Two-Drug Combinations as First-Step Antihypertensive Treatment.

Abstract:

:Blood pressure (BP) control in patients with hypertension is variable worldwide, and in general, it results largely unsatisfactory. Factors responsible for this phenomenon include insufficient national cardiovascular healthcare policies for prevention, poor patient compliance with prescribed treatment schedules, and the reluctance of physicians to modify treatment strategies when BP is still elevated, that is, the so-called therapeutic inertia. A further important factor favoring poor BP control is the limited use of combination drug treatment, despite evidence of its superior ability to control BP in patients with difficult-to-treat hypertension. In addition, combination treatment allows to achieve BP control more easily (and more quickly) as compared with monotherapy. This article, after briefly examining the main features of BP control, will review the importance in the treatment of hypertension of the drug combination strategy, based on the recommendations of the 2018 European Society of Cardiology/European Society of Hypertension guidelines. Empahsis will be given to the drug combination treatment as first step of the antihypertensive therapeutic intervention. The potential drawbacks and barriers to combination drug treatment as initial therapeutic strategy will also be briefly discussed.

journal_name

Circ Res

journal_title

Circulation research

authors

Mancia G,Rea F,Corrao G,Grassi G

doi

10.1161/CIRCRESAHA.118.313294

subject

Has Abstract

pub_date

2019-03-29 00:00:00

pages

1113-1123

issue

7

eissn

0009-7330

issn

1524-4571

journal_volume

124

pub_type

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