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Published on: May 3, 2018
Comparative Effect of Antihypertensive Drugs in Improving Arterial Stiffness in Hypertensive Adults (RIGIPREV Study).
Iván Cavero-Redondo1,2, Alicia Saz-Lara1, Luis García-Ortiz3,4
1Health and Social Research Center, Universidad de Castilla-La Mancha, 16171 Cuenca, Spain.
Insights
This review compares how different antihypertensive drugs affect arterial stiffness in hypertension patients. It aims to guide healthcare professionals in choosing treatments that lower both blood pressure and arterial stiffness.
Area of Science:
- Cardiology
- Pharmacology
- Hypertension Research
Background:
- Arterial stiffness is intrinsically linked to hypertension, acting as both a cause and consequence.
- Antihypertensive medications may influence arterial stiffness, suggesting a dual role in treatment.
- Optimizing hypertension management requires considering both blood pressure and arterial stiffness.
Purpose of the Study:
- To systematically review and compare the effects of various antihypertensive drug classes on reducing arterial stiffness.
- To provide evidence-based guidance for clinicians on selecting antihypertensive therapies.
Main Methods:
- A comprehensive literature search across major databases (MEDLINE, EMBASE, Cochrane, Web of Science).
- Inclusion of randomized clinical trials evaluating antihypertensive interventions and arterial stiffness measurements.
- A frequentist network meta-analysis to compare the efficacy of different drug classes.
Main Results:
- Study findings will be published in a peer-reviewed journal.
- The analysis will quantify the comparative effectiveness of antihypertensive drugs on arterial stiffness reduction.
Conclusions:
- This study will offer critical evidence for healthcare professionals regarding antihypertensive drug efficacy.
- The research will inform treatment strategies by analyzing drug effectiveness for both blood pressure and arterial stiffness.
Abstract:
(1) Background: Arterial stiffness is closely and bi-directionally related to hypertension and is understood as both a cause and a consequence of hypertension. Several studies suggest that antihypertensive drugs may reduce arterial stiffness. Therefore, effective prescription of antihypertensive drugs should consider both blood pressure and arterial stiffness. The aim of this protocol is to provide a review comparing the effects of different types of antihypertensive drug interventions on the reduction of arterial stiffness in hypertensive subjects. (2) Methods: The literature search will be performed through the MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Web of Science databases. Randomised clinical trials assessing the effect of antihypertensive drug interventions on arterial stiffness measured in subjects with hypertension will be included. A frequentist network meta-analysis will be performed to determine the comparative effects of different antihypertensive drugs. (3) Results: The findings of this study will be published in a peer-reviewed journal. (4) Conclusions: This study will provide evidence for health care professionals on the efficacy of different antihypertensive drugs in decreasing arterial stiffness; in addition, it will analyse the efficacy of the drugs not only in terms of arterial stiffness but also in terms of blood pressure treatment.
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