Ferrario Carlos M, Smith Ronald D
Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
Vasc Health Risk Manag. 2010 Sep 7;6:701-9. doi: 10.2147/vhrm.s6663.
Angiotensin receptor blockers have emerged as a first-line therapy in the management of hypertension and hypertension-related comorbidities. Since national and international guidelines have stressed the need to control blood pressure to <140/90 mmHg in uncomplicated hypertension and <130/80 mmHg in those with associated comorbidities such as diabetes or chronic kidney disease, these goal blood pressures can only be achieved through combination therapy. Of several drugs that can be effectively combined to attain the recommended blood pressure goals, fixed-dose combinations of angiotensin receptor blockers and the calcium channel blocker amlodipine provide additive antihypertensive effects associated with a safe profile and increased adherence to therapy. In this article, we review the evidence regarding the beneficial effects of renin-angiotensin system blockade with olmesartan medoxomil and amlodipine in terms of blood pressure control and improvement of vascular function and target organ damage.
血管紧张素受体阻滞剂已成为治疗高血压及高血压相关合并症的一线疗法。由于国内和国际指南强调,在单纯性高血压患者中需将血压控制在<140/90 mmHg,而在伴有糖尿病或慢性肾病等合并症的患者中需将血压控制在<130/80 mmHg,因此只有通过联合治疗才能实现这些目标血压。在几种可有效联合使用以达到推荐血压目标的药物中,血管紧张素受体阻滞剂与钙通道阻滞剂氨氯地平的固定剂量组合具有相加的降压作用,安全性良好且治疗依从性增加。在本文中,我们综述了有关奥美沙坦酯与氨氯地平阻断肾素-血管紧张素系统在控制血压、改善血管功能和靶器官损害方面的有益作用的证据。