Side effects and tolerability of combination blood pressure lowering according to blood pressure levels: an analysis of the PROGRESS and ADVANCE trials.

Author: AtkinsEmily R, ChalmersJohn, CooperMark, HametPavel, HarrapStephen, HirakawaYoichiro, LeesKennedy, LiuLisheng, ManciaGiuseppe, MarreMichel, PerkovicVlado, PoulterNeil, RodgersAnthony, SalamAbdul, WilliamsBryan, WoodwardMark

Paper Details 
Original Abstract of the Article :
OBJECTIVE: To measure the placebo-controlled effects of combination therapy on hypotension, treatment discontinuation, and major renal outcomes, according to baseline blood pressure. METHODS: We conducted an analysis of the action in diabetes and vascular disease: preterax and diamicron-MR controll...See full text at original site
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引用元:
https://doi.org/10.1097/HJH.0000000000001287

データ提供:米国国立医学図書館(NLM)

Combination Therapy: A Balancing Act for Blood Pressure

The world of hypertension research is a vast desert, filled with intriguing insights. This study delves into the tricky terrain of combination therapy for blood pressure management, a strategy often employed when a single medication doesn't quite hit the mark. The researchers, like seasoned explorers, used the PROGRESS and ADVANCE trials, two robust studies involving over 14,000 participants, to understand the effectiveness and side effects of combining blood pressure-lowering drugs.

They meticulously analyzed the data, stratifying participants based on their baseline blood pressure. The findings, like oasis in the desert, were quite revealing: for those with relatively higher baseline blood pressure (140-159 mmHg), the side effects of combination therapy were relatively consistent across the board. However, for individuals with lower baseline blood pressure (120-139 mmHg), the risk of side effects, particularly hypotension (low blood pressure), increased slightly.

Balancing the Benefits and Risks

The results of this study, like a compass guiding our way, highlight the importance of individualized treatment plans. For patients with higher baseline blood pressure, combination therapy may offer a more robust approach, potentially leading to better control of their condition. However, for those with lower baseline blood pressure, the potential risks of hypotension need to be carefully weighed against the potential benefits.

The Importance of Monitoring and Individualized Care

This research emphasizes the need for close monitoring, particularly when combining medications. Individuals with lower baseline blood pressure may require more frequent checkups and a more tailored approach to medication management. The researchers suggest that this data can inform discussions with patients about the potential benefits and risks of combination therapy.

Dr.Camel's Conclusion

Navigating the world of hypertension treatment can be like traversing a vast desert, filled with intricate pathways and potential pitfalls. This research provides valuable insights into the impact of combination therapy, shedding light on the delicate balance between benefits and risks. As we continue to journey through this landscape of knowledge, understanding the individual needs of each patient remains paramount. It's a reminder that the most effective treatment plan is one that is tailored to the unique characteristics of the individual.

Date :
  1. Date Completed 2017-12-11
  2. Date Revised 2021-01-09
Further Info :

Pubmed ID

28169881

DOI: Digital Object Identifier

10.1097/HJH.0000000000001287

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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