Key result
Olmesartan and lercanidipine normalize blood pressure and reduce copeptin ~5-fold in a single hypertensive patient.
Why the study?
The effect of combining olmesartan with lercanidipine on blood pressure and endothelial dysfunction markers in essential hypertension was evaluated.
Does the combination of olmesartan with lercanidipine improve blood pressure and endothelial dysfunction markers in a patient with essential hypertension?
Case Report (n=1)
Does the combination of olmesartan with lercanidipine improve blood pressure and endothelial dysfunction markers in a patient with essential hypertension?
In a single case report, the combination of olmesartan and lercanidipine normalized blood pressure and reduced markers of endothelial dysfunction (sPECAM-1 and copeptin) over 28 weeks.
Hypothesis-generating for olmesartan-lercanidipine on BP control and endothelial markers; larger trials needed before any practice change.
The clinical case of essential hypertension patient pharmacotherapy using the combination of olmesartan with lercanidipine was described in the article. The authors evaluated the effect of this combination not only on the degree of lowering blood pressure, but also on the levels of markers of endothelial dysfunction such as sPECAM-1 and copeptin. Pharmacotherapy with this combination of medicines was carried out for 28 weeks. It was found that in this patient the combination of olmesartan with lercanidipine led to the achievement of the blood pressure target level and decrease the level of sPECAM-1 by 2.5 times, and the level of copeptin by 5 times compared with the initial levels before treatment. Thus, the authors concluded that the combination of olmesartan and lercanidipine not only leads to the normalization of blood pressure, but also reduces the severity of endothelial dysfunction, which underlies the pathogenesis of essential hypertension.
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Zimnitskaya et al. (2019) conducted a case report in essential hypertension (n=1). olmesartan with lercanidipine vs. initial levels before treatment was evaluated on blood pressure target level, sPECAM-1, and copeptin levels (decrease sPECAM-1 by 2.5 times, copeptin by 5 times). In a single patient with essential hypertension, 28 weeks of olmesartan and lercanidipine achieved target blood pressure and reduced sPECAM-1 by 2.5 times and copeptin by 5 times.
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