Issues of clinical trial design and data interpretations in hypertension.

Abstract:

:There are many drug studies for the treatment of hypertension. Most studies compare one drug with another to determine if a drug or class of drugs have unique benefits. In evaluating drug trials, separation of hypertension as compared with atherosclerotic events is important. Trials that focus on prevention of hypertension, especially with new noninvasive markers, may have a bigger part in reducing morbidity and mortality due to elevated blood pressure.

journal_name

Curr Hypertens Rep

authors

Kuller LH

doi

10.1007/s11906-999-0046-1

keywords:

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

357-62

issue

4

eissn

1522-6417

issn

1534-3111

journal_volume

1

pub_type

杂志文章
  • Implementing Home Blood Pressure Monitoring into Clinical Practice.

    abstract:PURPOSE OF REVIEW:To review data supporting the use of home blood pressure monitoring (HBPM) and provide practical guidance to clinicians wishing to incorporate HBPM into their practice. RECENT FINDINGS:HBPM more accurately reflects the risk of cardiovascular events than office blood pressure measurement. In addition,...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-019-0916-0

    authors: Liyanage-Don N,Fung D,Phillips E,Kronish IM

    更新日期:2019-02-12 00:00:00

  • Epithelial sodium channel, salt intake, and hypertension.

    abstract::The epithelial sodium channel (ENaC) is a membrane protein made of three different but homologous subunits (a, b, and g) present in the apical membrane of epithelial cells of, for example, the distal nephron. This channel is responsible for salt reabsorption in the kidney and can cause human diseases by increasing cha...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-003-0005-1

    authors: Hummler E

    更新日期:2003-02-01 00:00:00

  • Statins and blood pressure regulation.

    abstract::Hypertension and high serum cholesterol levels are two of the most relevant risk factors for cardiovascular diseases. A combined increase in both risk factors has been reported in a significant proportion of patients with coronary artery disease. Statins are the most widely used drugs to treat hypercholesterolemia, an...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-001-0090-y

    authors: Borghi C,Veronesi M,Prandin MG,Dormi A,Ambrosioni E

    更新日期:2001-08-01 00:00:00

  • Blood pressure variability, cardiovascular risk, and risk for renal disease progression.

    abstract::The adverse cardiovascular consequences of high blood pressure (BP) not only depend on absolute BP values, but also on BP variability (BPV). Evidence has been provided that independently of mean BP levels, BP variations in the short- and long-term are associated with the development, progression and severity of cardia...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-012-0290-7

    authors: Parati G,Ochoa JE,Bilo G

    更新日期:2012-10-01 00:00:00

  • Optimizing target-organ protection in patients with diabetes mellitus: angiotensin-converting enzyme inhibitors or angiotensin receptor blockers?

    abstract::High blood pressure in the setting of type 1 and type 2 diabetes is commonly associated with the earlier development of target-organ damage, including cardiovascular and cerebrovascular disease and progressive renal insufficiency. The major goal of treating high blood pressure in this population is to prevent or reduc...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-003-0020-2

    authors: Lu WX,Lakkis J,Weir MR

    更新日期:2003-06-01 00:00:00

  • The kidney and hypertension: pathogenesis of salt-sensitive hypertension.

    abstract::Salt-sensitive hypertension is closely related with natriuretic capacity of the kidney. Besides several genome-wide research reported candidate gene or gene polymorphism responsible for salt-sensitive hypertension, recently, several new factors for acquired salt-sensitive hypertension are reported. Among them, we have...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-012-0284-5

    authors: Shimosawa T,Mu S,Shibata S,Fujita T

    更新日期:2012-10-01 00:00:00

  • Mineralocorticoid receptor blockade in chronic kidney disease.

    abstract::Aldosterone antagonists have been highly successful in treating congestive heart failure and resistant hypertension. Until recently, therapies targeting the mineralocorticoid receptor in chronic kidney disease (CKD) have received little attention, largely because of the risk of hyperkalemia and the incorrect assumptio...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-011-0202-2

    authors: Volk MJ,Bomback AS,Klemmer PJ

    更新日期:2011-08-01 00:00:00

  • A Meta-analysis to Determine the Validity of Taking Blood Pressure Using the Indirect Cuff Method.

    abstract:PURPOSE OF REVIEW:The purpose of this meta-analysis was to compare the magnitude of systematic bias (mean difference) and random error (standard deviation of mean difference) between the cuff method of indirect blood pressure and directly measured intra-arterial pressure. RECENT FINDINGS:Blood pressure is almost exclu...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11906-019-0929-8

    authors: Dankel SJ,Kang M,Abe T,Loenneke JP

    更新日期:2019-02-07 00:00:00

  • Endogenous ouabain: a link between sodium intake and hypertension.

    abstract::The sodium pump, an ancestral enzyme with conserved ability to bind ouabain, plays a key role in salt conservation and is regulated by aldosterone and endogenous ouabain (EO). Plasma EO is elevated in about 45% of patients with essential hypertension and correlates with blood pressure. The relationship of EO with Na(+...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-010-0161-z

    authors: Hamlyn JM,Manunta P

    更新日期:2011-02-01 00:00:00

  • Effects of Intrauterine Growth Restriction and Female Sex on Future Blood Pressure and Cardiovascular Disease.

    abstract:PURPOSE OF THE REVIEW:It is well-established that the age-related increase in blood pressure is augmented after menopause. Yet, the prevalence of hypertension is enhanced in low birth weight women relative to normal birth weight counterparts by 60 years of age suggesting that adverse influences during fetal life height...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-017-0712-7

    authors: Davis GK,Newsome AD,Ojeda NB,Alexander BT

    更新日期:2017-02-01 00:00:00

  • Invasive treatment of resistant hypertension: present and future.

    abstract::The underlying pathophysiologic concept of diverse invasive devices to treat resistant hypertension (e.g., sympathetic denervation, carotid sinus nerve stimulation) is known for a long time. Since the pioneering work in the 1940s in humans, innovative techniques have been developed resulting in less invasive treatment...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-014-0488-y

    authors: Ott C,Schmieder RE

    更新日期:2014-11-01 00:00:00

  • Circulating angiotensin II and dietary salt: converging signals for neurogenic hypertension.

    abstract::Circulating angiotensin II (Ang II) combined with high salt intake increases sympathetic nerve activity (SNA) in some forms of hypertension. Ang II-induced increases in SNA are modest, delayed, and specific to certain vascular beds. The brain targets for circulating Ang II are neurons in the area postrema (AP), subfor...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-007-0041-3

    authors: Osborn JW,Fink GD,Sved AF,Toney GM,Raizada MK

    更新日期:2007-06-01 00:00:00

  • Mechanism of action of angiotensin-receptor blocking agents.

    abstract::Angiotensin II is the most active hormone of the renin-angiotensin system. In humans, two angiotensin receptors have been identified: AT(1) and AT(2). In adults, most of the effects of angiotensin II are mediated by the AT(1) receptor; the function of the AT(2) receptor is not yet well established. Angiotensin II has ...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-999-0036-3

    authors: Siragy HM,Bedigian M

    更新日期:1999-08-01 00:00:00

  • Treatment of diabetic patients with hypertension.

    abstract::This review attempts to highlight the potential of calcium-channel blockers in the prevention of sequelae of diabetes mellitus and hypertension in patients who have both disorders. Evidence-based medicine is driven by the results of randomized, clinical trials. Major contributions were therefore derived from post hoc ...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-999-0025-6

    authors: Birkenhäger WH,Staessen JA

    更新日期:1999-06-01 00:00:00

  • Pathogenesis of Cardiovascular and Metabolic Diseases: Are Fructose-Containing Sugars More Involved Than Other Dietary Calories?

    abstract::There is increasing concern that sugar consumption may be linked to the development of metabolic and cardiovascular diseases. There is indeed strong evidence that consumption of energy-dense sugary beverages and foods is associated with increased energy intake and body weight gain over time. It is further proposed tha...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-016-0652-7

    authors: Rosset R,Surowska A,Tappy L

    更新日期:2016-06-01 00:00:00

  • New-onset diabetes in treated hypertensive patients.

    abstract::Interpretation of some recent trials in hypertension opened a debate on the clinical value of new-onset diabetes in treated hypertensive patients. It is not completely clear whether certain antihypertensive drug classes are associated with a higher risk for developing type 2 diabetes when compared with other classes. ...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-005-0006-3

    authors: Verdecchia P,Angeli F,Reboldi GP,Gattobigio R

    更新日期:2005-06-01 00:00:00

  • Effects of antihypertensive treatment on endothelial function.

    abstract::Essential hypertension is characterized by endothelial dysfunction due to reduced availability of nitric oxide (NO) secondary to increased generation of oxygen-free radicals. Some antihypertensive drugs may improve or restore endothelial function independently of their blood pressure lowering effect. The newer generat...

    journal_title:Current hypertension reports

    pub_type: 杂志文章

    doi:10.1007/s11906-011-0207-x

    authors: Virdis A,Ghiadoni L,Taddei S

    更新日期:2011-08-01 00:00:00

  • First Course DASH, Second Course Mediterranean: Comparing Renal Outcomes for Two "Heart-Healthy" Diets.

    abstract:PURPOSE OF REVIEW:To review studies evaluating renal outcomes based on patient adherence to the Mediterranean diet or to the Dietary Approaches to Stop Hypertension (DASH) diet and to determine which diet is most effective in preventing and managing renal disease. RECENT FINDINGS:Both the DASH and Mediterranean diets ...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-020-01054-0

    authors: Yazdi F,Morreale P,Reisin E

    更新日期:2020-07-15 00:00:00

  • Prehypertension: a possible target for antihypertensive medication.

    abstract::Vascular changes associated with elevated blood pressure may precede the clinical diagnosis of hypertension. Even after the diagnosis is made, associated coronary heart disease and renal disease continue to progress, despite adequate blood pressure control. Early treatment of blood pressure may reduce the incidence of...

    journal_title:Current hypertension reports

    pub_type: 临床试验,杂志文章,评审

    doi:10.1007/s11906-000-0038-7

    authors: Nesbitt SD,Julius S

    更新日期:2000-08-01 00:00:00

  • The Role of Interleukin-10 in the Pathophysiology of Preeclampsia.

    abstract:PURPOSE OF REVIEW:The pathophysiology of preeclampsia is complex and not entirely understood. A key feature in preeclampsia development is an immunological imbalance that shifts the maternal immune response from one of tolerance towards one promoting chronic inflammation and endothelial dysfunction. As a key regulator ...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-018-0833-7

    authors: Cubro H,Kashyap S,Nath MC,Ackerman AW,Garovic VD

    更新日期:2018-04-30 00:00:00

  • The Role of Neutrophils and Their Extracellular Traps in the Synergy of Pre-eclampsia and HIV Infection.

    abstract:PURPOSE OF THE REVIEW:In our innate immune system, neutrophils are the first cells to sense signals of infection and to proceed to kill the invading pathogen. This is mediated by their production of neutrophil extracellular traps (NETS) to entrap pathogenic micro-organisms, preventing their amplification and disseminat...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-020-01047-z

    authors: Moodley M,Moodley J,Naicker T

    更新日期:2020-05-27 00:00:00

  • The Role of Exercise in Patients with Obesity and Hypertension.

    abstract:PURPOSE OF REVIEW:This review sought to evaluate the role of exercise in patients with obesity and comorbid hypertension, with a focus on contemporary literature (since January 2015). RECENT FINDINGS:No reviews have included patients classified with both obesity and hypertension and there is a paucity of randomised co...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-020-01087-5

    authors: Keating SE,Coombes JS,Stowasser M,Bailey TG

    更新日期:2020-09-03 00:00:00

  • Modulation of pressure-natriuresis by renal medullary reactive oxygen species and nitric oxide.

    abstract::The renal pressure-natriuresis mechanism is the dominant controller of body fluid balance and long-term arterial pressure. In recent years, it has become clear that the balance of reactive oxygen and nitrogen species within the renal medullary region is a key determinant of the set point of the renal pressure-natriure...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-010-0094-6

    authors: O'Connor PM,Cowley AW Jr

    更新日期:2010-04-01 00:00:00

  • Effects of gender on the renin-angiotensin system, blood pressure, and renal function.

    abstract::Recent studies have identified key gender differences in cardiovascular function, renal hemodynamics, and the renin-angiotensin system. Extensive epidemiologic evidence has shown a clear gender difference in cardiovascular and renal disease progression, whereby female sex appears to be protective. The mechanisms under...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-002-0039-9

    authors: Kang AK,Miller JA

    更新日期:2002-04-01 00:00:00

  • Glutathione-S-transferase M1 and T1 null genotypes are associated with hypertension risk: a systematic review and meta-analysis of 12 studies.

    abstract::Oxidative stress is known to be implicated in the pathogenesis of essential hypertension. Glutathione-S-transferase (GST) enzymes are key components of cellular defense against oxidative stress. The present study aimed to clarify the association between polymorphisms in GST and risk of essential hypertension using a m...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11906-014-0432-1

    authors: Eslami S,Sahebkar A

    更新日期:2014-06-01 00:00:00

  • Hypertension in Premenopausal and Postmenopausal Women.

    abstract:PURPOSE OF REVIEW:To examine available clinical data on the differences between premenopausal and postmenopausal women with hypertension (HTN). Clinical conditions related to HTN and reproductive status differ in younger women compared with older women. Due to recent changes in the definition of HTN, the prevalence of ...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-019-0979-y

    authors: Brahmbhatt Y,Gupta M,Hamrahian S

    更新日期:2019-08-26 00:00:00

  • Antihypertensive therapy and progression of chronic renal disease.

    abstract::This paper reviews findings on the relationship between blood pressure control and the progression of renal disease. Experimental studies demonstrate a correlation between systemic blood pressure and histologic glomerular injury and the delay in progression of renal disease with antihypertensive therapy, particularly ...

    journal_title:Current hypertension reports

    pub_type: 杂志文章

    doi:10.1007/s11906-999-0058-x

    authors: Dworkin LD,Shemin DG

    更新日期:1999-10-01 00:00:00

  • Chlorthalidone: mechanisms of action and effect on cardiovascular events.

    abstract::How chlorthalidone (CTDN) reduces risk for cardiovascular events (CVEs) can be considered in light of its ability to lower blood pressure (BP) and its non-BP related, pleiotropic effects. The mechanism by which CTDN lowers BP is unclear but may include alterations in whole body regulation and vasodilatory actions on v...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-013-0372-1

    authors: Roush GC,Buddharaju V,Ernst ME,Holford TR

    更新日期:2013-10-01 00:00:00

  • Compliance and persistence with newer antihypertensive agents.

    abstract::Individuals with hypertension need to stay on therapy with antihypertensive medication to obtain the full benefits of blood pressure reduction. There are important differences in tolerability across antihypertensive drug classes, and these differences influence the extent to which patients are willing to continue taki...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-002-0021-6

    authors: Gerth WC

    更新日期:2002-12-01 00:00:00

  • Renin receptor blockade: a better strategy for renal protection than renin-angiotensin system inhibition?

    abstract::Prorenin and renin bind to a 350-amino acid protein called the (pro)renin receptor, which is present on the surface and functions intracellularly. When the receptor's N terminus binds either prorenin or renin, intracellular signaling occurs via extracellular-regulated kinases, which can result in plasminogen activator...

    journal_title:Current hypertension reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11906-008-0075-1

    authors: Müller DN,Luft FC

    更新日期:2008-10-01 00:00:00