New Dual Endothelin Receptor Antagonist Aprocitentan in Hypertension: A Systematic Review and Meta-Analysis

被引:4
|
作者
Mahfooz, Kamran [1 ]
Najeed, Syed [2 ]
Tun, Han Naung [3 ]
Khamosh, Madina [4 ]
Grewal, Daisy [4 ]
Hussain, Aftab
Ong, Kenneth [1 ]
Dharmarajan, Lekshmi [1 ]
Vasavada, Advait [5 ,6 ,7 ]
机构
[1] Lincoln Med Ctr, New York, NY USA
[2] Wright State Univ, Boonshoft Sch Med, Dept Med, Div Cardiol, Dayton, OH 45435 USA
[3] Larner Coll Med Univ Vermont, Cardiol Dept, Burlington, VT USA
[4] St Georges Univ, St Georges, Grenada
[5] Paras HMRI Hosp, Patna, India
[6] MP Shah Med Coll, Jamnagar, India
[7] MP Shah Med Coll, 2 Green Pk Apartment,Pk Colony, Jamnagar 361008, India
关键词
PHARMACOKINETICS; ALDOSTERONE; AVOSENTAN; BLOCKADE; SAFETY; ET(A);
D O I
10.1016/j.cpcardiol.2023.101686
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hypertension is one of the most common disorders encountered, yet pharmacotherapy for resis-tant hypertension has limited effective options. Aproci-tentan is postulated to be a novel antihypertensive. The main goal was to determine the effect of aprocitentan on blood pressure among patients with hypertension. A thorough search of 5 electronic databases, including PubMed Central, PubMed, EMBASE, Springer, and Google Scholar, was carried out. The study included eight articles. With doses exceeding 25 mg, plasma ET-1(endothelin-1) concentrations, which show ETB (Endothelin receptor type B) receptor antagonism, sig-nificantly rose. Aprocitentan significantly reduced sys-tolic and diastolic blood pressure with both doses of 10mg and 25mg in patients with hypertension. Further research is warranted to evaluate the efficacy, safety, and long-term outcomes of aprocitentan and its syner-gistic effect with other antihypertensives. (Curr Probl Cardiol 2023;48:101686.)
引用
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页数:16
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