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Using Rapid Serial Visual Presentation to Measure Set-Specific Capture, a Consequence of Distraction While Multitasking
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Lessons from ONTARGET.

V Berlaimont1, J-M Billiouw, C Brohet

  • 1Medical Department, Boehringer-Ingelheim, Brussels, Belgium.

Acta Clinica Belgica
|August 22, 2008
PubMed
Summary
This summary is machine-generated.

The ONTARGET trial found telmisartan equally effective as ramipril for cardiovascular protection in high-risk patients. Combination therapy did not improve outcomes but increased side effects, showing ramipril monotherapy is preferred.

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Area of Science:

  • Cardiology
  • Clinical Trials
  • Pharmacology

Background:

  • Previous trials evaluated Angiotensin Converting Enzyme inhibitors (ACEis) or Angiotensin Receptor Blockers (ARBs) for cardiovascular event prevention.
  • The comparative efficacy and safety of ACEis versus ARBs remained unclear.
  • Ramipril, a gold standard ACEi, was the comparator in this study.

Purpose of the Study:

  • To determine the cardiovascular equivalence of telmisartan (an ARB) and ramipril (an ACEi) in high-risk patients.
  • To investigate the superiority of combining telmisartan with ramipril versus ramipril monotherapy for cardiovascular protection.

Main Methods:

  • The ONTARGET trial enrolled high-risk patients for cardiovascular events.
  • Participants received telmisartan 80 mg or ramipril 10 mg for a median of 4.5 years.
  • A subset received combination therapy of telmisartan 80 mg plus ramipril 10 mg.

Main Results:

  • Telmisartan 80 mg demonstrated equal efficacy to ramipril 10 mg in reducing major cardiovascular events.
  • Telmisartan showed a slightly better tolerability profile compared to ramipril.
  • The combination of telmisartan and ramipril did not provide additional cardiovascular benefit over ramipril monotherapy and resulted in more side effects.

Conclusions:

  • Telmisartan is an effective alternative to ramipril for cardiovascular protection in high-risk individuals.
  • Combining ARBs and ACEis does not offer added cardiovascular benefits and increases adverse events.
  • Ramipril monotherapy remains a preferred treatment strategy for this patient population.