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高血压临床研究 2023 年更新

Arterial Hypertension-clinical trials update 2023.

机构信息

From the Department of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital Saarland, 66424, Homburg, Germany.

出版信息

Hypertens Res. 2023 Sep;46(9):2159-2167. doi: 10.1038/s41440-023-01359-y. Epub 2023 Jul 13.

DOI:10.1038/s41440-023-01359-y
PMID:37443261
Abstract

Arterial hypertension is associated with increased morbidity and mortality and research in the field is highly dynamic. This summary reviews the most important clinical trials published in 2022 and early 2023. Findings on new pharmacological approaches to treat resistant hypertension are presented and new knowledge about the optimal timing of the antihypertensive medication intake is discussed. It is focused on optimal blood pressure treatment targets and the problem of treatment and guideline inertia is acknowledged. Information about pregnancy-related hypertension is presented and blood pressure control following percutaneous thrombectomy after ischemic stroke is discussed. Finally, novel clinical data on device-based approaches to treat hypertension are summarized. The hypertension trials update summarizes the most important clincal trials on hypertension research in 2022 and early 2023. CTD - chlorthalidone, CV - cardiovascular, HCT - hydrochlorothiazide, SBP - systolic blood pressure, RDN - renal denervation *depicts systolic blood pressure only.

摘要

高血压与发病率和死亡率的增加有关,该领域的研究非常活跃。本总结回顾了 2022 年和 2023 年初发表的最重要的临床试验。介绍了治疗耐药性高血压的新药物治疗方法的研究结果,并讨论了关于最佳降压药物摄入时机的新知识。重点是最佳血压治疗目标以及治疗和指南惯性的问题。还介绍了与妊娠相关的高血压信息,并讨论了缺血性卒中后经皮血栓切除术的血压控制情况。最后,总结了高血压治疗设备的新临床数据。高血压试验更新总结了 2022 年和 2023 年初高血压研究的最重要临床试验。CTD-氯噻酮,CV-心血管,HCT-氢氯噻嗪,SBP-收缩压,RDN-肾去神经支配*仅表示收缩压。

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Improved Persistence to Medication, Decreased Cardiovascular Events and Reduced All-Cause Mortality in Hypertensive Patients With Use of Single-Pill Combinations: Results From the START-Study.使用单片复方制剂的高血压患者药物持久性提高、心血管事件减少和全因死亡率降低:START 研究结果。
Hypertension. 2023 May;80(5):1127-1135. doi: 10.1161/HYPERTENSIONAHA.122.20810. Epub 2023 Mar 29.
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Endovascular Ultrasound Renal Denervation to Treat Hypertension: The RADIANCE II Randomized Clinical Trial.血管内超声肾脏去神经治疗高血压:RADIANCE II 随机临床试验。
JAMA. 2023 Feb 28;329(8):651-661. doi: 10.1001/jama.2023.0713.
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可可消费对心血管代谢风险标志物的影响:系统评价和随机对照试验荟萃分析的方案。
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氯噻酮与氢氯噻嗪治疗高血压及心血管事件的比较
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4
Cardiovascular Risk Reduction After Renal Denervation According to Time in Therapeutic Systolic Blood Pressure Range.根据治疗收缩压范围内的时间,肾去神经支配后心血管风险降低。
J Am Coll Cardiol. 2022 Nov 15;80(20):1871-1880. doi: 10.1016/j.jacc.2022.08.802.
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Phase 2 Trial of Baxdrostat for Treatment-Resistant Hypertension.巴多司他治疗顽固性高血压的2期试验。
N Engl J Med. 2023 Feb 2;388(5):395-405. doi: 10.1056/NEJMoa2213169. Epub 2022 Nov 7.
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Intensive blood pressure control after endovascular thrombectomy for acute ischaemic stroke (ENCHANTED2/MT): a multicentre, open-label, blinded-endpoint, randomised controlled trial.急性缺血性卒中血管内血栓切除术(ENCHANTED2/MT)后的强化血压控制:一项多中心、开放标签、盲终点、随机对照试验。
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