Table 3

Logistic regression models of associations between intensive blood pressure treatment, mediators (major adverse cardiovascular events or serious adverse events), and mortalitya

VariableOR (95% CI)
Mediator: MACE, outcome: all-cause mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.97)
 MACE-all-cause mortality (Pathway 2)4.98 (3.80–6.54)
 Intensive BP treatment-all-cause mortality (Pathway 3)0.73 (0.59–0.90)
Mediator: MACE, outcome: CV mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.96)
 MACE-CV mortality (Pathway 2)16.3 (10.6–25.1)
 Intensive BP treatment-CV mortality (Pathway 3)0.57 (0.38–0.85)
Mediator: MACE, outcome: non-CV mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.96)
 MACE-non-CV mortality (Pathway 2)2.11 (1.45–3.06)
 Intensive BP treatment-non-CV mortality (Pathway 3)0.81 (0.63–1.04)
Mediator: SAE, outcome: all-cause mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-all-cause mortality (Pathway 2)1.88 (1.47–2.39)
 Intensive BP treatment-all-cause mortality (Pathway 3)0.73 (0.59–0.90)
Mediator SAE, outcome: CV mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-CV mortality (Pathway 2)1.19 (0.74–1.93)
 Intensive BP treatment-CV mortality (Pathway 3)0.57 (0.38–0.85)
Mediator: SAE, outcome: non-CV mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-non-CV mortality (Pathway 2)2.14 (1.63–2.82)
 Intensive BP treatment-non-CV mortality (Pathway 3)0.81 (0.63–1.04)
VariableOR (95% CI)
Mediator: MACE, outcome: all-cause mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.97)
 MACE-all-cause mortality (Pathway 2)4.98 (3.80–6.54)
 Intensive BP treatment-all-cause mortality (Pathway 3)0.73 (0.59–0.90)
Mediator: MACE, outcome: CV mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.96)
 MACE-CV mortality (Pathway 2)16.3 (10.6–25.1)
 Intensive BP treatment-CV mortality (Pathway 3)0.57 (0.38–0.85)
Mediator: MACE, outcome: non-CV mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.96)
 MACE-non-CV mortality (Pathway 2)2.11 (1.45–3.06)
 Intensive BP treatment-non-CV mortality (Pathway 3)0.81 (0.63–1.04)
Mediator: SAE, outcome: all-cause mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-all-cause mortality (Pathway 2)1.88 (1.47–2.39)
 Intensive BP treatment-all-cause mortality (Pathway 3)0.73 (0.59–0.90)
Mediator SAE, outcome: CV mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-CV mortality (Pathway 2)1.19 (0.74–1.93)
 Intensive BP treatment-CV mortality (Pathway 3)0.57 (0.38–0.85)
Mediator: SAE, outcome: non-CV mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-non-CV mortality (Pathway 2)2.14 (1.63–2.82)
 Intensive BP treatment-non-CV mortality (Pathway 3)0.81 (0.63–1.04)

See Figure 1. The exposure variable intensive BP was randomized. Mediator–mortality pathways were adjusted for treatment intensity, age, number of BP medications, smoking, sex, glomerular filtration, aspirin and statin use, race, body mass index, cardiovascular disease, glucose, total and HDL-cholesterol, triglycerides. BP, blood pressure; MACE, major adverse cardiovascular events; SAE, serious adverse events.

Table 3

Logistic regression models of associations between intensive blood pressure treatment, mediators (major adverse cardiovascular events or serious adverse events), and mortalitya

VariableOR (95% CI)
Mediator: MACE, outcome: all-cause mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.97)
 MACE-all-cause mortality (Pathway 2)4.98 (3.80–6.54)
 Intensive BP treatment-all-cause mortality (Pathway 3)0.73 (0.59–0.90)
Mediator: MACE, outcome: CV mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.96)
 MACE-CV mortality (Pathway 2)16.3 (10.6–25.1)
 Intensive BP treatment-CV mortality (Pathway 3)0.57 (0.38–0.85)
Mediator: MACE, outcome: non-CV mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.96)
 MACE-non-CV mortality (Pathway 2)2.11 (1.45–3.06)
 Intensive BP treatment-non-CV mortality (Pathway 3)0.81 (0.63–1.04)
Mediator: SAE, outcome: all-cause mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-all-cause mortality (Pathway 2)1.88 (1.47–2.39)
 Intensive BP treatment-all-cause mortality (Pathway 3)0.73 (0.59–0.90)
Mediator SAE, outcome: CV mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-CV mortality (Pathway 2)1.19 (0.74–1.93)
 Intensive BP treatment-CV mortality (Pathway 3)0.57 (0.38–0.85)
Mediator: SAE, outcome: non-CV mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-non-CV mortality (Pathway 2)2.14 (1.63–2.82)
 Intensive BP treatment-non-CV mortality (Pathway 3)0.81 (0.63–1.04)
VariableOR (95% CI)
Mediator: MACE, outcome: all-cause mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.97)
 MACE-all-cause mortality (Pathway 2)4.98 (3.80–6.54)
 Intensive BP treatment-all-cause mortality (Pathway 3)0.73 (0.59–0.90)
Mediator: MACE, outcome: CV mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.96)
 MACE-CV mortality (Pathway 2)16.3 (10.6–25.1)
 Intensive BP treatment-CV mortality (Pathway 3)0.57 (0.38–0.85)
Mediator: MACE, outcome: non-CV mortality
 Intensive BP treatment-MACE (Pathway 1)0.80 (0.67–0.96)
 MACE-non-CV mortality (Pathway 2)2.11 (1.45–3.06)
 Intensive BP treatment-non-CV mortality (Pathway 3)0.81 (0.63–1.04)
Mediator: SAE, outcome: all-cause mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-all-cause mortality (Pathway 2)1.88 (1.47–2.39)
 Intensive BP treatment-all-cause mortality (Pathway 3)0.73 (0.59–0.90)
Mediator SAE, outcome: CV mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-CV mortality (Pathway 2)1.19 (0.74–1.93)
 Intensive BP treatment-CV mortality (Pathway 3)0.57 (0.38–0.85)
Mediator: SAE, outcome: non-CV mortality
 Intensive BP treatment-SAE (Pathway 1)1.28 (1.14–1.43)
 SAE-non-CV mortality (Pathway 2)2.14 (1.63–2.82)
 Intensive BP treatment-non-CV mortality (Pathway 3)0.81 (0.63–1.04)

See Figure 1. The exposure variable intensive BP was randomized. Mediator–mortality pathways were adjusted for treatment intensity, age, number of BP medications, smoking, sex, glomerular filtration, aspirin and statin use, race, body mass index, cardiovascular disease, glucose, total and HDL-cholesterol, triglycerides. BP, blood pressure; MACE, major adverse cardiovascular events; SAE, serious adverse events.

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