Targeting mechanisms of hypertensive vascular disease with dual calcium channel and renin-angiotensin system blockade.

Abstract:

:Patients with hypertension, particularly those with diabetes mellitus, are at heightened risk for cardiovascular and renal disease. Accumulated evidence indicates that the majority of hypertensive patients at high risk will require more than one antihypertensive agent to reach their blood pressure (BP) target. A reasonable strategy is to use agents with complementary mechanisms of action to enhance BP-lowering efficacy and prevent target organ damage. In experimental models, the combination of a calcium channel blocker (CCB) with an agent that blocks the renin-angiotensin system (RAS), an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker, improves measures of endothelial function, inflammation, ventricular remodelling and renal function to a greater degree than these classes given as monotherapy. In clinical trials, calcium channel/RAS blockade combination therapy has been shown to provide greater BP reductions and improve renal function in patients with diabetic and nondiabetic renal disease earlier and to a greater extent than monotherapy. In addition, dual calcium channel/RAS blockade increases arterial compliance, arterial distensibility and flow-mediated vasodilation. Expanding upon extensive research on the benefits of calcium channel blockade and RAS blockade for the prevention of vascular events and preclinical and clinical trial evidence suggests added effects of combination therapy by targeting the underlying mechanisms of hypertensive vascular disease.

journal_name

J Hum Hypertens

authors

Weir MR

doi

10.1038/sj.jhh.1002254

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

770-9

issue

10

eissn

0950-9240

issn

1476-5527

pii

1002254

journal_volume

21

pub_type

杂志文章,评审
  • Clinical correlates of renal dysfunction in hypertensive patients without cardiovascular complications: the REDHY study.

    abstract::Our study was aimed to assess the clinical correlates of different degrees of renal dysfunction in a wide group of non-diabetic hypertensive patients, free from cardiovascular (CV) complications and known renal diseases, participating to the REDHY (REnal Dysfunction in HYpertension) study. A total of 1856 hypertensive...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2009.41

    authors: Cerasola G,Mulè G,Nardi E,Cusimano P,Palermo A,Arsena R,Guarneri M,Geraci C,Cottone S

    更新日期:2010-01-01 00:00:00

  • Acute exercise-induced nitric oxide production contributes to upregulation of circulating endothelial progenitor cells in healthy subjects.

    abstract::Exercise has been proved to promote the number and activity of circulating endothelial progenitor cells (EPCs) in humans, which contributes to improvement in endothelial function and maintenance of cardiovascular homoeostasis. However, the mechanism underlying the effect of exercise on circulating EPCs in healthy subj...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1002171

    authors: Yang Z,Wang JM,Chen L,Luo CF,Tang AL,Tao J

    更新日期:2007-06-01 00:00:00

  • Nonspecific dizziness: frequency of supine hypertension associated with hypotensive reactions on head-up tilt.

    abstract::The clinical syndrome of supine hypertension associated with orthostatic hypotension (OH) in given individuals is recognized by specialists, but is underdiagnosed in the community. The objective of this study was to assess supine hypertension associated with hypotensive reactions on head-up tilt (SH-HRT) among patient...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001947

    authors: Naschitz JE,Mussafia-Priselac R,Kovalev Y,Zaigraykina N,Slobodin G,Elias N,Storch S,Rosner I

    更新日期:2006-02-01 00:00:00

  • Urinary sodium excretion and blood pressure in chronic psychiatric in-patients.

    abstract::Studies of populations or communities with no rise in blood pressure (BP) with advancing age and low prevalence of hypertension, may provide aetiological clues on the cause of hypertension. Within westernised societies, low blood pressures have been reported amongst chronic psychiatric in-patients and closed order sec...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000853

    authors: Lip GY,Douglas M,Gupta A,Beevers DG

    更新日期:1999-07-01 00:00:00

  • Patient satisfaction with antihypertensive therapy.

    abstract::The objective of the study was to assess factors associated with treatment satisfaction among patients receiving antihypertensive therapy. A weighted cross-sectional online survey was conducted with hypertensive patients participating in a chronic disease panel in the US. Patients on monotherapy with medications from ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001899

    authors: Chen K,Chiou CF,Plauschinat CA,Frech F,Harper A,Dubois R

    更新日期:2005-10-01 00:00:00

  • Factors affecting variability in home blood pressure in patients with type 2 diabetes: post hoc analysis of a cross-sectional multicenter study.

    abstract::Recent studies have shown that variability in home blood pressure has an important role in the progression of organ damage. The objective of this study was to investigate the factors that affect variability in home blood pressure in patients with type 2 diabetes. We assessed the relationship between home blood pressur...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,多中心研究

    doi:10.1038/jhh.2014.2

    authors: Ushigome E,Fukui M,Hamaguchi M,Tanaka T,Atsuta H,Mogami SI,Oda Y,Yamazaki M,Hasegawa G,Nakamura N

    更新日期:2014-10-01 00:00:00

  • Dietary magnesium intake and blood pressure: a qualitative overview of the observational studies.

    abstract::Published reports of 30 separate sets of analyses from 29 observational studies relating dietary intake of magnesium to blood pressure (BP) were identified through a comprehensive search using MEDLINE and BIDS-EMBASE. Three studies were prospective, 24 cross-sectional (25 reports), of which four also contained a longi...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,meta分析

    doi:10.1038/sj.jhh.1000641

    authors: Mizushima S,Cappuccio FP,Nichols R,Elliott P

    更新日期:1998-07-01 00:00:00

  • Patient-doctor interactions in hypertension.

    abstract::The interaction between doctors and their hypertensive patients still suffers from a number of shortcomings owing to ignorance and misconceptions on both sides as well as poorly defined mutual goals. In this paper, an attempt is made to define common goals of doctors and patients and to describe the information status...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Unger T

    更新日期:1995-01-01 00:00:00

  • Antihypertensive treatment and control according to gender, education, country of birth and psychiatric disorder: the Swedish Primary Care Cardiovascular Database (SPCCD).

    abstract::The reasons why women and men are treated with different antihypertensive drugs are not clear. Whether socioeconomic factors influence prescription patterns and blood pressure control differently in women and men has not been investigated. This cross-sectional study performed in a cohort of hypertensive patients from ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.100

    authors: Ljungman C,Kahan T,Schiöler L,Hjerpe P,Wettermark B,Boström KB,Manhem K

    更新日期:2015-06-01 00:00:00

  • Acute effect of clonidine on left ventricular pressure-volume relation in hypertensive patients with diastolic heart dysfunction.

    abstract::We sought to assess the haemodynamic effects of clonidine on left ventricular (LV) pressure-volume relation in patients with diastolic heart dysfunction due to essential hypertension. Towards this end, simultaneous recordings of LV volume (acoustic quantification) and LV pressure (micromanometer) were obtained in 10 s...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1038/sj.jhh.1001243

    authors: Stefanadis C,Manolis A,Dernellis J,Tsioufis C,Tsiamis E,Gavras I,Gavras H,Toutouzas P

    更新日期:2001-09-01 00:00:00

  • Association of left ventricular structural and functional abnormalities with aortic and brachial blood pressure variability in hypertensive patients: the SAFAR study.

    abstract::Both brachial blood pressure (BP) level and its variability (BPV) significantly associate with left ventricular (LV) structure and function. Recent studies indicate that aortic BP is superior to brachial BP in the association with LV abnormalities. However, it remains unknown whether aortic BPV better associate with L...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2017.37

    authors: Chi C,Yu SK,Auckle R,Argyris AA,Nasothimiou E,Tountas C,Aissopou E,Blacher J,Safar ME,Sfikakis PP,Zhang Y,Protogerou AD

    更新日期:2017-10-01 00:00:00

  • Reliability of normative tables in assessing elevated blood pressure in children.

    abstract::Epidemiological studies indicate that elevated blood pressure (BP) is common among children. Early detection of elevated BP in children is important in the prevention of cardiovascular disease (CVD). Difficulties exist in the diagnosis of "elevated" BP in children of 8-12 years of age. Normative tables of sex, age, an...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-019-0290-z

    authors: Agirbasli M,Dilek HF,Tatlisu MA,Ankarali H

    更新日期:2020-03-01 00:00:00

  • Non-resectable phaeochromocytoma: long term follow-up.

    abstract::A forty-two year old woman presented with hypertension, trembling, sweating, visual impairment, headache and weight loss. A right adrenal phaeochromocytoma was diagnosed. The tumour could not be resected because it encircled the inferior vena cava. She was treated at first with phenoxybenzamine and propranolol and lat...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Pelegrí A,Romero R,Reguant M,Aisa L

    更新日期:1989-04-01 00:00:00

  • Left ventricular remodelling in asymptomatic HIV infection on chronic HAART: comparison between hypertensive and normotensive subjects with and without HIV infection.

    abstract::The high cardiovascular risk of HIV infected (HIV+) patients is still partly unexplained. We aimed to evaluate if HIV infection and highly active antiretroviral therapy (HAART) are linked per se to left ventricular (LV) remodelling, independently of blood pressure (BP) values. We enrolled 4 groups of patients matched ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2011.81

    authors: Grandi AM,Nicolini E,Giola M,Gianni M,Maresca AM,Marchesi C,Guasti L,Balsamo ML,Venco A,Grossi PA

    更新日期:2012-10-01 00:00:00

  • Aortic dissection presenting as concomitant stroke and STEMI.

    abstract::Aortic dissection is a disease of immediate consequence,as mortality of a proximal dissection is in excess of 50% when left untreated. Early recognition of the dissection event can lead to faster definitive correction with surgical and/or novel percutaneous approaches. Widely varying signs and symptoms can, however, m...

    journal_title:Journal of human hypertension

    pub_type: 信件

    doi:10.1038/sj.jhh.1002208

    authors: Cook J,Aeschlimann S,Fuh A,Kohmoto T,Chang SM

    更新日期:2007-10-01 00:00:00

  • Microalbuminuria in essential hypertension.

    abstract::The prevalence of microalbuminuria in patients with essential hypertension ranges between 10 and 25%. The level of albuminuria is highly correlated with arterial pressure and more closely ambulatory arterial pressure. The interaction between albuminuria and arterial pressure is clearly enhanced by overweight and smoki...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Mimran A,Ribstein J

    更新日期:1996-10-01 00:00:00

  • Overdiagnosis of hypertension in the elderly.

    abstract::Seventeen untreated and 36 treated hypertensives aged 65 years or more were referred to our clinic because of repeated values of systolic blood pressure > or = 160 mmHg and diastolic blood pressure > or = 95 mmHg. All 53 patients underwent 24h blood pressure monitoring during their customary daily activities. Eleven (...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Wittenberg C,Zabludowski JR,Rosenfeld JB

    更新日期:1992-10-01 00:00:00

  • Influence of mild to moderate treated hypertension on 9-11 year mortality in patients with pre-existing coronary heart disease.

    abstract::Hypertension is a known risk factor in the genesis of coronary artery disease. However, the effect of pre-existing hypertension on the long-term mortality in patients with established coronary heart disease is not clear. The present cohort study analysed the influence of baseline mild to moderate treated hypertension ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Gupta R,Gupta KD,Kasliwal P

    更新日期:1992-08-01 00:00:00

  • Difference in carotid artery elasticity in subjects with different brachial artery kinetic of vasodilatation.

    abstract::Increased carotid stiffness and impaired brachial artery flow-mediated dilatation (FMD) associate with cardiovascular events. We have previously reported three FMD patterns based on the time of maximal dilatation. The aim of the present study was to verify whether different FMD patterns associate with carotid artery s...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2015.109

    authors: Tripolino C,Gnasso A,Carallo C,Scavelli FB,Irace C

    更新日期:2016-08-01 00:00:00

  • Changing work stressors and coping resources influence blood pressure and hypertension incidence in a large OHSPIW cohort.

    abstract::Psychosocial work environments may adversely influence blood pressure, but the benefits of altering these factors and introducing coping resources is unclear. We examined whether changing work stressors and coping resources affect the risk of hypertension and elevated BP. A total of 13,145 workers from the Occupationa...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2016.79

    authors: Lian Y,Qi C,Tao N,Han R,Jiang Y,Guan S,Ge H,Ning L,Xiao J,Liu J

    更新日期:2017-05-01 00:00:00

  • Utility of blood pressure genetic risk score in admixed Hispanic samples.

    abstract::Hypertension is strongly influenced by genetic factors. Although hypertension prevalence in some Hispanic sub-populations is greater than in non-Hispanic whites, genetic studies on hypertension have focused primarily on samples of European descent. A recent meta-analysis of 200 000 individuals of European descent iden...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,meta分析,多中心研究

    doi:10.1038/jhh.2016.29

    authors: Beecham AH,Wang L,Vasudeva N,Liu Z,Dong C,Goldschmidt-Clermont PJ,Pericak-Vance MA,Rundek T,Seo D,Blanton SH,Sacco RL,Beecham GW

    更新日期:2016-12-01 00:00:00

  • Morning blood pressure surge is associated with serum gamma-glutamyltransferase activity in essential hypertensive patients.

    abstract::The phenomenon that blood pressure rises sharply in the morning is called 'Morning Blood Pressure Surge' (MBPS). Serum gamma-glutamyltransferase (GGT) is a proinflammatory marker involved in the pathogenesis of cardiovascular diseases. Although both are novel cardiovascular risk factors associated with inflammation an...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.74

    authors: Elsurer R,Afsar B

    更新日期:2015-05-01 00:00:00

  • Intraventricular dispersion of E wave velocity: an alternative measure of left ventricular diastolic function in hypertensive patients?

    abstract::The E/A ratio (of peak mitral blood flow velocity during early diastole to that during atrial contraction) has limitations in the assessment of diastolic function. Previous studies have suggested that peak blood flow velocity is normally maintained or increased towards the cardiac apex but that it decreases in diastol...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1038/sj.jhh.1000905

    authors: Chapman JN,Mayet J,Foale RA,Thom SA

    更新日期:1999-12-01 00:00:00

  • Effect of angiotensin II on pulse wave velocity in humans is mediated through angiotensin II type 1 (AT(1)) receptors.

    abstract::The objective of this study was to examine the effect of angiotensin II (Ang II) and angiotensin II type 1 (AT(1)) receptor blockade on pulse wave velocity (PWV) in healthy humans. We studied nine young male volunteers in a double-blind randomised crossover design. Carotid-femoral PWV (an index of arterial stiffness) ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1038/sj.jhh.1001372

    authors: Rehman A,Rahman AR,Rasool AH

    更新日期:2002-04-01 00:00:00

  • Factors influencing the development of malignant hypertension in Nigeria.

    abstract::Hypertension prevalence rates remain comparatively low in Nigeria, although the associated morbidity and mortality including that due to malignant hypertension (MHT) is considerable. To determine the factors that may be associated with the development of MHT we compared 74 patients with essential MHT (age 48 +/- 9 yea...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000963

    authors: Kadiri S,Olutade BO,Osobamiro O

    更新日期:2000-03-01 00:00:00

  • Comparative effects of amlodipine and felodipine ER on office and ambulatory blood pressure in patients with mild to moderate hypertension. Danish Multicentre Group.

    abstract::The anti-hypertensive efficacy and safety of extended-release (ER) felodipine (5, 10 or 20 mg) and amlodipine (5 or 10 mg) once daily were compared in patients with mild to moderate essential hypertension in a double-blind, double-dummy, randomised, comparative study. One hundred and eighteen patients were randomised ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Høegholm A,Wiinberg N,Rasmussen E,Nielsen PE

    更新日期:1995-03-01 00:00:00

  • Plasma PCSK9 levels are unrelated to arterial stiffness in a community-based, 4.8-year prospective study.

    abstract::Proprotein convertase subtilisin/kexin type 9 (PCSK9) is an important circulating serine protease in low-density lipoprotein cholesterol (LDL-C) metabolism. Increased plasma PCSK9 levels lead to increased plasma levels of LDL-C and an increased risk of cardiovascular disease (CVD). LDL-C is positively correlated with ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2017.56

    authors: Han J,Wang X,Ye P,Cao R,Yang X,Xiao W,Zhang Y,Bai Y,Wu H

    更新日期:2017-11-01 00:00:00

  • Blood pressure and other risk factors of cardiovascular disease in two communities with different socio-economic statuses: the Athens study.

    abstract::Blood pressure and other risk factors of cardiovascular diseases were studied in two rural communities of 631 adults (greater than or equal to 18 years old) with different socio-economic statuses, populations A and B. Population A (n = 381) lived in a tourist village on an island, and population B (n = 250) in a remot...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Adamopoulos PN,Boutsicakis J,Kodoyianis S,Papamichael C,Gatos A,Makrilakis K,Argyros D,Adamopoulos E,Argyros G,Kostis E

    更新日期:1990-08-01 00:00:00

  • Effect of antihypertensive treatment on qualitative estimates of microalbuminuria.

    abstract::We tested the utility of qualitative microalbuminuria (MAU) screening in an office practice setting, in assessing the response of MAU to drug treatment. We enrolled general practitioners throughout Germany, who obtained histories, physical examinations, and routine laboratory values as clinically indicated on > 6000 n...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Agrawal B,Wolf K,Berger A,Luft FC

    更新日期:1996-08-01 00:00:00

  • Uncontrolled hypertension is associated with coronary artery calcification and electrocardiographic left ventricular hypertrophy: a case-control study.

    abstract::We conducted a 1:2 matched case-control study in order to evaluate whether the prevalence of coronary artery calcium (CAC) and electrocardiographic left ventricular hypertrophy (LVH) or strain was higher in patients with uncontrolled hypertension than in subjects from the general population, and evaluate the associati...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.88

    authors: Nielsen ML,Pareek M,Gerke O,Diederichsen SZ,Greve SV,Blicher MK,Sand NP,Mickley H,Diederichsen AC,Olsen MH

    更新日期:2015-05-01 00:00:00