[THE COMBINED THERAPY IN HYPERTENSIVE PATIENTS WITH DYSLIPIDEMIA]

R Tabukashvili1, V Kapetivadze1, K Tchaava1

  • 1Tbilisi, State Medical University, Department of Propedeutics of Internal Deseases, Georgia.

Georgian Medical News
|October 26, 2018
PubMed

Insights

Combined therapy with Exforge and fibrates effectively lowers blood pressure and improves lipid profiles in hypertensive patients with dyslipidemia. This treatment strategy offers significant benefits for cardiovascular health management.

Area of Science:

  • Cardiology
  • Pharmacology
  • Internal Medicine

Background:

  • Hypertension and dyslipidemia are significant risk factors for cardiovascular disease.
  • Combined therapy aims to address both conditions simultaneously for improved patient outcomes.

Purpose of the Study:

  • To evaluate the clinical efficacy of combined therapy using Amlodipine/Valsartan (Exforge) with fibrates in hypertensive patients with dyslipidemia.
  • To assess the impact on blood pressure control and lipid profile parameters.

Main Methods:

  • A study involving 58 hypertensive patients (aged 40-65) with dyslipidemia, divided into three groups.
  • Treatment regimens included Amlodipine with Fenofibrate, Exforge with Fenofibrate, and Exforge alone over a 4-month period.
  • Parameters monitored included blood pressure, heart rate, BMI, and lipid profiles (Total Cholesterol, Triglycerides, HDL, LDL).

Main Results:

  • Group 3 (Exforge alone) showed a significant reduction in systolic blood pressure (26.6%) and diastolic blood pressure (18.0%).
  • This group also demonstrated significant improvements in lipid profiles, with decreased Total Cholesterol (-14.5%), Triglycerides (-15.9%), and LDL (-20.2%).
  • Combined therapy with Exforge and fibrates proved effective in managing both hypertension and dyslipidemia.

Conclusions:

  • Combination therapy involving Exforge and fibrates is a clinically effective strategy for hypertensive patients with dyslipidemia.
  • This approach leads to substantial improvements in blood pressure control and lipid parameters, contributing to better cardiovascular risk management.

Related Concept Videos

Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.1K
Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
685
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure01:16

Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure

Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
619
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
879
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
944
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
433