Abstract |
Elderly patients with resistant hypertension are at increased risk for cardiovascular events. Clinical trials suggest that resistant hypertension involves perhaps 10-15% of hypertension study participants. In this study, 157 resistant hypertension patients older than 60 years were randomized to 8 weeks double-blind treatment with placebo, AML 10 mg/day, OM 40 mg/day and AM×L (10 mg/day)+OM (40 mg/day). Research outcomes suggested that ALM+OM combination therapy had superior efficacy than ALM or OM monotherapies in terms of the clinic blood pressure and 24-h ambulatory blood pressure. In addition, more patients receiving combination therapy (62.5%) achieved BP goal than those treated with placebo (18.4%), AML (37.5) or OM (38.5%) monotherapies. The adverse events in both groups were comparable. Thus, the combination of AML+OM provides a safe and effective option for the treatment of resistant hypertension in challenging elderly patient populations.
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Authors | Shunjing Ding, Jin Liu, Qiang Fu, Ying Zheng |
Journal | Archives of gerontology and geriatrics
(Arch Gerontol Geriatr)
2013 Nov-Dec
Vol. 57
Issue 3
Pg. 423-7
ISSN: 1872-6976 [Electronic] Netherlands |
PMID | 23669062
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2013 Elsevier Ireland Ltd. All rights reserved. |
Chemical References |
- Antihypertensive Agents
- Imidazoles
- Tetrazoles
- Amlodipine
- Olmesartan Medoxomil
|
Topics |
- Aged
- Amlodipine
(administration & dosage, adverse effects, therapeutic use)
- Antihypertensive Agents
(administration & dosage, adverse effects, therapeutic use)
- Blood Pressure
(drug effects)
- Blood Pressure Monitoring, Ambulatory
- Double-Blind Method
- Drug Therapy, Combination
- Female
- Humans
- Hypertension
(drug therapy)
- Imidazoles
(administration & dosage, adverse effects, therapeutic use)
- Male
- Olmesartan Medoxomil
- Tetrazoles
(administration & dosage, adverse effects, therapeutic use)
|