Dose-Dependent Influence of Azilsartan Medoxomil on Office, 24-Hour and Central Aortic Pressure in Patients with Hypertension Stage I and II

A.S. Dobrokhod, Yu.M. Sirenko


Azilsartan medoxomil (AZL-M) is a new angiotensin II receptor blocker. Its efficacy, safety and tolerability have already been proved. Currently, studies of AZL-M dose-dependent impact on clinic blood pressure (BP), 24-hours blood pressure (24BP) and central aortic blood pressure (CAP) in certain categories of patients are needed. Objective: to evaluate dose-dependent effects of azilsartan medoxomil on office blood pressure, 24-hours blood pressure and central aortic blood pressure in patients with mild to moderate hypertension. Design and methods. Thirty-seven patients (81 % men, all white, mean age was 42 years old) with mild to moderate essential hypertension were enrolled. Dose of AZL was gradually increased every 4 weeks from 20 to maximum 80 mg once-daily. Follow-up period of the study was 6 months. Clinical blood pressure, central blood pressure (CAP) (SphygmoCor CVMS, Atcor, Australia) and 24-hours blood pressure (24-SBP, 24-DBP) (ABPM, Meditech, Hungary) were measured before and on the each visit (every 4th week). Results and discussion. At the end of the study clinical SBP/DBP decreased on 21.8/10.2 mm Hg
(p < 0.0001). Blood pressure lowering effect of AZL-M was dose-dependent. We noted a significant dose-dependent decrease of 24-SBP and 24-DBP: on 14.3 ± 0.8 and 9.8 ± 0.4 mm Hg, respectively (p < 0.0001 for both). Also in dose-dependent manner AZL-M decreased CAP: from initial 136.0 ± 3.13 to 119.0 ± ± 2.92 mm Hg at the end of the study (p < 0.005), so observed CAP lowering effect was 18.0 ± 2.92 mm Hg. Conclusions. The results show dose-dependent influence of AZL-M on office, 24-hours and central aortic blood pressure in patients with mild to moderate hypertension.


azilsartan medoxomil; hypertension; clinical aortic pressure; central aortic pressure; 24-hours blood pressure; dose-dependent efficacy


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