The
drug Atacand® (candesartan cilexetil) reduces the incidence of stroke in elderly
patients with isolated systolic hypertension, according to a study presented November
10 at the American Heart Association annual meeting in Orlando.
Researchers
found that Atacand reduced the risk of a non-fatal stroke by 42
percent in such patients. The study involved 1,518 patient between
the ages of 70 to 89 years with isolated systolic hypertension
(systolic blood pressure over 160 mmHg and diastolic blood pressure
under 90 mmHg).
Patients
were randomly assigned to receive Atacand or a placebo with standard anti-hypertensive
therapy added as needed to control blood pressure. A
total of 20 strokes (three fatal and 17 non-fatal) occurred in the Atacand treatment
group, whereas 35 (7 fatal, 28 non-fatal) occurred in the control group. The
study revealed similar reductions in blood pressure in the two groups; blood pressure
fell by 22/6 mmHg in the Atacand group and 20/5 mmHg in the control group.
"Isolated
systolic hypertension is the predominant form of hypertension in the elderly,
with stroke the most common cardiovascular complication in this age group,"
said lead researcher Vasilios Papademetriou, a professor of medicine at Georgetown
University in Washington, DC..
"These
results demonstrate that reducing blood pressure with Atacand
offers important clinical benefit by reducing the risk of stroke
in this patient group," added Papademetriou.
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