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The choice of first-line therapy: rationale for low-dose combinations of an angiotensin converting enzyme inhibitor and a diuretic.
Opie, L H; Messerli, F H.
Afiliación
  • Opie LH; Heart Research Unit, University of Cape Town, Medical School Observatory, South Africa.
J Hypertens Suppl ; 19(3): S17-21, 2001 Sep.
Article en En | MEDLINE | ID: mdl-11713846
More than 50% of patients with mild uncomplicated hypertension will need combination therapy to reach target blood pressure, as defined by the Joint National Committee. This percentage is even higher in hypertensive patients with diabetes, renal impairment and congestive heart failure in whom target blood pressures are lower. Combination therapy of angiotensin converting enzyme inhibitor and low dose diuretic offers distinct advantages in the treatment of essential hypertension. The two drug classes may have a synergistic effect on hypertensive target organ disease and blood pressure. Triple therapy with a calcium antagonist may be needed to achieve blood pressure control in more severely hypertensive patients.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inhibidores de la Enzima Convertidora de Angiotensina / Diuréticos / Antihipertensivos Límite: Humans Idioma: En Revista: J Hypertens Suppl Asunto de la revista: ANGIOLOGIA Año: 2001 Tipo del documento: Article País de afiliación: Sudáfrica Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inhibidores de la Enzima Convertidora de Angiotensina / Diuréticos / Antihipertensivos Límite: Humans Idioma: En Revista: J Hypertens Suppl Asunto de la revista: ANGIOLOGIA Año: 2001 Tipo del documento: Article País de afiliación: Sudáfrica Pais de publicación: Reino Unido