BLOOD PRESSURE VARIABILITY AS A NEW TARGET FOR ANTIHYPERTENSIVE THERAPY: FOCUS ON THE FIXED COMBINATION OF AMLODIPINE AND PERINDOPRIL ARGININ

Theassessmentofbloodpressurevariability(BPV)basedontheofficeBPmeasurements (“visit-to-visit” BPV) has recently gained more attention. A retrospective meta-analysis demonstrated that in the cohorts of patients after stroke or transient ischemic attack (n≥2450), this parameter strongly and independent...

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Main Author: V. M. Gorbunov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2012-10-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1290
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author V. M. Gorbunov
author_facet V. M. Gorbunov
author_sort V. M. Gorbunov
collection DOAJ
description Theassessmentofbloodpressurevariability(BPV)basedontheofficeBPmeasurements (“visit-to-visit” BPV) has recently gained more attention. A retrospective meta-analysis demonstrated that in the cohorts of patients after stroke or transient ischemic attack (n≥2450), this parameter strongly and independently from mean BP levels predicted the risk of stroke. In the ASCOT-BPLA study, the “visit-to-visit” variability of systolic BP was a strong predictor of stroke and coronary events, as confirmed by the results of the multivariate regression analyses adjusting for conventional risk factors. Throughout the follow-up period, BPV values were significantly lower in the amlodipine/perindopril group, compared to the atenolol/diuretic group, which was associated with a reduced risk of cardiovascular complications. BPV appears a promising new target for antihypertensive therapy. Statistically significant BPV reduction denotes the stability of the treatment effects and other beneficial pharmacodynamic effects. The most extensive evidence base exists for the combination of amlodipine and perindopril.
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spelling doaj.art-c49c38ed433f46858baa42e8a07e220e2023-03-29T21:23:19Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202012-10-0105981041084BLOOD PRESSURE VARIABILITY AS A NEW TARGET FOR ANTIHYPERTENSIVE THERAPY: FOCUS ON THE FIXED COMBINATION OF AMLODIPINE AND PERINDOPRIL ARGININV. M. Gorbunov0State Research Centre for Preventive Medicine, MoscowTheassessmentofbloodpressurevariability(BPV)basedontheofficeBPmeasurements (“visit-to-visit” BPV) has recently gained more attention. A retrospective meta-analysis demonstrated that in the cohorts of patients after stroke or transient ischemic attack (n≥2450), this parameter strongly and independently from mean BP levels predicted the risk of stroke. In the ASCOT-BPLA study, the “visit-to-visit” variability of systolic BP was a strong predictor of stroke and coronary events, as confirmed by the results of the multivariate regression analyses adjusting for conventional risk factors. Throughout the follow-up period, BPV values were significantly lower in the amlodipine/perindopril group, compared to the atenolol/diuretic group, which was associated with a reduced risk of cardiovascular complications. BPV appears a promising new target for antihypertensive therapy. Statistically significant BPV reduction denotes the stability of the treatment effects and other beneficial pharmacodynamic effects. The most extensive evidence base exists for the combination of amlodipine and perindopril.https://russjcardiol.elpub.ru/jour/article/view/1290arterial hypertensionblood pressure variabilityamlodipine, perindopril
spellingShingle V. M. Gorbunov
BLOOD PRESSURE VARIABILITY AS A NEW TARGET FOR ANTIHYPERTENSIVE THERAPY: FOCUS ON THE FIXED COMBINATION OF AMLODIPINE AND PERINDOPRIL ARGININ
Российский кардиологический журнал
arterial hypertension
blood pressure variability
amlodipine, perindopril
title BLOOD PRESSURE VARIABILITY AS A NEW TARGET FOR ANTIHYPERTENSIVE THERAPY: FOCUS ON THE FIXED COMBINATION OF AMLODIPINE AND PERINDOPRIL ARGININ
title_full BLOOD PRESSURE VARIABILITY AS A NEW TARGET FOR ANTIHYPERTENSIVE THERAPY: FOCUS ON THE FIXED COMBINATION OF AMLODIPINE AND PERINDOPRIL ARGININ
title_fullStr BLOOD PRESSURE VARIABILITY AS A NEW TARGET FOR ANTIHYPERTENSIVE THERAPY: FOCUS ON THE FIXED COMBINATION OF AMLODIPINE AND PERINDOPRIL ARGININ
title_full_unstemmed BLOOD PRESSURE VARIABILITY AS A NEW TARGET FOR ANTIHYPERTENSIVE THERAPY: FOCUS ON THE FIXED COMBINATION OF AMLODIPINE AND PERINDOPRIL ARGININ
title_short BLOOD PRESSURE VARIABILITY AS A NEW TARGET FOR ANTIHYPERTENSIVE THERAPY: FOCUS ON THE FIXED COMBINATION OF AMLODIPINE AND PERINDOPRIL ARGININ
title_sort blood pressure variability as a new target for antihypertensive therapy focus on the fixed combination of amlodipine and perindopril arginin
topic arterial hypertension
blood pressure variability
amlodipine, perindopril
url https://russjcardiol.elpub.ru/jour/article/view/1290
work_keys_str_mv AT vmgorbunov bloodpressurevariabilityasanewtargetforantihypertensivetherapyfocusonthefixedcombinationofamlodipineandperindoprilarginin