The US FDA has approved the first combination of an angiotensin receptor blockervalsartanwith a calcium blockeramlodipinefor the initial treatment of hypertension. The product, known as Exforge, was first cleared for marketing last year.
Rockville, MD - The US FDA has approved the first combination of an angiotensin receptor blocker (ARB)valsartanwith a calcium-channel blocker (CCB)amlodipinefor the initial treatment of hypertension. The product, known as Exforge, was given the additional indication along with another combination containing valsartan and hydrochlorothiazide, Diovan HCT [1]. Both are marketed by Novartis.
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Inside: Hypertension
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Hypertension, hypercholesterolemia, insulin resistance, atherosclerosis, coronary heart disease, heart failure: are they all at the mercy of nitric oxide? Join Drs Weber, Cohn, Mason and Cockcroft in a discussion on the role nitric oxide plays in vascular health.
The assessment of microalbuminuria (MAU) is an important prognostic indicator for CVD and renal damage and should be an element in an overall cardiometabolic fitness approach.
Roughly one-quarter of teens in the study either weren't getting enough sleep or had trouble falling asleep and waking too early, and this "inefficient" sleep pattern was associated with systolic blood-pressure levels 4 mm Hg higher than other children. (Javaheri S et al. Circulation; published online before print August 18, 2008.)
A new analysis of renal outcomes in ONTARGET has shown that those taking a combination of telmisartan and ramipril fared worse than those taking either drug alone. But the results do not provide much help when it comes to determining whether one very small subgroupthose with overt nephropathybenefit from the combination or not. (Mann JFE et al. Lancet 2008; 372:547-553.)
Children who had low birth weights were more likely to show increased blood pressure with higher intakes of salt and to have smaller kidneys than children with normal birth weights in a new study. The authors say this may explain the higher rate of hypertension and cardiovascular/renal disease in individuals with low birth weights. (Simonetti GD et al. Hypertension; published online before print August 11, 2008.)
The American Heart Association has issued a scientific statement on ambulatory blood-pressure monitoring in children and adolescents, providing a blueprint for how this technique should be used in such patients. (Urbina E et al. Hypertension; published online before print August 4, 2008.)
The Medicines Company has announced that the US FDA has approved its intravenous antihypertensive clevidipine, which is the first new IV drug for high blood pressure in 10 years.
British researchers have found that lower birth weight in both boys and girls seems to indicate a likelihood of hypertension in later life, but that this appears to be mediated via different mechanisms, depending on gender. (Jones A et al. Eur Heart J; published online before print July 22, 2008.)
Women who consume a high amount of dietary fiber during early pregnancy have a reduced risk of subsequent preeclampsia compared with those who eat little, according to a new prospective study. (Qiu C et al. Am J Hypertens; published online before print July 17, 2008.)
A contemporary look at whether outpatients with cardiovascular disease or risk factors are reaching goals indicated for blood pressure, lipids, and diabetes shows there is still room for improvement. (Steinberg BA et al. Am Heart J; published online before print July 14, 2008.)
New data from the Framingham Heart Study looking at two periods before and after the widespread introduction of antihypertensive therapy to the US suggest that BP levels have improved over time, likely resulting in a reduction in cardiovascular clinical events. (Ingelsson E et al. Arch Intern Med 2008; 168:1450-1457.)
The findings suggest that prehypertension in young adults is not merely a harbinger of hypertension later on but may in and of itself increase the risk of coronary artery disease decades later. (Pletcher MJ et al. Ann Intern Med 2008; 149:91-99.)
The authors of a new meta-analysis suggest that a new equation incorporating the ABI and Framingham scores could more accurately predict risk, and they intend to develop such a model. (Ankle Brachial Index Collaboration. JAMA 2008; 300:197-208.)
Results from a substudy of the Hypertension in the Very Elderly Trial suggest that lowering blood pressure in individuals aged 80 and older might reduce dementia risk. (Peters R et al. Lancet Neurol; published online before print July 7, 2008.)
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