000 02366na a2200229 4500
003 PC5029
005 20180417112309.0
008 130622s2014 xxx||||| |||| 00| 0 eng d
040 _cH12O
041 _aeng
100 _9539
_aRuilope Urioste, Luis Miguel
_eNefrología
245 0 0 _aReview of blood pressure control rates and outcomes.
_h[artículo]
260 _bJournal of the American Society of Hypertension,
_c2014
300 _a8(2):127-41.
500 _aFormato Vancouver: Bakris G, Sarafidis P, Agarwal R, Ruilope L. Review of blood pressure control rates and outcomes. J Am Soc Hypertens. 2014 Feb;8(2):127-41.
501 _aPMID: 24309125
504 _aContiene 52 referencias
520 _aDespite the high prevalence of hypertension and documented benefits of blood pressure (BP) control, >40% of patients with hypertension are not controlled. A majority of uncontrolled hypertensive patients receive two or more antihypertensive drugs. The current review examined the relationship between antihypertensive combination drug therapy, achievement of goal BP, and cardiovascular (CV) outcomes. Articles were selected from a PubMed search using a prespecified search strategy. Randomized, controlled clinical trials of adult human subjects published in English between January 1991 and January 2013 were included. From 2319 identified articles, 28 met inclusion criteria and contained a total of 226,877 subjects. There were seven placebo-controlled studies and 21 treatment comparator and combination therapy studies. The studies included in this review reported a positive association between the degree of BP lowering, number of medications, and CV outcomes. As combination therapy became available, it was increasingly utilized in clinical trials and enabled an increased proportion of patients to achieve a prespecified BP target. Adverse events with monotherapy and combination therapy were as anticipated for the specific classes of antihypertensive therapy. Although many patients reach BP goal, combination antihypertensive therapy is often needed to reach BP goal. Effective BP lowering has been shown to result in improvements in CV outcomes. J Am Soc Hypertens 2014;8(2):127-141.
710 _986
_aServicio de Nefrología
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/5/pc5029.pdf
_ySolicitar documento
942 _n0
_2ddc
_cART
999 _c5029
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