Safety and effectiveness of combined antihypertensive and cholesterol-lowering therapy in high-/very high-risk patients

被引:8
作者
Konyi, Attila [1 ]
Sarszegi, Zsolt [1 ]
Hild, Gabor [2 ]
Gaszner, Balazs [1 ]
机构
[1] Coromed Kft, Cardiol Private Practice, Pecs, Hungary
[2] Univ Pecs, Fac Med, Dept Biophys, Pecs, Hungary
关键词
cardiovascular risk; diabetes mellitus; hypercholesterolemia; hypertension; lisinopril-amlodipine; rosuvastatin; CORONARY ATHEROSCLEROSIS; ROSUVASTATIN; HYPERTENSION; EFFICACY; AMLODIPINE; ATORVASTATIN; METAANALYSIS; ACHIEVEMENT; COMBINATION; PROGRESSION;
D O I
10.2217/cer-2016-0003
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Aim: Controlling cardiovascular (CV) risk factors is paramount in reducing atherosclerotic events. This 6-month prospective noninterventional trial assessed the safety and effectiveness of fixed-combination lisinopril-amlodipine plus rosuvastatin. Patients & methods: Patients with mild/moderate hypertension and hypercholesterolemia, at high-/very high-CV risk, received lisinopril-amlodipine (10/5, 20/5 or 20/10 mg/day) plus rosuvastatin (10 or 20 mg/day). Primary end points: systolic/diastolic blood pressure, low-density lipoprotein cholesterol. Results: At 6 months, 91% of 2241 evaluable patients achieved blood pressure target (< 140/90 mHg); low-density lipoprotein cholesterol targets, < 3, < 2.5 and 1.8 mmol/l, were achieved by 67, 49 and 40% of patients, respectively. Adverse events (4.4%) were mostly mild. Conclusion: Lisinopril-amlodipine plus rosuvastatin was well tolerated and effective in patients with mild/moderate hypertension and hypercholesterolemia at high/very high CV risk.
引用
收藏
页码:355 / 364
页数:10
相关论文
共 39 条
  • [1] Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170 000 participants in 26 randomised trials
    Baigent, C.
    Blackwell, L.
    Emberson, J.
    Holland, L. E.
    Reith, C.
    Bhala, N.
    Peto, R.
    Barnes, E. H.
    Keech, A.
    Simes, J.
    Collins, R.
    [J]. LANCET, 2010, 376 (9753) : 1670 - 1681
  • [2] Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins
    Baigent, C
    Keech, A
    Kearney, PM
    Blackwell, L
    Buck, G
    Pollicino, C
    Kirby, A
    Sourjina, T
    Peto, R
    Collins, R
    Simes, J
    [J]. LANCET, 2005, 366 (9493) : 1267 - 1278
  • [3] Effects of losartan on renal and cardiovascular outcomes in patients with type 2 diabetes and nephropathy
    Brenner, BM
    Cooper, ME
    de Zeeuw, D
    Keane, WF
    Mitch, WE
    Parving, HH
    Remuzzi, G
    Snapinn, SM
    Zhang, ZX
    Shahinfar, S
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (12) : 861 - 869
  • [4] Benefit-risk assessment of rosuvastatin 10 to 40 milligrams
    Brewer, HB
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2003, 92 (4B) : 23K - 29K
  • [5] AMLODIPINE AND LISINOPRIL IN COMBINATION FOR THE TREATMENT OF ESSENTIAL-HYPERTENSION - EFFICACY AND PREDICTORS OF RESPONSE
    CAPPUCCIO, FP
    MARKANDU, ND
    SINGER, DRJ
    MACGREGOR, GA
    [J]. JOURNAL OF HYPERTENSION, 1993, 11 (08) : 839 - 847
  • [6] Reduced discontinuation of antihypertensive treatment by two-drug combination as first step. Evidence from daily life practice
    Corrao, Giovanni
    Parodi, Andrea
    Zambon, Antonella
    Heiman, Franca
    Filippi, Alessandro
    Cricelli, Claudio
    Merlino, Luca
    Mancia, Giuseppe
    [J]. JOURNAL OF HYPERTENSION, 2010, 28 (07) : 1584 - 1590
  • [7] Effect of rosuvastatin on progression of carotid intima-media thickness in low-risk individuals with subclinical atherosclerosis - The METEOR trial
    Crouse, John R., III
    Raichlen, Joel S.
    Riley, Ward A.
    Evans, Gregory W.
    Palmer, Mike K.
    O'Leary, Daniel H.
    Grobbee, Diederick E.
    Bots, Michiel L.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 297 (12): : 1344 - 1353
  • [8] Csaba F.., 2004, HYPERTONIA NEPHROLOG, V8, P72
  • [9] Prevention of cardiovascular events with an antihypertensive regimen of amlodipine adding perindopril as required versus atenolol adding bendroflumethiazide as required, in the Anglo-Scandinavian Cardiac Outcomes Trial-Blood Pressure Lowering Arm (ASCOT-BPLA):: a multicentre randomised controlled trial
    Dahlöf, B
    Sever, PS
    Poulter, NR
    Wedel, H
    Beevers, DG
    Caulfield, M
    Collins, R
    Kjeldsen, SE
    Kristinsson, A
    McInnes, GT
    Mehlsen, J
    Nieminen, M
    O'Brien, E
    Östergren, J
    [J]. LANCET, 2005, 366 (9489) : 895 - 906
  • [10] Primary prevention of acute coronary events with lovastatin in men and women with average cholesterol levels - Results of AFCAPS/TexCAPS
    Downs, JR
    Clearfield, M
    Weis, S
    Whitney, E
    Shapiro, DR
    Beere, PA
    Langendorfer, A
    Stein, EA
    Kruyer, W
    Gotto, AM
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (20): : 1615 - 1622