The association between fibrotic diseases and treatment-resistant hypertension in England Article Swipe

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Georgie M Massen , Philip Stone , Gisli Jenkins , Richard J. Allen , Louise V. Wain , Iain Stewart , Upasana Tayal , Jennifer K Quint , Andrew J. Thorley , Anna Duckworth , Ali‐Reza Mohammadi‐Nejad , Aloysious Aravinthan , Anthony Harbottle , Armando Méndez-Villalón , Chris J. Scotton , Christopher Denton , Daniel Lea , Dorothee P. Auer , Ebrima Joof , Eleanor Cox , Eva M. Eves , Elizabeth Robertson , Emma Blamont , Fasihul Khan , G Parcesepe , Gordon W. Moran , Guruprasad P. Aithal , Hilary Longhurst , Iain Stewart , Jane Paxton , Jennifer K Quint , Karen Piper Hanley , Kate Frost , Leo Casmino , Lisa Chakrabarti , Louise V. Wain , Margot Roeth , Maria Kaisar , Martin Craig , Michael Nation , Mohammad Alireza Kisomi , Müjdat Zeybel , Indra Neil Guha , Nicholas M. Selby , Nick Oliver , Nicholas M. Selby , Olivia C. Leavy , Penny Gowland , Philip Quinlan , Rachel C. Chambers , Richard J. Allen , Richard Hubbard , Rob Slack , Rutger Ploeg , S. E. Moss , S. Fawaz , Scott Turner , Shauntelle Quammie , Simon R. Johnson , Stamatios N. Sotiropoulos , Stuart Astbury , Susan Francis , Tom Giles , Valerie Quinn , Wendy Adams , Xin Chen , Zhendi Gong ·

YOU? · · 2025 · Open Access · · DOI: https://doi.org/10.1093/eurjpc/zwaf068

Aims Multimorbidity has been identified as a research priority in recent years; fibrosis (progressive organ scarring) is one mechanism that may underpin multimorbidity. Some studies suggest hypertension could be fibrotic, particularly severe hypertension (uncontrollable with medications); however, it is not currently known whether severe hypertension is associated with fibrotic conditions. The objective is to investigate whether treatment-resistant hypertension is associated with fibrotic conditions. Methods and results We used the Clinical Practice Research Datalink Aurum primary care database to define a cohort of people with hypertension during 2015. We determined the percentage of people who had conditions with fibrotic manifestations and explored differences respective to hypertension control. We applied multivariable logistic regression to analyse associations (P < 0.001) between hypertension control and each fibrotic condition, respectively. Of 1 340 495 people with hypertension during 2015, 83.50% (n = 1 119 333) had managed hypertension either by lifestyle or by medication; 16.50% (n = 221 162) had treatment-resistant hypertension. Fibrotic conditions were more common {75.40% [95% confidence interval (CI): 75.20–75.60] vs. 68.90% (95% CI: 68.81–70.01)} in people with treatment-resistant hypertension compared with those with managed hypertension. We found that treatment-resistant hypertension was associated with cardiomyopathy (ORadj: 1.85, 95% CI: 1.81–1.90), both Type 1 and Type 2 diabetes (ORadj: 1.49, 95% CI: 1.44–1.55, ORadj: 1.61, 95% CI: 1.60–1.63, respectively), liver fibrosis (ORadj: 1.52, 95% CI: 1.46–1.58), valve fibrosis (ORadj: 1.41, 95% CI: 1.37–1.44), and urinary fibrosis (ORadj: 1.41, 95% CI: 1.36–1.47). Conclusion The proportion of people with fibrotic conditions was greater in those with treatment-resistant hypertension than managed hypertension. The identified associations between treatment-resistant hypertension and fibrotic conditions may point to common disease pathways, which should be further explored to understand shared mechanisms.

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Medicine Association (psychology) Resistant hypertension MEDLINE Internal medicine Intensive care medicine Blood pressure Philosophy Political science Epistemology Law

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Type: article
Language: en
Landing Page: https://doi.org/10.1093/eurjpc/zwaf068
OA Status: hybrid
References: 32
Related Works: 10
OpenAlex ID: https://openalex.org/W4407425269

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DOI: https://doi.org/10.1093/eurjpc/zwaf068

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Title: The association between fibrotic diseases and treatment-resistant hypertension in England

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Publication year: 2025

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Publication date: 2025-02-13

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Authors: Georgie M Massen, Philip Stone, Gisli Jenkins, Richard J. Allen, Louise V. Wain, Iain Stewart, Upasana Tayal, Jennifer K Quint, Andrew J. Thorley, Anna Duckworth, Ali‐Reza Mohammadi‐Nejad, Aloysious Aravinthan, Anthony Harbottle, Armando Méndez-Villalón, Chris J. Scotton, Christopher Denton, Daniel Lea, Dorothee P. Auer, Ebrima Joof, Eleanor Cox, Eva M. Eves, Elizabeth Robertson, Emma Blamont, Fasihul Khan, G Parcesepe, Gordon W. Moran, Guruprasad P. Aithal, Hilary Longhurst, Iain Stewart, Jane Paxton, Jennifer K Quint, Karen Piper Hanley, Kate Frost, Leo Casmino, Lisa Chakrabarti, Louise V. Wain, Margot Roeth, Maria Kaisar, Martin Craig, Michael Nation, Mohammad Alireza Kisomi, Müjdat Zeybel, Indra Neil Guha, Nicholas M. Selby, Nick Oliver, Nicholas M. Selby, Olivia C. Leavy, Penny Gowland, Philip Quinlan, Rachel C. Chambers, Richard J. Allen, Richard Hubbard, Rob Slack, Rutger Ploeg, S. E. Moss, S. Fawaz, Scott Turner, Shauntelle Quammie, Simon R. Johnson, Stamatios N. Sotiropoulos, Stuart Astbury, Susan Francis, Tom Giles, Valerie Quinn, Wendy Adams, Xin Chen, Zhendi Gong

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Landing page: https://doi.org/10.1093/eurjpc/zwaf068

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Concepts: Medicine, Association (psychology), Resistant hypertension, MEDLINE, Internal medicine, Intensive care medicine, Blood pressure, Philosophy, Political science, Epistemology, Law

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abstract_inverted_index.percentage	91
abstract_inverted_index.proportion	241
abstract_inverted_index.regression	111
abstract_inverted_index.respective	103
abstract_inverted_index.understand	278
abstract_inverted_index.conditions.	50, 63
abstract_inverted_index.differences	102
abstract_inverted_index.investigate	55
abstract_inverted_index.mechanisms.	280
abstract_inverted_index.medication;	149
abstract_inverted_index.(progressive	14
abstract_inverted_index.1.44–1.55,	210
abstract_inverted_index.1.60–1.63,	215
abstract_inverted_index.associations	114, 259
abstract_inverted_index.hypertension	27, 33, 45, 58, 85, 105, 119, 132, 143, 178, 189, 253, 262
abstract_inverted_index.particularly	31
abstract_inverted_index.1.36–1.47).	238
abstract_inverted_index.1.37–1.44),	230
abstract_inverted_index.1.46–1.58),	223
abstract_inverted_index.1.81–1.90),	198
abstract_inverted_index.hypertension.	157, 184, 256
abstract_inverted_index.medications);	36
abstract_inverted_index.multivariable	109
abstract_inverted_index.respectively.	125
abstract_inverted_index.75.20–75.60]	168
abstract_inverted_index.Multimorbidity	2
abstract_inverted_index.cardiomyopathy	193
abstract_inverted_index.manifestations	99
abstract_inverted_index.respectively),	216
abstract_inverted_index.(uncontrollable	34
abstract_inverted_index.68.81–70.01)}	173
abstract_inverted_index.multimorbidity.	23
abstract_inverted_index.treatment-resistant	57, 156, 177, 188, 252, 261
cited_by_percentile_year
countries_distinct_count	2
institutions_distinct_count	67
sustainable_development_goals[0].id	https://metadata.un.org/sdg/3
sustainable_development_goals[0].score	0.7799999713897705
sustainable_development_goals[0].display_name	Good health and well-being
citation_normalized_percentile.value	0.06652081
citation_normalized_percentile.is_in_top_1_percent	False
citation_normalized_percentile.is_in_top_10_percent	False