Evidence map›Paper›PMID 29238433›Full record

ArticleJournal of clinical medicine research2018

Improvement of Diurnal Blood Pressure Variation by Azilsartan.

Keisuke Okamura, Kazuyuki Shirai, Tetsu Okuda, Hidenori Urata

Abstract read
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Article in Journal of clinical medicine research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Keisuke OkamuraDepartment of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Chikushino, Japan.
Kazuyuki ShiraiDepartment of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Chikushino, Japan.
Tetsu OkudaDepartment of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Chikushino, Japan.
Hidenori UrataDepartment of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Chikushino, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAzilsartan is an angiotensin II receptor blocker with a potent antihypertensive effect.

methodsIn a multicenter, prospective, open-label study, 265 patients with poor blood pressure control despite treatment with other angiotensin II receptor blockers were switched to 20 mg/day of azilsartan (patients on standard dosages) or 40 mg/day of azilsartan (patients on high dosages).

resultsBlood pressure was 149/83 mm Hg before switching and was significantly reduced from 1 month after switching until final assessment (132/76 mm Hg, P < 0.001). The pulse rate was 72/min before switching and increased significantly from 3 months after switching until final assessment (74/min, P < 0.005). A significant decrease of home morning systolic and diastolic pressure was observed from 1 and 3 months, respectively. Home morning blood pressure was 143/82 mm Hg before switching and 130/76 mm Hg at final assessment (P < 0.01). The morning-evening difference of systolic blood pressure decreased from 14.6 to 6.6 mm Hg after switching (P = 0.09). The estimated glomerular filtration rate was significantly decreased at 3, 6, and 12 months after switching, and serum uric acid was significantly increased at 12 months. No serious adverse events occurred.

conclusionAzilsartan significantly reduced the blood pressure and decreased diurnal variation in patients responding poorly to other angiotensin II receptor blockers.

Indexed as

Angiotensin II receptor blockerAzilsartanBlood pressure variation

Identifiers

PMID29238433
PMCPMC5722044

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