturnal hypertension was defined as >120/70 mmHg nocturnal systolic/diastolic BP. Patients were considered as dippers if BP dipping was >10% or non-dippers otherwise. Obesity was not significantly associated with nocturnal hypertension in multivariate analysis (OR:1.03, 95%CI: 0.78-1.36), but subgroup analysis revealed that obese treatment-naïve hypertensive patients had a 2.8 (OR:2.76, 95%CI:1.36-5.59) higher risk of nocturnal hypertension than normal-weight. Obese patients had also 42% (OR:1.42, 95%CI: 1.13-1.79) more risk of being non-dippers than dippers compared to those with normal weight, while subgroup analysis showed that this association was still present in treatment naïve (OR:1.43, 95%CI: 1.09-1.88) and under treatment hypertensive adults (OR:1.37, 95%CI: 1.11-1.68), but not in normotensives (OR:0.96, 95%CI: 0.75-1.22). Restricted cubic spline models did not show any significant non-linear association between BMI and nocturnal SBP, DBP, or dipping (p for non-linearity > 0.05). These results indicate that high BMI is associated with disturbed nocturnal BP patterns, a relationship that is more profound among hypertensive adults.</p>","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on: Association between pulse wave velocity and cerebral microbleeds: a systematic review and meta-analysis.","authors":"Ruixin Cui","doi":"10.1038/s41440-025-02291-z","DOIUrl":"https://doi.org/10.1038/s41440-025-02291-z","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison between vascular age based on brachial-ankle pulse wave velocity or carotid-femoral pulse wave velocity.","authors":"Tianhui Dong, Fangfang Fan, Hongyu Chen, Zhichen Dong, Leyuan Yang, Yiming Luo, Zifeng Qiu, Ran Fang, Qiwen Zheng, Xiangning Zhang, Jianping Li, Yong Huo, Yan Zhang","doi":"10.1038/s41440-025-02281-1","DOIUrl":"https://doi.org/10.1038/s41440-025-02281-1","url":null,"abstract":"<p><p>Vascular age (VA) as a surrogate of chronological age can improve cardiovascular risk prediction. This study examines which vascular age calculated by brachial-ankle pulse wave velocity (baPWV) or carotid-femoral pulse wave velocity (cfPWV) has a stronger association with the risk of cardiovascular events. This prospective study included 5723 participants from a community-based atherosclerosis cohort in Beijing, China. VA was defined as the predicted age in a multivariable regression model, including classical cardiovascular risk factors, treatment, and pulse wave velocity (baPWV or cfPWV). Residuals by regressing vascular age on chronological age were defined as ∆-age, and the 10th and 90th percentiles of ∆-age were used as cutoffs to define supernormal vascular aging, normal vascular aging, and early vascular aging, respectively. During the median 3.1-year follow-up period, 173 (3.0%) composite endpoints were observed. After adjusting for age and sex, ∆-age calculated by baPWV was significantly associated with cardiovascular risk (hazard ratio [HR]: 1.05, 95% confidence interval [CI]: 1.01-1.09, p = 0.025). After adjusting for traditional cardiovascular risk factors, early vascular aging group calculated by baPWV had an increased cardiovascular risk (HR: 1.84, 95% CI: 1.25-2.73, p = 0.002), compared with the normal vascular aging group. In contrast, no significant results were observed in the analyses of VA calculated by cfPWV. Since baPWV is a simple and convenient method, VA calculated by baPWV is more valuable for cardiovascular disease risk prediction of large sample population. The association between VA based on baPWV or cfPWV and MACE. EVA early vascular aging, normal VA normal vascular aging, SUPERNOVA supernormal vascular aging.</p>","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Re: Comment on: Optimal blood pressure target for patients with prior stroke: a systematic review and meta-analysis.","authors":"Toshiki Maeda, Hisatomi Arima","doi":"10.1038/s41440-025-02286-w","DOIUrl":"https://doi.org/10.1038/s41440-025-02286-w","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of renal denervation at BP-elevation/reduction sites guided by renal nerve stimulation on atrial neural and structural remodeling in a hypertensive canine model.","authors":"Dan Li, Yuxiang Long, Hao Zhou, Weijie Chen, Yinchuan Lai, Yiwen Ren, Xiaomin Ma, Hongyu Kuang, Xinyu Hu, Guangliang Liu, Zhiyu Ling, Peilin Xiao, Yuehui Yin","doi":"10.1038/s41440-025-02258-0","DOIUrl":"https://doi.org/10.1038/s41440-025-02258-0","url":null,"abstract":"<p><p>Hypertension is a common condition in cardiovascular medicine, and can lead to atrial enlargement, atrial fibrosis, and even the development of atrial fibrillation. Renal denervation (RDN) causes reduction in blood pressure (BP), but its effects on hypertension-related atrial remodeling remain unclear. This study aimed to explore the effects of RDN at BP-elevation/reduction sites guided by renal nerve stimulation (RNS) on atrial neural and structural remodeling in a hypertensive canine model. The twenty-four Chinese Kunming dogs were divided into three groups: (1) the reduced BP response ablation group (RRA group, n = 8), (2) the renal stimulation control group (RSC group, n = 8), and (3) the elevated BP response ablation group (ERA group, n = 8), which were followed for 4 weeks. Our results showed that in terms of atrial neural remodeling, compared with the RSC group, the ERA group exhibited reduced tyrosine hydroxylase (TH) protein expression and a lower TH/ choline acetyltransferase (ChAT) ratio. In contrast, the RRA group showed lower ChAT and muscarinic acetylcholine receptor 2 (CM2) protein expression, and an elevated TH/ChAT ratio. Compared with the RSC group, the ERA group presented a smaller myocyte area, reduced collagen I protein expression, and lower myocardial interstitial collagen fiber content. In contrast, the RRA group presented a larger myocyte area, increased collagen I protein expression, and greater collagen fiber content. Overall, RDN at elevated BP response sites improved atrial neural and structural remodeling under hypertensive conditions, whereas RDN at reduced BP response sites exacerbated the imbalance between atrial sympathetic and parasympathetic nerve activity and worsened structural remodeling.</p>","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CKD progression from early-onset hypertension: on the unexpected rapidity within 10 years of follow-up.","authors":"Hiroki Ito, Takefumi Mori","doi":"10.1038/s41440-025-02233-9","DOIUrl":"https://doi.org/10.1038/s41440-025-02233-9","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on: Effects of renal denervation on blood pressure in patients with hypertension: a latest systematic review and meta-analysis of randomized sham-controlled trials.","authors":"Xuelian Cui, Jing Wang","doi":"10.1038/s41440-025-02212-0","DOIUrl":"https://doi.org/10.1038/s41440-025-02212-0","url":null,"abstract":"","PeriodicalId":13029,"journal":{"name":"Hypertension Research","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}