Large prospective study of ramipril in patients with hypertension. CARE Investigators

Autor: N M, Kaplan, L E, Sproul, W S, Mulcahy
Rok vydání: 1993
Předmět:
Zdroj: Clinical therapeutics. 15(5)
ISSN: 0149-2918
Popis: The results of controlled trials demonstrate that ramipril lowers blood pressure in hypertensive patients, has a long duration of action suitable for once-daily administration in most patients, and is well tolerated. To assess the efficacy and safety of ramipril in a large cross-section of patients, we conducted a multicenter, open-label, prospective study, in which 591 men or women with essential hypertension (diastolic blood pressureor = 95 andor = 114 mmHg) received ramipril on a regimen of 1.25 to 10 mg once daily for 8 weeks. Forty-one percent of the patients required 2.5 mg and 81% requiredor = 5 mg once daily at study completion. Compared with baseline, ramipril reduced mean systolic/diastolic blood pressure by 19.9/14.7 mmHg (P0.001/P0.001). Ramipril reduced diastolic blood pressure toor = 90 mmHg or by at least 10 mmHg in 84.1% of the patients. Response rates were similar regardless of age, gender, and race. No patient stopped ramipril because of an adverse event or experienced an unexpected adverse event. In our real-world study, low-dose ramipril given once daily controlled blood pressure in most patients and was well tolerated.
Databáze: OpenAIRE