Comparing Triple Combination Drug Therapy and Traditional Monotherapy for Better Survival in Patients With High-Risk Hypertension: A Systematic Review.

awareness building drug therapeutics heart disease high blood pressure hypertension 

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jul 2023
Historique:
received: 23 03 2023
accepted: 05 07 2023
medline: 7 8 2023
pubmed: 7 8 2023
entrez: 7 8 2023
Statut: epublish

Résumé

High-risk hypertension patients are more susceptible to cardiovascular disease, stroke, and mortality. Monotherapy and triple combination drug therapy are two different approaches to treating hypertension. Monotherapy involves using a single medication to manage hypertension, whereas triple combination therapy involves the simultaneous use of three different antihypertensive medications from different drug classes. Making a fast switch from monotherapy to combination medication is one method to regulate blood pressure (BP) better. It is widely recognized that a significant proportion of individuals with hypertension require combination therapy to manage their condition effectively. This review aims to evaluate the mortality rates across monotherapy and triple combination drug therapy in high-risk hypertension patients. A systematic literature review was conducted across multiple scientific literature repositories. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines for systematic reviews and meta-analyses. Based on the end outcome of each published journal on the effectiveness of triple combination drug therapy as a treatment option for high-risk hypertension patients, there was a notable difference in overall survival, mortality rates, BP reduction, and adherence datasets. Triple combination drug use correlated with increased timeframes for multiple patient survival parameters within the articles shortlisted in this investigation. However, it is crucial for healthcare providers to weigh the risks and benefits of triple combination drug therapy when deciding which treatment approach is best for their patients.

Identifiants

pubmed: 37546040
doi: 10.7759/cureus.41398
pmc: PMC10401897
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e41398

Informations de copyright

Copyright © 2023, Zaman et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Blood Press. 2022 Dec;31(1):164-168
pubmed: 35876172
J Hypertens. 2019 Aug;37(8):1587-1589
pubmed: 31246767
Clin Transl Gastroenterol. 2017 May 18;8(5):e93
pubmed: 28518130
Ther Adv Cardiovasc Dis. 2013 Oct;7(5):246-59
pubmed: 23945906
Vasc Health Risk Manag. 2011;7:137-41
pubmed: 21468174
Trends Cardiovasc Med. 2020 Feb;30(2):72-77
pubmed: 30926237
JAMA. 2013 Sep 4;310(9):959-68
pubmed: 24002282
J Hum Hypertens. 2017 Aug;31(8):501-510
pubmed: 28230062
Adv Ther. 2013 Apr;30(4):320-36
pubmed: 23553510
Am Heart J. 2014 Feb;167(2):127-32
pubmed: 24439972
Clin Drug Investig. 2014 Oct;34(10):701-8
pubmed: 25212574
Campbell Syst Rev. 2022 Mar 27;18(2):e1230
pubmed: 36911350
J Hum Hypertens. 2009 Mar;23(3):196-210
pubmed: 18800143
Adv Ther. 2017 Apr;34(4):975-985
pubmed: 28299716

Auteurs

Mustafa Abrar Zaman (MA)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Internal Medicine, St. George's University School of Medicine, Newcastle upon Tyne, GBR.

Nimra Awais (N)

Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Travis Satnarine (T)

Pediatrics, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Areeg Ahmed (A)

Internal Medicine, California Institute of Neuroscience, Thousand Oaks, USA.

Ayesha Haq (A)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Deepkumar Patel (D)

Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Sai Dheeraj Gutlapalli (SD)

Internal Medicine, Richmond University Medical Center Affiliated With Mount Sinai Health System and Icahn School of Medicine at Mount Sinai, New York, USA.
Internal Medicine Clinical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Grethel N Hernandez (GN)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Kofi Seffah (K)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Internal Medicine, Piedmont Athens Regional Medical Center, Athens, USA.

Safeera Khan (S)

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Classifications MeSH