Practical efficacy and safety of Konsilar D24 in patients with hypertension: data from the KONSONANS program

Aim. In practice, to evaluate the efficacy, safety and long-term adherence to therapy with a fixed-dose combination of ramipril/indapamide (Konsilar-D24) in patients with grade 1-2 hypertension (HTN) who have not achieved blood pressure (BP) control with prior therapy or have not taken antihypertens...

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Main Authors: A. O. Konradi, A. S. Galyavich, V. V. Kashtalap, Yu. M. Lopatin, N. P. Lyamina, S. V. Nedogoda, A. O. Nedoshivin, G. I. Nechaeva, L. G. Ratova, I. I. Shaposhnik
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2021-10-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/4651
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author A. O. Konradi
A. S. Galyavich
V. V. Kashtalap
Yu. M. Lopatin
N. P. Lyamina
S. V. Nedogoda
A. O. Nedoshivin
G. I. Nechaeva
L. G. Ratova
I. I. Shaposhnik
author_facet A. O. Konradi
A. S. Galyavich
V. V. Kashtalap
Yu. M. Lopatin
N. P. Lyamina
S. V. Nedogoda
A. O. Nedoshivin
G. I. Nechaeva
L. G. Ratova
I. I. Shaposhnik
author_sort A. O. Konradi
collection DOAJ
description Aim. In practice, to evaluate the efficacy, safety and long-term adherence to therapy with a fixed-dose combination of ramipril/indapamide (Konsilar-D24) in patients with grade 1-2 hypertension (HTN) who have not achieved blood pressure (BP) control with prior therapy or have not taken antihypertensive therapy.Material and methods. This multicenter open-label observational program included 524 patients with grade 1-2 HTN who did not take antihypertensive therapy or did not reach the target BP level with mono or dual antihypertensive therapy, as well as patients shifted to Konsilar-D24 therapy no later than two weeks before the start of the program. All patients signed a written informed consent to participate in the program. The safety analysis set includes all patients who have taken at least one dose of a fixed-dose combination of ramipril/indapamide and have visited physician at least once during the program. The effectiveness analysis set included all patients in the safety population who completed the study in accordance with protocol (n=511). Clinical systolic blood pressure (SBP), diastolic BP (DBP) and heart rate were assessed at baseline, as well as at 0,5, 1, 3 and 6 months of treatment. A post hoc subgroup analysis of changes in BP and heart rate was performed depending on age, sex and baseline body mass index.Results. The fixed-dose combination of ramipril with indapamide significantly reduced SBP and DBP after 2-week treatment (-20,9±10,1 mm Hg; pConclusion. Despite the limitations inherent in observational studies, the KONSONANS program has demonstrated high efficacy and safety of fixed-dose combination of ramipril/indapamide taken once a day in hypertensive patients. Ramipril/indapamide fixed-dose combination therapy significantly improved BP control and achieved even lower individual target BP levels in the majority of hypertensive patients.
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spelling doaj-art-4740daa71dea4d6e8f7dfb73d9a35e102025-08-20T02:59:04Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-10-0126910.15829/1560-4071-2021-46513351Practical efficacy and safety of Konsilar D24 in patients with hypertension: data from the KONSONANS programA. O. Konradi0A. S. Galyavich1V. V. Kashtalap2Yu. M. Lopatin3N. P. Lyamina4S. V. Nedogoda5A. O. Nedoshivin6G. I. Nechaeva7L. G. Ratova8I. I. Shaposhnik9Almazov National Medical Research CentreKazan State Medical UniversityResearch Institute for Complex Issues of Cardiovascular DiseasesVolgograd State Medical UniversityMoscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine DZMVolgograd State Medical UniversityAlmazov National Medical Research CentreOmsk State Medical UniversityAlmazov National Medical Research CentreSouth Ural State Medical UniversityAim. In practice, to evaluate the efficacy, safety and long-term adherence to therapy with a fixed-dose combination of ramipril/indapamide (Konsilar-D24) in patients with grade 1-2 hypertension (HTN) who have not achieved blood pressure (BP) control with prior therapy or have not taken antihypertensive therapy.Material and methods. This multicenter open-label observational program included 524 patients with grade 1-2 HTN who did not take antihypertensive therapy or did not reach the target BP level with mono or dual antihypertensive therapy, as well as patients shifted to Konsilar-D24 therapy no later than two weeks before the start of the program. All patients signed a written informed consent to participate in the program. The safety analysis set includes all patients who have taken at least one dose of a fixed-dose combination of ramipril/indapamide and have visited physician at least once during the program. The effectiveness analysis set included all patients in the safety population who completed the study in accordance with protocol (n=511). Clinical systolic blood pressure (SBP), diastolic BP (DBP) and heart rate were assessed at baseline, as well as at 0,5, 1, 3 and 6 months of treatment. A post hoc subgroup analysis of changes in BP and heart rate was performed depending on age, sex and baseline body mass index.Results. The fixed-dose combination of ramipril with indapamide significantly reduced SBP and DBP after 2-week treatment (-20,9±10,1 mm Hg; pConclusion. Despite the limitations inherent in observational studies, the KONSONANS program has demonstrated high efficacy and safety of fixed-dose combination of ramipril/indapamide taken once a day in hypertensive patients. Ramipril/indapamide fixed-dose combination therapy significantly improved BP control and achieved even lower individual target BP levels in the majority of hypertensive patients.https://russjcardiol.elpub.ru/jour/article/view/4651аntihypertensive therapycombination therapyramiprilindapamide
spellingShingle A. O. Konradi
A. S. Galyavich
V. V. Kashtalap
Yu. M. Lopatin
N. P. Lyamina
S. V. Nedogoda
A. O. Nedoshivin
G. I. Nechaeva
L. G. Ratova
I. I. Shaposhnik
Practical efficacy and safety of Konsilar D24 in patients with hypertension: data from the KONSONANS program
Российский кардиологический журнал
аntihypertensive therapy
combination therapy
ramipril
indapamide
title Practical efficacy and safety of Konsilar D24 in patients with hypertension: data from the KONSONANS program
title_full Practical efficacy and safety of Konsilar D24 in patients with hypertension: data from the KONSONANS program
title_fullStr Practical efficacy and safety of Konsilar D24 in patients with hypertension: data from the KONSONANS program
title_full_unstemmed Practical efficacy and safety of Konsilar D24 in patients with hypertension: data from the KONSONANS program
title_short Practical efficacy and safety of Konsilar D24 in patients with hypertension: data from the KONSONANS program
title_sort practical efficacy and safety of konsilar d24 in patients with hypertension data from the konsonans program
topic аntihypertensive therapy
combination therapy
ramipril
indapamide
url https://russjcardiol.elpub.ru/jour/article/view/4651
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