Consenso de médicos expertos en HTA sobre el uso clínico de la triple terapia antihipertensiva a dosis fija en España
- P. Mazón 1
- E. Galve 2
- J. Gómez 3
- M. Gorostidi 4
- J.L. Górriz 5
- J.D. Mediavilla 6
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1
Complexo Hospitalario Universitario de Santiago
info
Complexo Hospitalario Universitario de Santiago
Santiago de Compostela, España
- 2 Hospital Vall d’Hebrón, España
- 3 Hospital Infanta Sofía, España
- 4 Hospital Universitario Central de Asturias, España
- 5 Hospital Universitario Dr. Peset, España
- 6 Hospital Virgen de las Nieves, España
ISSN: 1889-1837
Year of publication: 2016
Volume: 33
Issue: 4
Pages: 133-144
Type: Article
More publications in: Hipertensión y riesgo vascular
Abstract
Introduction The opinion of experts (different specialties) on the triple fixed-dose antihypertensive therapy in clinical practice may differ. Materials and methods Online questionnaire with controversial aspects of the triple therapy answered by panel of experts in hypertension (HT) using two-round modified Delphi method. Results The questionnaire was completed by 158 experts: Internal Medicine (49), Nephrology (26), Cardiology (83). Consensus was reached (agreement) on 27/45 items (60%); 7 items showed differences statistically significant. Consensus was reached regarding: Predictive factors in the need for combination therapy and its efficacy vs. increasing the dose of a pretreatment, and advantage of triple therapy (prescription/adherence/cost/pressure control) vs. free combination. Conclusions This consensus provides an overview of the clinical use of triple therapy in moderate-severe and resistant/difficult to control HT.