July 24, 2026 · American heart journal · DOI: 10.1016/j.ahj.2026.107545

Intensive Blood-Pressure Control for the Prevention of Major Cardiovascular Events in Patients with Type 2 Diabetes: Rationale, Design and Baseline Characteristics of the OPTIMAL-DIABETES Randomized Trial

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The OPTIMAL-DIABETES trial aims to determine whether targeting a systolic blood pressure (SBP) of less than 120 mmHg reduces major cardiovascular events more effectively than a target of less than 140 mmHg in patients with type 2 diabetes and high cardiovascular risk. This multicenter, randomized clinical trial involves a diverse population and will assess outcomes over a maximum follow-up of 48 months. The findings are expected to provide important insights into the optimal blood pressure management strategy for this high-risk group.

Karla Santo, Eduardo Martins, Gisele S Silva, Patricia O Guimarães, Caio A M Tavares, João Brainer, Frederico Monfardini, Josué Nieri, Silvia R L Assis, João S Felício, Fábio S Silveira, Audes D M Feitosa, Miguel N Hissa, Dario C Sobral-Filho, José F Vilela-Martin, Elizabeth E S Cestario, Juan C Yugar-Toledo, Marcelo C Batista, Luiz Turatti, Andrea A Brandão, Weimar S Barroso, Andrei C Sposito, Luciano F Drager, Luiz A Bortolotto, Sandra C Fuchs, Marcelo Franken, Pedro A Lemos, Raul D Santos, Anthony Rodgers, Paul K Whelton, Flavio D Fuchs, Otavio Berwanger

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