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单一片剂奥美沙坦/氨氯地平/氢氯噻嗪联合治疗明显顽固性高血压患者的疗效

Effectiveness of single-pill combination olmesartan/amlodipine/hydrochlorothiazide therapy in patients with apparent resistant hypertension.

作者信息

Oh Jaewon, Kim Wonho, Kim Gee-Hee, Kim Hack-Lyoung, Park Sang-Don, Min Kyung Wan, Hyun Dongkeun, Hong Jun Hwa, Lim Soo, Bae Ji-Hwan, Shin Jinho

机构信息

Division of Cardiology, Department of Internal Medicine, Severance Cardiovascular Hospital, Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.

Division of Cardiology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Republic of Korea.

出版信息

J Hum Hypertens. 2025 Jul 14. doi: 10.1038/s41371-025-01043-3.

DOI:10.1038/s41371-025-01043-3
PMID:40659924
Abstract

This pioneering study investigated the real-life effectiveness of single-pill combination (SPC) antihypertensive therapy in patients with uncontrolled blood pressure (BP) and cardiovascular risk factors. After treatment with olmesartan medoxomil/amlodipine besylate/hydrochlorothiazide for 24 weeks, adults with apparent resistant hypertension had significantly reduced systolic BP and approximately 80% achieved target BP. SPC therapy may improve adherence in patients with pseudo-resistant hypertension and is a potentially effective treatment for resistant hypertension.

摘要

这项开创性研究调查了单片复方制剂(SPC)抗高血压疗法在血压控制不佳且伴有心血管危险因素患者中的实际疗效。在用奥美沙坦酯/苯磺酸氨氯地平/氢氯噻嗪治疗24周后,患有明显顽固性高血压的成年人收缩压显著降低,约80%的患者达到了目标血压。SPC疗法可能会提高假性顽固性高血压患者的依从性,是治疗顽固性高血压的一种潜在有效疗法。

相似文献

1
Effectiveness of single-pill combination olmesartan/amlodipine/hydrochlorothiazide therapy in patients with apparent resistant hypertension.单一片剂奥美沙坦/氨氯地平/氢氯噻嗪联合治疗明显顽固性高血压患者的疗效
J Hum Hypertens. 2025 Jul 14. doi: 10.1038/s41371-025-01043-3.
2
Triple therapy with olmesartan medoxomil, amlodipine besylate, and hydrochlorothiazide in adult patients with hypertension: The TRINITY multicenter, randomized, double-blind, 12-week, parallel-group study.在高血压成年患者中使用奥美沙坦酯、苯磺酸氨氯地平与氢氯噻嗪三联治疗的多中心、随机、双盲、12 周、平行分组研究(TRINITY)。
Clin Ther. 2010 Jul;32(7):1252-69. doi: 10.1016/j.clinthera.2010.07.008.
3
Single-Pill Triple Fixed Dose Combination Therapy with Single Component Drug Monitoring in Treatment-Resistant Hypertension: A Pilot Study.单片三固定剂量复方治疗药物监测在难治性高血压中的应用:一项初步研究。
Curr Vasc Pharmacol. 2018 Jan 26;16(2):197-203. doi: 10.2174/1570161115666170821155555.
4
A titrate-to-goal study of switching patients uncontrolled on antihypertensive monotherapy to fixed-dose combinations of amlodipine and olmesartan medoxomil ± hydrochlorothiazide.一项滴定至目标的研究,即在降压单药治疗未控制的患者中转换为氨氯地平和奥美沙坦酯氢氯噻嗪固定剂量复方。
J Clin Hypertens (Greenwich). 2011 Jun;13(6):404-12. doi: 10.1111/j.1751-7176.2011.00437.x. Epub 2011 Feb 5.
5
A review of the efficacy of fixed-dose combinations olmesartan medoxomil/hydrochlorothiazide and amlodipine besylate/benazepril in factorial design studies.在析因设计研究中对固定剂量复方奥美沙坦酯/氢氯噻嗪和苯磺酸氨氯地平/贝那普利疗效的综述。
Am J Cardiovasc Drugs. 2006;6(2):103-13. doi: 10.2165/00129784-200606020-00004.
6
Efficacy and safety of a stepped-care regimen using olmesartan medoxomil, amlodipine and hydrochlorothiazide in patients with moderate-to-severe hypertension: an open-label, long-term study.奥美沙坦酯、氨氯地平和氢氯噻嗪阶梯治疗方案用于中重度高血压患者的疗效与安全性:一项开放标签的长期研究
Clin Drug Investig. 2009;29(6):381-91. doi: 10.2165/00044011-200929060-00002.
7
Olmesartan medoxomil combined with hydrochlorothiazide for the treatment of hypertension.奥美沙坦酯片联合氢氯噻嗪治疗高血压。
Vasc Health Risk Manag. 2006;2(4):401-9. doi: 10.2147/vhrm.2006.2.4.401.
8
Efficacy and safety of olmesartan/amlodipine/hydrochlorothiazide in patients with hypertension not at goal with mono, dual or triple drug therapy: results of the CHAMPiOn study.奥美沙坦/氨氯地平/氢氯噻嗪用于单药、二联或三联药物治疗未达目标的高血压患者的疗效与安全性:CHAMPiOn研究结果
Ther Adv Cardiovasc Dis. 2014 Feb;8(1):12-21. doi: 10.1177/1753944713520062.
9
Efficacy of amlodipine/olmesartan ± hydrochlorothiazide in patients uncontrolled on prior calcium channel blocker or angiotensin II receptor blocker monotherapy.氨氯地平/奥美沙坦±氢氯噻嗪治疗钙通道阻滞剂或血管紧张素 II 受体阻滞剂单药治疗控制不佳患者的疗效。
Adv Ther. 2012 Jun;29(6):508-23. doi: 10.1007/s12325-012-0030-z. Epub 2012 Jul 4.
10
Real-world effectiveness of amlodipine/valsartan and amlodipine/valsartan/hydrochlorothiazide in high-risk patients and other subgroups.氨氯地平/缬沙坦及氨氯地平/缬沙坦/氢氯噻嗪在高危患者及其他亚组中的真实世界有效性。
Vasc Health Risk Manag. 2015 Jan 21;11:71-8. doi: 10.2147/VHRM.S76599. eCollection 2015.

本文引用的文献

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Diagnosis and management of resistant hypertension.耐药性高血压的诊断与治疗。
BMJ. 2024 Jun 19;385:e079108. doi: 10.1136/bmj-2023-079108.
2
Resistant hypertension: consensus document from the Korean society of hypertension.难治性高血压:韩国高血压学会共识文件
Clin Hypertens. 2023 Nov 1;29(1):30. doi: 10.1186/s40885-023-00255-4.
3
Real-World Effectiveness and Safety of a Single-Pill Combination of Olmesartan/Amlodipine/Hydrochlorothiazide in Korean Patients with Hypertension and Cardiovascular Risk Factors.奥美沙坦/氨氯地平/氢氯噻嗪单片复方制剂在韩国高血压合并心血管危险因素患者中的真实世界疗效和安全性。
Adv Ther. 2023 Nov;40(11):4817-4835. doi: 10.1007/s12325-023-02632-9. Epub 2023 Aug 31.
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The Burden of Resistant Hypertension Across the World.全球范围内的耐药性高血压负担。
Curr Hypertens Rep. 2022 Mar;24(3):55-66. doi: 10.1007/s11906-022-01173-w. Epub 2022 Feb 3.
5
Prevalence and prognosis of refractory hypertension diagnosed using ambulatory blood pressure measurements.使用动态血压测量诊断的难治性高血压的患病率和预后。
Hypertens Res. 2022 Aug;45(8):1353-1362. doi: 10.1038/s41440-021-00845-5. Epub 2022 Jan 13.
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Sacubitril-valsartan as a treatment for apparent resistant hypertension in patients with heart failure and preserved ejection fraction.沙库巴曲缬沙坦治疗射血分数保留的心力衰竭伴明显抗高血压治疗失败患者。
Eur Heart J. 2021 Sep 21;42(36):3741-3752. doi: 10.1093/eurheartj/ehab499.
7
Apparent treatment-resistant hypertension among ambulatory hypertensive patients: a cross-sectional study from 13 general hospitals.门诊高血压患者中明显的治疗抵抗性高血压:来自 13 家综合医院的横断面研究。
Korean J Intern Med. 2021 Jul;36(4):888-897. doi: 10.3904/kjim.2019.361. Epub 2021 Jun 7.
8
Real-World Effectiveness and Safety of a Single-Pill Combination of Olmesartan/Amlodipine/Hydrochlorothiazide in Korean Patients with Essential Hypertension (RESOLVE): A Large, Observational, Retrospective, Cohort Study.奥美沙坦/氨氯地平/氢氯噻嗪单片复方制剂在韩国原发性高血压患者中的真实世界有效性和安全性(RESOLVE):一项大型观察性回顾性队列研究
Adv Ther. 2020 Aug;37(8):3500-3514. doi: 10.1007/s12325-020-01404-z. Epub 2020 Jun 18.
9
2018 Korean Society of Hypertension Guidelines for the management of hypertension: part II-diagnosis and treatment of hypertension.2018年韩国高血压学会高血压管理指南:第二部分——高血压的诊断与治疗
Clin Hypertens. 2019 Aug 1;25:20. doi: 10.1186/s40885-019-0124-x. eCollection 2019.
10
The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019).日本高血压学会高血压管理指南(JSH 2019)。
Hypertens Res. 2019 Sep;42(9):1235-1481. doi: 10.1038/s41440-019-0284-9.