ACHIEVEMENT OF TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION OF 2-3 DEGREE WITH FIXED COMBINATION OF ENALAPRIL OR LOSARTAN WITH HYDROCHLOROTHIAZIDE

Aim. To compare the effects of fixed combinations of angiotensin converting enzyme inhibitor (enalapril) or angiotensin II receptor antagonist (losartan) with diuretic (hydrochlorothiazide, HCT) on the "office" blood pressure (BP) level in patients with arterial hypertension (HT) of 2-3 de...

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Main Authors: A. A. Kudryavtsev, A. S. Ryazanov, N. N. Eremenko, S. A. Kireev
Format: Article
Language:English
Published: Столичная издательская компания 2016-01-01
Series:Рациональная фармакотерапия в кардиологии
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Online Access:https://www.rpcardio.online/jour/article/view/928
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author A. A. Kudryavtsev
A. S. Ryazanov
N. N. Eremenko
S. A. Kireev
author_facet A. A. Kudryavtsev
A. S. Ryazanov
N. N. Eremenko
S. A. Kireev
author_sort A. A. Kudryavtsev
collection DOAJ
description Aim. To compare the effects of fixed combinations of angiotensin converting enzyme inhibitor (enalapril) or angiotensin II receptor antagonist (losartan) with diuretic (hydrochlorothiazide, HCT) on the "office" blood pressure (BP) level in patients with arterial hypertension (HT) of 2-3 degrees.Materials and methods. Patients (n=73; 34 men and 39 women; aged 50.5±5.8) with HT of 2-3 degrees were included in the study. Patients were randomized into 2 groups: patients of group 1 (n=34) received a fixed combination of enalapril with HCT; patients (n=39) of group 2 — a fixed combination of losartan with HCT. The study duration was 24 weeks. "Office" BP levels (Korotkov method) were evaluated.Results. Combination of losartan with HCT shown more prominent effect on systolic BP (reduction from 176.1±2.77 to 122.3±1.54 mm Hg) in comparison with combination enalapril with HCT (reduction from 172.4±1.62 to 129.8±3.4 mm Hg) after 12 weeks of treatment (p<0.05). High frequency of target BP level achievement was observed in patients of groups 1 and 2 (83% and 86% respectively).Conclusion. The fixed combination of enalapril or lozartan with HCT has high efficacy and can be recommended as initial therapy in patients with HT of 2-3 degree.
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institution Kabale University
issn 1819-6446
2225-3653
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series Рациональная фармакотерапия в кардиологии
spelling doaj-art-c85ceb70085e4d9da7c99174f6fff8892025-08-23T10:00:24ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-01-016683283610.20996/1819-6446-2010-6-6-832-836927ACHIEVEMENT OF TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION OF 2-3 DEGREE WITH FIXED COMBINATION OF ENALAPRIL OR LOSARTAN WITH HYDROCHLOROTHIAZIDEA. A. Kudryavtsev0A. S. Ryazanov1N. N. Eremenko2S. A. Kireev3I.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityEndocrinology Research CenterAim. To compare the effects of fixed combinations of angiotensin converting enzyme inhibitor (enalapril) or angiotensin II receptor antagonist (losartan) with diuretic (hydrochlorothiazide, HCT) on the "office" blood pressure (BP) level in patients with arterial hypertension (HT) of 2-3 degrees.Materials and methods. Patients (n=73; 34 men and 39 women; aged 50.5±5.8) with HT of 2-3 degrees were included in the study. Patients were randomized into 2 groups: patients of group 1 (n=34) received a fixed combination of enalapril with HCT; patients (n=39) of group 2 — a fixed combination of losartan with HCT. The study duration was 24 weeks. "Office" BP levels (Korotkov method) were evaluated.Results. Combination of losartan with HCT shown more prominent effect on systolic BP (reduction from 176.1±2.77 to 122.3±1.54 mm Hg) in comparison with combination enalapril with HCT (reduction from 172.4±1.62 to 129.8±3.4 mm Hg) after 12 weeks of treatment (p<0.05). High frequency of target BP level achievement was observed in patients of groups 1 and 2 (83% and 86% respectively).Conclusion. The fixed combination of enalapril or lozartan with HCT has high efficacy and can be recommended as initial therapy in patients with HT of 2-3 degree.https://www.rpcardio.online/jour/article/view/928arterial hypertensiona fixed combinationenalaprillosartanhydrochlorothiazide
spellingShingle A. A. Kudryavtsev
A. S. Ryazanov
N. N. Eremenko
S. A. Kireev
ACHIEVEMENT OF TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION OF 2-3 DEGREE WITH FIXED COMBINATION OF ENALAPRIL OR LOSARTAN WITH HYDROCHLOROTHIAZIDE
Рациональная фармакотерапия в кардиологии
arterial hypertension
a fixed combination
enalapril
losartan
hydrochlorothiazide
title ACHIEVEMENT OF TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION OF 2-3 DEGREE WITH FIXED COMBINATION OF ENALAPRIL OR LOSARTAN WITH HYDROCHLOROTHIAZIDE
title_full ACHIEVEMENT OF TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION OF 2-3 DEGREE WITH FIXED COMBINATION OF ENALAPRIL OR LOSARTAN WITH HYDROCHLOROTHIAZIDE
title_fullStr ACHIEVEMENT OF TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION OF 2-3 DEGREE WITH FIXED COMBINATION OF ENALAPRIL OR LOSARTAN WITH HYDROCHLOROTHIAZIDE
title_full_unstemmed ACHIEVEMENT OF TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION OF 2-3 DEGREE WITH FIXED COMBINATION OF ENALAPRIL OR LOSARTAN WITH HYDROCHLOROTHIAZIDE
title_short ACHIEVEMENT OF TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION OF 2-3 DEGREE WITH FIXED COMBINATION OF ENALAPRIL OR LOSARTAN WITH HYDROCHLOROTHIAZIDE
title_sort achievement of target blood pressure level in patients with arterial hypertension of 2 3 degree with fixed combination of enalapril or losartan with hydrochlorothiazide
topic arterial hypertension
a fixed combination
enalapril
losartan
hydrochlorothiazide
url https://www.rpcardio.online/jour/article/view/928
work_keys_str_mv AT aakudryavtsev achievementoftargetbloodpressurelevelinpatientswitharterialhypertensionof23degreewithfixedcombinationofenalaprilorlosartanwithhydrochlorothiazide
AT asryazanov achievementoftargetbloodpressurelevelinpatientswitharterialhypertensionof23degreewithfixedcombinationofenalaprilorlosartanwithhydrochlorothiazide
AT nneremenko achievementoftargetbloodpressurelevelinpatientswitharterialhypertensionof23degreewithfixedcombinationofenalaprilorlosartanwithhydrochlorothiazide
AT sakireev achievementoftargetbloodpressurelevelinpatientswitharterialhypertensionof23degreewithfixedcombinationofenalaprilorlosartanwithhydrochlorothiazide