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However, the differential for widened pulse pressure is broad and includes causes of hyperdynamic circulation and high\u2010output heart failure, such as aortic regurgitation and hyperthyroidism. In the absence of an underlying cause, wide pulse pressure is a sign of deteriorating cardiovascular health and carries increased risk for mortality, disease progression, and adverse clinical outcomes in chronic diseases including cardiovascular disease and chronic kidney disease. Current emphasis of antihypertensive treatment on systolic and diastolic blood pressure does not always address pulse pressure, thus subjecting many patients to an independent risk factor for poor outcomes. Pulse pressure control is more successfully achieved with thiazide diuretics and long\u2010acting nitrates when compared to other antihypertensive agents, but further research is needed to quantify the additional benefits of pulse pressure control over conventional blood pressure therapy. This case review provides an overview of the pathogenesis, pathologic causes, and treatment of widened pulse pressure and evaluates current evidence for pulse pressure as a predictor of clinical outcomes.<\/jats:p>","DOI":"10.1111\/jch.14051","type":"journal-article","created":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T14:20:32Z","timestamp":1601302832000},"page":"1960-1967","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":72,"title":["Wide pulse pressure: A clinical review"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4160-1868","authenticated-orcid":false,"given":"Kevin S.","family":"Tang","sequence":"first","affiliation":[{"name":"The Warren Alpert Medical School of Brown University Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward D.","family":"Medeiros","sequence":"additional","affiliation":[{"name":"The Warren Alpert Medical School of 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