Diuretics enhance effects of increased dose of candesartan on ambulatory blood pressure reduction in Japanese patients with uncontrolled hypertension treated with medium-dose angiotensin II receptor blockers

May 30, 2013Clinical and experimental hypertension (New York, N.Y. : 1993)

Diuretics boost blood pressure lowering by higher doses of candesartan in Japanese patients with uncontrolled high blood pressure on medium-dose blockers

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Abstract

A total of 146 hypertensive patients experienced significant reductions in blood pressure after switching to candesartan at 12 mg/day.

  • Switching to a higher dose of candesartan resulted in significant decreases in both office and 24-hour blood pressure measurements (p<0.001).
  • The proportion of patients achieving the target office blood pressure improved significantly (p=0.0014).
  • The improvement in 24-hour blood pressure levels was also significant (p=0.0296).
  • Patients on diuretics experienced a larger reduction in 24-hour systolic blood pressure compared to those not on diuretics (p=0.0206).
  • A significant correlation was found between combined ARB and diuretic therapy and the change in 24-hour systolic blood pressure.

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Full Text

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