首页> 外文期刊>The journal of clinical hypertension. >Single-Pill Combination of Telmisartan/Amlodipine in Patients With Severe Hypertension: Results From the TEAMSTA Severe HTN Study
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Single-Pill Combination of Telmisartan/Amlodipine in Patients With Severe Hypertension: Results From the TEAMSTA Severe HTN Study

机译:严重高血压患者中替米沙坦/氨氯地平的单药联合使用:TEAMSTA严重HTN研究的结果

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摘要

This 8-week, randomized, double-blind, controlled study compared efficacy and tolerability of telmisartan/amlodipine (T/A) single-pill combination (SPC) vs the respective monotherapies in 858 patients with severe hypertension (systolic/diastolic blood pressure [SBP/DBP] ≥180/95 mmHg). At 8weeks, T/A provided significantly greater reductions from baseline in seated trough cuff SBP/DBP (-47.5mmHg/-18.7mmHg) vs T (P<.0001) or A (P=.0002) monotherapy; superior reductions were also evident at 1, 2, 4, and 6weeks. Blood pressure (BP) goal and response rates were consistently higher with T/A vs T or A. T/A was well tolerated, with less frequent treatment-related adverse events vs A (12.6% vs 16.4%) and a numerically lower incidence of peripheral edema and treatment discontinuation. In conclusion, treatment of patients with substantially elevated BP with T/A SPCs resulted in high and significantly greater BP reductions and higher BP goal and response rates than the respective monotherapies. T/A SPCs were well tolerated.
机译:这项为期8周的随机,双盲,对照研究比较了替米沙坦/氨氯地平(T / A)单药联合(SPC)与858例严重高血压(收缩压/舒张压[ SBP / DBP]≥180/ 95 mmHg)。在第8周时,相对于T(P <.0001)或A(P = .0002)单一疗法,坐位袖套SBP / DBP(-47.5mmHg / -18.7mmHg)的T / A与基线相比有显着更大的降低;在1、2、4和6周时也有明显的降低。 T / A相对于T或A的血压(BP)目标和应答率始终较高。T/ A耐受性良好,与治疗相关的不良事件相对于A较不常见(12.6%vs 16.4%),且发病率数值较低周围水肿和治疗中断。总之,与单独的单一疗法相比,使用T / A SPC治疗BP明显升高的患者可导致BP降低更高,显着更大,BP目标和应答率更高。 T / A SPC的耐受性良好。

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