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Newer blood pressure drugs beat
back heart attack
London -
Combination therapy using newer anti-hypertensive drugs does a better
job of lowering risks for heart attack and stroke than older, standard
therapies, a new study finds.
In a five-year randomized trial
involving more than 19,000 European patients, treatment with newer
medications amlodipine and perindopril prevented more cardiovascular
events than use of atenolol (a beta blocker) and thiazide (a
diuretic).
Patients using amlodipine -- one of
the calcium channel blocker class of drugs -- and the ACE inhibitor
perindopril also had better blood pressure control than those on the
older medications, reported researchers led by Bjorn Dahlof of
Sahlgrenska Hospital in Sweden.
Writing in an article published
online Sunday by The Lancet, Dahlof said the combined use of
amlodipine and perindopril, along with interventions to lower
cholesterol, "results in the prevention of most major cardiovascular
events associated with hypertension."
Dahlof,
in a prepared statement, said he believed the findings could change
clinical practice and "should greatly reduce the burden of
cardiovascular disease to which patients with hypertension are
exposed."
A second study in the journal found
that most of the benefit from these newer drugs, in terms of reducing
stroke risk, comes from their effectiveness in lowering blood
pressure. Cholesterol reduction also played a significant role, too,
according to researchers at Imperial College London. -- Health
Day
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