Triple combination in the treatment of hypertension - the real way to improve blood pressure control

Cover Page

Cite item

Full Text

Abstract

Ineffective control of blood pressure in patients with essential arterial hypertension in Russian patients (less than 30% women, 20% less than men) demonstrated in epidemiological studies. The article provides an overview of current capabilities to enhance the effectiveness of the treatment of hypertension using a triple combination antihypertensive therapy and the use of fixed combinations. The advantages of combination antihypertensive therapy, including long-acting dihydropyridine calcium channel blocker amlodipine, thiazide diuretic indapamide, and angiotensin-converting enzyme inhibitors perindopril in various clinical situations. A review of research evidence on the effectiveness and safety of a fixed combination of amlodipine/indapamide/perindopril.

About the authors

T. E. Morozova

I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

Email: temorozova@gmail.com
д-р мед. наук, проф., зав. каф. клинической фармакологии и фармакотерапии ИПО ФГАОУ ВО «Первый МГМУ им. И.М.Сеченова» 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2

I. Yu Yudina

I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

Email: klinfarma@mail.ru
канд. мед. наук, доц. каф. клинической фармакологии и фармакотерапии ФГАОУ ВО «Первый МГМУ им И.М.Сеченова» 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2

References

  1. Global Programme on Evidence for Health Policy: WHO. World Health Report, 2002.
  2. Чазова И.Е. и др. Распространенность факторов риска сердечно - сосудистых заболеваний в российской популяции больных артериальной гипертонией. Кардиология. 2014; 10: 4-12.
  3. Оганов Р.Г. и др. Эпидемиология артериальной гипертонии в России. Результаты федерального мониторинга 2003-2010 гг. Кардиоваскулярная терапия и профилактика. 2011; 10 (1): 9-13.
  4. Ezzati M, Lopez A, Rodgers A et al. Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. Geneva: World Health Organization, 2004.
  5. Диагностика и лечение артериальной гипертонии. Клинические рекомендации, 2013. http://www.cardioweb.ru/klinicheskie-rekomendatsii
  6. ESH/ESC Guidelines for the management of arterial hypertension. J Hypertens 2013; 31 (7): 1281-357.
  7. Mourad J.J, Waeber B, Zannad F et al. Comparison of different therapeutic strategies in hypertension: a low - dose combination of perindopril/indapamide versus a sequential monotherapy or a stepped - care approach. J Hypertens 2004; 22: 2379-86.
  8. Wald D.S, Law M, Morris J.K et al. Combination therapy vs. monotherapy in reducing blood pressure: meta - analysis on 11 000 participants from 42 trials. Am J Med 2009; 122: 290-300.
  9. Schafer H.H, Sudano I, Theus G.R et al. Target blood pressure attainment with antihypertensive therapy in Swiss primary care. Blood Press 2012; 21: 211-19.
  10. Bronsert M.R, Henderson W.G, Valuck R et al. Comparative effectiveness of antihypertensive therapeutic classes and treatment strategies in the initiation of therapy in primary care patients: a distributed ambulatory research in therapeutics network (DARTNet) study. J Am Board Fam Med 2013; 26: 529-38.
  11. Thoenes M, Neuberger H-R, Volpe M et al. Antihypertensive drug therapy and blood pressure control in men and women: an international perspective. J Hum Hypertens 2010; 24, 336-44.
  12. Osterberg L, Blaschke T. Adherence to Medication. N Engl J Med 2005; 353: 487-97.
  13. Egan B.M, Bandyopadhyay D, Shaftman S.R et al. Initial monotherapy and combination therapy and hypertension control the first year. Hypertension 2012; 59 (6): 1124-31.
  14. Gupta A.K, Arshad S, Poulter N.R. Compliance, safety, and effectiveness of fixed - dose combinations of antihypertensive agents, a meta - analysis. Hypertension 2010; 55: 399-407.
  15. Burnier et al. Antihypertensive Combination Treatment: State of the Art. Curr Hypertens Rep 2015; 17: 51.
  16. Toth K. PIANIST Investigators. Antihypertensive efficacy of triple combination plus amlodipine in risk hypertensive patients. Am J Cardiovasc Drugs 2014; 14 (2): 137-45.
  17. Páll D, Szántó I, Szabó Z. Triple combination therapy in hypertension: the antihypertensive efficacy of treatment with perindopril, amlodipine, and indapamide SR. Clin Drug Investig 2014; 34: 701-8.
  18. Efficiency of the combined treatment of arterial hypertension in Ukraine: results of the TRIUMF multicenter study M.I.Lutay, on behalf of the TRIUMF multicenter study group. Український кардіологічний журнал 2016; 4: 17-28.

Copyright (c) 2017 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies