Antihypertensive Drug Recommendations for Reducing Arterial Stiffness in Patients With Hypertension: Machine Learning-Based Multicohort (RIGIPREV) Study.

Journal: Journal of medical Internet research
PMID:

Abstract

BACKGROUND: High systolic blood pressure is one of the leading global risk factors for mortality, contributing significantly to cardiovascular diseases. Despite advances in treatment, a large proportion of patients with hypertension do not achieve optimal blood pressure control. Arterial stiffness (AS), measured by pulse wave velocity (PWV), is an independent predictor of cardiovascular events and overall mortality. Various antihypertensive drugs exhibit differential effects on PWV, but the extent to which these effects vary depending on individual patient characteristics is not well understood. Given the complexity of selecting the most appropriate antihypertensive medication for reducing PWV, machine learning (ML) techniques offer an opportunity to improve personalized treatment recommendations.

Authors

  • Iván Cavero-Redondo
    CarVasCare Research Group, Facultad de Enfermería de Cuenca, Universidad de Castilla-La Mancha, Cuenca, Spain.
  • Arturo Martínez-Rodrigo
    Departamento de Sistemas Informáticos, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain.
  • Alicia Saz-Lara
    CarVasCare Research Group, Facultad de Enfermería de Cuenca, Universidad de Castilla-La Mancha, Cuenca, Spain.
  • Nerea Moreno-Herraiz
    CarVasCare Research Group, Facultad de Enfermería de Cuenca, Universidad de Castilla-La Mancha, Cuenca, Spain.
  • Veronica Casado-Vicente
    Parquesol University Health Centre, West Valladolid Primary Healthcare Management, Castilla y León Regional Health Authority, Valladolid, Spain.
  • Leticia Gomez-Sanchez
    Emergency Service, University Hospital of La Paz, Madrid, Spain.
  • Luis Garcia-Ortiz
    Primary Care Research Unit of Salamanca, Salamanca Primary Healthcare Management, Institute of Biomedical Research of Salamanca, Salamanca, Spain.
  • Manuel A Gomez-Marcos
    Primary Care Research Unit of Salamanca, Salamanca Primary Healthcare Management, Institute of Biomedical Research of Salamanca, Salamanca, Spain.