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Published on: May 26, 2022
Olmesartan-based therapies: an effective way to improve blood pressure control and cardiovascular protection
Alejandro de la Sierra1, Massimo Volpe
1Department of Internal Medicine, Hospital Mútua Terrassa, University of Barcelona, Spain. adelasierra@mutuaterrassa.cat
Insights
Angiotensin-receptor blockers like olmesartan effectively treat hypertension and protect organs. Combination therapies enhance blood pressure control and cardiovascular prevention in hypertensive patients.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Hypertension treatment aims to reduce cardiovascular disease burden.
- Angiotensin-receptor blockers (ARBs) are effective and well-tolerated first-line antihypertensives.
- Blocking the renin-angiotensin cascade offers target organ protection and cardiovascular benefits.
Purpose of the Study:
- To review the efficacy and tolerability of olmesartan and its combinations in hypertension management.
- To assess the role of olmesartan in organ protection and cardiovascular prevention.
Main Methods:
- Review of clinical trials examining olmesartan and its fixed-dose combinations.
- Analysis of data on blood pressure control, organ protection markers, and cardiovascular outcomes.
Main Results:
- Olmesartan demonstrated effectiveness and good tolerability in organ protection trials.
- Improvements observed in markers like microinflammation, plaque volume, vascular hypertrophy, and microalbuminuria.
- Combination therapies (olmesartan with hydrochlorothiazide/amlodipine) improved antihypertensive efficacy without compromising tolerability.
Conclusions:
- Olmesartan-based treatment strategies, including single-pill combinations, are effective for blood pressure control in most hypertensive patients.
- This approach may lead to improved cardiovascular disease prevention.
Abstract:
The main purpose in hypertension treatment is the reduction of cardiovascular disease burden. Among different first-line antihypertensive drug classes, angiotensin-receptor blockers are characterized by their both good effectiveness and tolerability. Furthermore, the interruption of the renin-angiotensin cascade is related with several benefits in target organ protection and cardiovascular prevention. Among different angiotensin-receptor blockers, olmesartan has been examined in several trial of organ protection, showing improvements in several disease markers, such as microinflammation, regression of both plaque volume and vascular hypertrophy, as well as microalbuminuria prevention. Olmesartan has been also widely examined in combination of either hydrochlorothiazide or amlodipine, as well as with both drugs in a single-pill triple combination, showing improvements in antihypertensive efficacy without significant effects on tolerability. This treatment strategy based on a drug with such characteristics and the availability of different types of combinations with other first-line drug classes may represent an effective way for achieving blood pressure control in a majority of hypertensive patients and this could also be related with a better cardiovascular disease prevention.
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