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"Arterial’naya Gipertenziya" ("Arterial Hypertension")

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Controlling blood pressure and progression of hypertension-dependent cardiovascular continuum by amlodipine and perindopril A single pill fixed‑dose combination: focus on endothelial dysfunction and metabolic risks

https://doi.org/10.18705/1607-419X-2024-2435

EDN: RCPKHQ

Abstract

Due to its broad spectrum of pathogenic target points, fixed-dose combination therapy is considered a benchmark approach to successful treatment of arterial hypertension (HTN) and HTN-associated cardiovascular conditions. This results from endothelium insufficiency of various origin, so the use of combination of angiotensinconverting enzyme inhibitors and calcium channel blockers is an optimal treatment choice. The review highlights key points of single pill amlodipine and perindopril A combination use and its key position in modern concept of hypertension management. We have focused on the metabolic neutrality of fixed-dose amlodipine and perindopril A combination, its ability to delay rapid progression of already acquired metabolic changes. We briefly highlight fundamental observational and randomized studies, in particular, those regarding effectiveness of the drug components and its effect on the end points as a fixed-dose combination. The last but not least, we emphasize vasoand cardioprotective properties of the drug as well as its safety profile.

About the Authors

T. S. Sveklina
S. M. Kirov Military Medical Academy
Russian Federation

Tatiana S. Sveklina, MD, PhD, Associate Professor, Internal Diseases Propadeutics Department

Suvorovsky av., 63a, St Petersburg, 191124



A. N. Kuchmin
S. M. Kirov Military Medical Academy
Russian Federation

Alexey N. Kuchmin, MD, PhD, DSc, Head and Professor, Department of Propedeutics of Internal Diseases

St Petersburg



V. V. Konyaev
S. M. Kirov Military Medical Academy
Russian Federation

Vladislav V. Konyaev, the 6th Year Student

St Petersburg



P. D. Oktysyuk
S. M. Kirov Military Medical Academy
Russian Federation

Polina D. Oktysyuk, the 6th Year Student

St Petersburg



A. I. Rechkalova
S. M. Kirov Military Medical Academy
Russian Federation

Alina I. Rechkalova, the 6th Year Student

St Petersburg



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Supplementary files

Review

For citations:


Sveklina T.S., Kuchmin A.N., Konyaev V.V., Oktysyuk P.D., Rechkalova A.I. Controlling blood pressure and progression of hypertension-dependent cardiovascular continuum by amlodipine and perindopril A single pill fixed‑dose combination: focus on endothelial dysfunction and metabolic risks. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2024;30(2):224-231. (In Russ.) https://doi.org/10.18705/1607-419X-2024-2435. EDN: RCPKHQ

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ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)