Napriek pokrokom a novým poznatkom v liečbe artériovej hypertenzie má stále veľa pacientov nedostatočne kontrolované hodnoty tlaku krvi. Nedostatočná kontrola hodnôt tlaku krvi u väčšiny pacientov s artériovou hypertenziou môže mať viacero príčin, a to jednak zo strany lekára, ako i zo strany pacienta. Zjednodušenie liečby pomocou fixných kombinácií antihypertenzívnych liekov pomôže optimalizovať manažment pacienta s artériovou hypertenziou. Použitie fixnej kombinácie, ktorá obsahuje enzým konvertujúci angiotenzín a blokátor kalciových kanálov, má širokú medicínu dôkazov. Vedie jednak k poklesu hodnôt tlaku krvi, ale i k zníženiu kardiovaskulárnej mortality vo viacerých skupinách pacientov. Európske odporúčania pre manažment artériovej hypertenzie preferujú použitie fixnej kombinácie v liečbe pacienta s artériovou hypertenziou.

Despite advance and new knowledge in the management of arterial hypertension, there are still many patients with insufficient control of blood pressure values. Insufficient control of blood pressure in most patients with arterial hypertension could have multiple reasons both from the physician side as well as the patient side. Treatment simplifying with fixed combinations of antihypertensive drugs helps to optimize the management of patients with arterial hypertension. Use of the fixed combination containing angiotensin converting enzyme and calcium channel blocker has wide broad evidence based medicine. It leads either to decrease in blood pressure values but also to reduce the cardiovascular mortality in several patient groups. European guidelines for the management of arterial hypertension prefer to use fixed combination in the treatment of patients with arterial hypertension.

What is the role of combined antihypertensive treatment in management of blood pressure values?