Comparison of effects of angiotensin II receptor blocker on morning home blood pressure and cardiorenal protection between morning administration and evening administration in hypertensive patients: the COMPATIBLE study

Autor: Hisao, Mori, Hareaki, Yamamoto, Hiroshi, Ukai, Shouhei, Yuasa, Kazumi, Nakajima, Takehiko, Mikawa, Masamichi, Niizuma, Kouichi, Hirao, Satoshi, Umemura
Rok vydání: 2012
Předmět:
Zdroj: Hypertension research : official journal of the Japanese Society of Hypertension. 36(3)
ISSN: 1348-4214
Popis: Whether the time of administering the angiotensin receptor antagonist olmesartan influences antihypertensive and renoprotective effectiveness remains unclear. This study compared the effects of olmesartan on morning home blood pressure (MHBP), office BP (OBP) and renoprotective parameters between morning and evening administration. A total of 218 patients with primary hypertension were randomly assigned to receive olmesartan once daily in the morning (morning-dose group) or evening (evening-dose group), and 188 completed the study protocol (morning-dose group, n=95; evening-dose group, n=93). In both groups, morning home systolic BP, morning home diastolic BP, office systolic BP and office diastolic BP decreased significantly. There was no significant difference between the groups in MHBP or OBP after 6 months of treatment. The urinary albumin-to-creatinine ratio (UACR) decreased from 13.9 to 6.9 mg g−1 (geometric means, P
Databáze: OpenAIRE