Journal of Clinical Hypertension · 2010 · 22 citations · 10 references
MedicinePharmacologyPharmacotherapyCardiovascular PharmacotherapyClinical PharmacologyPreventive CardiologyBlood Pressure ControlBlood Pressure ManagementHypertension ControlHypertension ManagementHypertension PharmacotherapyHypertension PreventionAmbulatory Physiological MonitoringAntihypertensive Drug TherapyAntihypertensive PharmacologyBlood PressureBlood Pressure ElevationBlood Pressure Response MonitoringHypertensive Drug ResponsePrimary Efficacy Endpoints
Nearly 70 million Americans have hypertension, and approximately an equal number have prehypertension. The prevalence of both disorders increases with advancing age and obesity. Many at-risk individuals do not have controlled blood pressure (BP). Lifestyle modification for most persons is the first step in a plan to control these conditions. Non-drug treatments offer an appeal to many patients with modest BP elevation. The authors recently evaluated BP response using 24-hour ambulatory BP monitoring and office BP monitoring of lactotripeptides dosed twice daily in 91 previously treated and treatment-naive patients with stage 1 and stage 2 hypertension. In this population, daytime systolic BP, the primary efficacy end point, significantly decreased (-3.6 mm Hg; P=.013), while placebo did not affect systolic BP (0 mm Hg; P=not significant). Treatment-naive patients exhibited a more robust drop in their daytime systolic BP (-7.6 mm Hg; P=.005) compared with placebo (-3.6 mm Hg; P=not significant). Lactotripeptides may be an effective agent in the management of low-risk and low-grade hypertension and prehypertension.
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A Clinical Trial of the Effects of Dietary Patterns on Blood Pressure
Lawrence J. Appel, Thomas J. Moore, Eva Obarzanek et al. · New England Journal of Medicine · 1997 · 5.9K citations · Full text