Combination of perindopril/indapamide in secondary prevention of stroke and other vascular events: A combined analysis of ADVANCE, PROGRESS and HYVET trials

Perindopril/indapamide combination has been shown to reduce cardiovascular risk in different groups of patients. A total of 18,529 patients (9,272 receiving perindopril/indapamide and 9,257 receiving placebo) were included in this meta-analysis involving three large randomized clinical trials-ADVANC...

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Main Author: Sougat Sourendra Sarkar
Format: Article
Language:English
Published: Bangladesh Pharmacological Society 2011-07-01
Series:Bangladesh Journal of Pharmacology
Subjects:
Online Access:https://www.banglajol.info/index.php/BJP/article/view/7920
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author Sougat Sourendra Sarkar
author_facet Sougat Sourendra Sarkar
author_sort Sougat Sourendra Sarkar
collection DOAJ
description Perindopril/indapamide combination has been shown to reduce cardiovascular risk in different groups of patients. A total of 18,529 patients (9,272 receiving perindopril/indapamide and 9,257 receiving placebo) were included in this meta-analysis involving three large randomized clinical trials-ADVANCE, PROGRESS and HYVET. A non-significant reduction in fatal and non-fatal stroke was seen (Odds ratio 0.73; 95% Confidence Interval 0.49 to 1.09; z=1.52 and p= 0.13). The combination was associated with a significantly reduction of vascular death (Odds ratio 0.79; 95% Confidence Interval 0.69 to 0.90; z=3.48 and p=0.0005) and major cardio-vascular events (Odds ratio 0.72; 95% Confidence Interval 0.53 to 0.97; z=2.15 and p= 0.03). Fixed-combination of Perindopril and indapamide substantially reduced major cardiovascular event and vascular death. However, effect on stroke needs further evaluation.
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spelling doaj.art-7969773877424687a29fcbbb9ebb945d2022-12-22T01:26:57ZengBangladesh Pharmacological SocietyBangladesh Journal of Pharmacology1991-00882011-07-016110.3329/bjp.v6i1.7920Combination of perindopril/indapamide in secondary prevention of stroke and other vascular events: A combined analysis of ADVANCE, PROGRESS and HYVET trialsSougat Sourendra Sarkar0Glenmark Pharmaceuticals Ltd, Glenmark House, Mumbai,Perindopril/indapamide combination has been shown to reduce cardiovascular risk in different groups of patients. A total of 18,529 patients (9,272 receiving perindopril/indapamide and 9,257 receiving placebo) were included in this meta-analysis involving three large randomized clinical trials-ADVANCE, PROGRESS and HYVET. A non-significant reduction in fatal and non-fatal stroke was seen (Odds ratio 0.73; 95% Confidence Interval 0.49 to 1.09; z=1.52 and p= 0.13). The combination was associated with a significantly reduction of vascular death (Odds ratio 0.79; 95% Confidence Interval 0.69 to 0.90; z=3.48 and p=0.0005) and major cardio-vascular events (Odds ratio 0.72; 95% Confidence Interval 0.53 to 0.97; z=2.15 and p= 0.03). Fixed-combination of Perindopril and indapamide substantially reduced major cardiovascular event and vascular death. However, effect on stroke needs further evaluation.https://www.banglajol.info/index.php/BJP/article/view/7920IndapamideMeta-analysisPerindoprilPreventionStrokeVascular disease
spellingShingle Sougat Sourendra Sarkar
Combination of perindopril/indapamide in secondary prevention of stroke and other vascular events: A combined analysis of ADVANCE, PROGRESS and HYVET trials
Bangladesh Journal of Pharmacology
Indapamide
Meta-analysis
Perindopril
Prevention
Stroke
Vascular disease
title Combination of perindopril/indapamide in secondary prevention of stroke and other vascular events: A combined analysis of ADVANCE, PROGRESS and HYVET trials
title_full Combination of perindopril/indapamide in secondary prevention of stroke and other vascular events: A combined analysis of ADVANCE, PROGRESS and HYVET trials
title_fullStr Combination of perindopril/indapamide in secondary prevention of stroke and other vascular events: A combined analysis of ADVANCE, PROGRESS and HYVET trials
title_full_unstemmed Combination of perindopril/indapamide in secondary prevention of stroke and other vascular events: A combined analysis of ADVANCE, PROGRESS and HYVET trials
title_short Combination of perindopril/indapamide in secondary prevention of stroke and other vascular events: A combined analysis of ADVANCE, PROGRESS and HYVET trials
title_sort combination of perindopril indapamide in secondary prevention of stroke and other vascular events a combined analysis of advance progress and hyvet trials
topic Indapamide
Meta-analysis
Perindopril
Prevention
Stroke
Vascular disease
url https://www.banglajol.info/index.php/BJP/article/view/7920
work_keys_str_mv AT sougatsourendrasarkar combinationofperindoprilindapamideinsecondarypreventionofstrokeandothervasculareventsacombinedanalysisofadvanceprogressandhyvettrials