Source:http://linkedlifedata.com/resource/pubmed/id/20406241
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2010-11-5
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pubmed:abstractText |
Aliskiren is the first direct renin inhibitor approved for the treatment of hypertension. Blood pressure (BP) control in stage 2 hypertension with aliskiren monotherapy has not been reported. This was a post hoc analysis of the subgroup of patients with stage 2 systolic hypertension (baseline mean sitting systolic BP [msSBP]?160 mmHg) who completed the 12-week monotherapy phase of a 6-month, double-blind, randomized study. A total of 175 patients were randomized to aliskiren 150 mg (n = 88) or ramipril 5 mg (n = 87) with optional up-titration to aliskiren 300 mg or ramipril 10 mg, respectively, at weeks 6 and 12. In the subgroup of patients with stage 2 systolic hypertension, aliskiren lowered msSBP and mean sitting diastolic BP (msDBP) by 22.3/12.7 mmHg from baseline to week 12; compared with a reduction of 18.1/10.2 mmHg with ramipril. The maximum BP reductions achieved with aliskiren were 60.0/34.0 mmHg (from a baseline of 172.7/107.3 mmHg). Aliskiren was noninferior (P < 0.0001) to ramipril for SBP reduction with nonsignificant superiority (P = 0.052), and superior (P = 0.043) to ramipril for DBP reduction. The proportion of patients who achieved BP control (<140/90 mmHg) after 12 weeks of monotherapy was larger with aliskiren (34/88, 38.6%) than with ramipril (22/87, 25.3%; P = 0.038). In this post hoc analysis, 12 weeks of monotherapy with aliskiren 150-300 mg provided effective mean BP reductions (22/13 mmHg) and was superior to ramipril 5-10 mg in controlling BP in patients with stage 2 systolic hypertension.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Amides,
http://linkedlifedata.com/resource/pubmed/chemical/Angiotensin-Converting Enzyme...,
http://linkedlifedata.com/resource/pubmed/chemical/Antihypertensive Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Fumarates,
http://linkedlifedata.com/resource/pubmed/chemical/Ramipril,
http://linkedlifedata.com/resource/pubmed/chemical/Renin,
http://linkedlifedata.com/resource/pubmed/chemical/aliskiren
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
1755-5922
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pubmed:author | |
pubmed:copyrightInfo |
© 2010 Blackwell Publishing Ltd.
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pubmed:issnType |
Electronic
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
344-9
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pubmed:meshHeading |
pubmed-meshheading:20406241-Adult,
pubmed-meshheading:20406241-Aged,
pubmed-meshheading:20406241-Amides,
pubmed-meshheading:20406241-Angiotensin-Converting Enzyme Inhibitors,
pubmed-meshheading:20406241-Antihypertensive Agents,
pubmed-meshheading:20406241-Blood Pressure,
pubmed-meshheading:20406241-Double-Blind Method,
pubmed-meshheading:20406241-Female,
pubmed-meshheading:20406241-Fumarates,
pubmed-meshheading:20406241-Humans,
pubmed-meshheading:20406241-Hypertension,
pubmed-meshheading:20406241-Male,
pubmed-meshheading:20406241-Middle Aged,
pubmed-meshheading:20406241-Ramipril,
pubmed-meshheading:20406241-Renin,
pubmed-meshheading:20406241-Time Factors,
pubmed-meshheading:20406241-Treatment Outcome
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pubmed:year |
2010
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pubmed:articleTitle |
Comparative efficacy of aliskiren monotherapy and ramipril monotherapy in patients with stage 2 systolic hypertension: subgroup analysis of a double-blind, active comparator trial.
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pubmed:affiliation |
University of Iceland, Reykjavik, Iceland.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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