氨氯地平和标志性试验综述

M. Yunus Khan, Sadanand R Shetty, A. Oomman, P. Jain, K. Gaurav
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引用次数: 2

摘要

高血压被认为是心脏病的主要危险因素之一。除了在充分控制血压的情况下出现低心脏病和死亡的证据外,抗高血压治疗在临床实践中的效果仍然较差。有充分的证据表明,通过有效的治疗来对抗高血压,心血管事件(如中风和心肌梗死)会减少。然而,这通常被认为是一个阶段的结果。这篇综述论文包括并重点介绍了支持氨氯地平作为一线抗高血压药物的临床试验证据,表明与其他抗高血压药物相比,氨氯地平的独特特性可以提供更好的心血管保护,以预防中风和心血管疾病。以下许多随机对照试验的证据表明,氨氯地平具有良好的疗效和安全性,是一种一流的降压药,不仅可以控制血压,而且可以安全地改善患者的预后。使用这种药物治疗的患者受益匪浅,因为他们的医院更少,康复率更低。其独特的作用机制可减少动脉粥样硬化的发展。此外,氨氯地平在24小时内有效控制血压,也可能有助于通过减少终末期肾病的进展来辅助治疗肾损伤患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Amlodipine and Landmark Trials: A Review
High blood pressure is considered one of the major risk factors for heart disease. In addition to evidence of low heart disease and death with adequate control of blood pressure, antihypertensive treatment is still less effective in clinical practice. It is well documented that there is a decrease in cardiovascular events, such as stroke and MI, with potent therapies to combat high blood pressure. This, however, is generally believed to be the result of a phase. This review paper includes and focuses on evidence from clinical trials in support of amlodipine as a first-line anti-hypertensive agent, showing how its unique properties can provide better cardiovascular protection compared to other antihypertensive agents to prevent stroke and cardiovascular disease. Evidence from the many randomized controlled trials presented below shows that amlodipine has excellent efficacy and safety, as a first-rate anti-hypertensive agent not only to control BP but also to safely improve patient outcomes. Patients treated with this drug have benefited as they have fewer hospitals and lower rates of recovery. Its unique mechanism of action leads to a reduction in the development of atherosclerosis. In addition, amlodipine with effective BP control for 24 hours may also be helpful as an adjunct to the treatment of patients with renal impairment by reducing the progression of end-stage renal disease.
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