Serveur d'exploration sur les relations entre la France et l'Australie

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Perindopril-based blood pressure lowering reduces major vascular events in Asian and Western participants with cerebrovascular disease: the PROGRESS trial

Identifieur interne : 003724 ( PascalFrancis/Curation ); précédent : 003723; suivant : 003725

Perindopril-based blood pressure lowering reduces major vascular events in Asian and Western participants with cerebrovascular disease: the PROGRESS trial

Auteurs : Hisatomi Arima [Australie] ; Craig Anderson [Australie] ; Teruo Omae [Japon] ; LISHENG LIU [République populaire de Chine] ; Christophe Tzourio [France] ; Mark Woodward [États-Unis] ; Stephen Macmahon [Australie] ; Bruce Neal [Australie] ; Anthony Rodgers [Australie] ; John Chalmers [Australie]

Source :

RBID : Pascal:10-0104497

Descripteurs français

English descriptors

Abstract

Objective To assess the benefits of blood pressure (BP) lowering on vascular events separately for Asian and for Western participants with particular emphasis on stroke subtypes and cardiac outcomes. Methods This is a subsidiary analysis of Perindopril Protection Against Recurrent Stroke Study (PROGRESS), a randomized, placebo-controlled trial that established the benefits of BP lowering in 6105 patients with cerebrovascular disease, randomly assigned to either active treatment (perindopril for all, and indapamide for those with neither an indication for, nor a contraindication to, a diuretic) or placebo(s). Outcomes are total and cause-specific vascular outcomes. Results The annual rates for total major vascular events were 4.2% in Asian and 5.2% in Western participants. Overall stroke rates were greater in Asian compared to Western participants with proportionally more lacunar infarctions and haemorrhagic strokes in Asians and more cardio-embolic infarctions and large artery infarctions in Western participants. Active treatment reduced BP by 10.3/ 4.6 mmHg in Asian, and by 8.1/3.6 mmHg in Western participants. Among Asian participants there was a 38% [95% confidence interval (CI) 23-49%] reduction in major vascular events compared to a 20% (95% CI 7-31%) reduction in Western participants (P homogeneity = 0.06). Similarly, there were higher relative risk reductions for all other outcomes among Asian participants, but this only reached statistical significance for heart failure and vascular death (P= 0.02 for each). The number needed to treat for major vascular events over 5 years was 15 (95% CI 10-26) in Asian compared to 28 (95% CI 17-94) in Western participants (P homogeneity = 0.09). Conclusions BP lowering reduces the risk of major vascular events, with separately significant reductions, in both Asia and the West.
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A08 01  1  ENG  @1 Perindopril-based blood pressure lowering reduces major vascular events in Asian and Western participants with cerebrovascular disease: the PROGRESS trial
A11 01  1    @1 ARIMA (Hisatomi)
A11 02  1    @1 ANDERSON (Craig)
A11 03  1    @1 OMAE (Teruo)
A11 04  1    @1 LISHENG LIU
A11 05  1    @1 TZOURIO (Christophe)
A11 06  1    @1 WOODWARD (Mark)
A11 07  1    @1 MACMAHON (Stephen)
A11 08  1    @1 NEAL (Bruce)
A11 09  1    @1 RODGERS (Anthony)
A11 10  1    @1 CHALMERS (John)
A14 01      @1 The George Institute for International Health, the University of Sydney and the Royal Prince Alfred Hospital @3 AUS @Z 1 aut. @Z 2 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut. @Z 10 aut.
A14 02      @1 National Cardiovascular Center @2 Suita @3 JPN @Z 3 aut.
A14 03      @1 Division of Hypertension, Fu Wai Hospital and Cardiovascular Institute, Chinese Academy of Medical Sciences @2 Beijing @3 CHN @Z 4 aut.
A14 04      @1 INSERM U708 and the Department of Neurology, Hôpital Lariboisière @2 Paris @3 FRA @Z 5 aut.
A14 05      @1 Mount Sinai School of Medicine @2 New York @3 USA @Z 6 aut.
A17 01  1    @1 PROGRESS Collaborative Group @3 INC
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A21       @1 2010
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C01 01    ENG  @0 Objective To assess the benefits of blood pressure (BP) lowering on vascular events separately for Asian and for Western participants with particular emphasis on stroke subtypes and cardiac outcomes. Methods This is a subsidiary analysis of Perindopril Protection Against Recurrent Stroke Study (PROGRESS), a randomized, placebo-controlled trial that established the benefits of BP lowering in 6105 patients with cerebrovascular disease, randomly assigned to either active treatment (perindopril for all, and indapamide for those with neither an indication for, nor a contraindication to, a diuretic) or placebo(s). Outcomes are total and cause-specific vascular outcomes. Results The annual rates for total major vascular events were 4.2% in Asian and 5.2% in Western participants. Overall stroke rates were greater in Asian compared to Western participants with proportionally more lacunar infarctions and haemorrhagic strokes in Asians and more cardio-embolic infarctions and large artery infarctions in Western participants. Active treatment reduced BP by 10.3/ 4.6 mmHg in Asian, and by 8.1/3.6 mmHg in Western participants. Among Asian participants there was a 38% [95% confidence interval (CI) 23-49%] reduction in major vascular events compared to a 20% (95% CI 7-31%) reduction in Western participants (P homogeneity = 0.06). Similarly, there were higher relative risk reductions for all other outcomes among Asian participants, but this only reached statistical significance for heart failure and vascular death (P= 0.02 for each). The number needed to treat for major vascular events over 5 years was 15 (95% CI 10-26) in Asian compared to 28 (95% CI 17-94) in Western participants (P homogeneity = 0.09). Conclusions BP lowering reduces the risk of major vascular events, with separately significant reductions, in both Asia and the West.
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Pascal:10-0104497

Le document en format XML

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<term>Antihypertensive agent</term>
<term>Arterial pressure</term>
<term>Blood pressure</term>
<term>Cardiovascular disease</term>
<term>Cerebrovascular disease</term>
<term>Diuretic</term>
<term>Hypertension</term>
<term>Indapamide</term>
<term>Perindopril</term>
<term>Stroke</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Pathologie cérébrovasculaire</term>
<term>Accident cérébrovasculaire</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Périndopril</term>
<term>Pression artérielle</term>
<term>Pression sanguine</term>
<term>Indapamide</term>
<term>Hypertension artérielle</term>
<term>Antihypertenseur</term>
<term>Diurétique</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Objective To assess the benefits of blood pressure (BP) lowering on vascular events separately for Asian and for Western participants with particular emphasis on stroke subtypes and cardiac outcomes. Methods This is a subsidiary analysis of Perindopril Protection Against Recurrent Stroke Study (PROGRESS), a randomized, placebo-controlled trial that established the benefits of BP lowering in 6105 patients with cerebrovascular disease, randomly assigned to either active treatment (perindopril for all, and indapamide for those with neither an indication for, nor a contraindication to, a diuretic) or placebo(s). Outcomes are total and cause-specific vascular outcomes. Results The annual rates for total major vascular events were 4.2% in Asian and 5.2% in Western participants. Overall stroke rates were greater in Asian compared to Western participants with proportionally more lacunar infarctions and haemorrhagic strokes in Asians and more cardio-embolic infarctions and large artery infarctions in Western participants. Active treatment reduced BP by 10.3/ 4.6 mmHg in Asian, and by 8.1/3.6 mmHg in Western participants. Among Asian participants there was a 38% [95% confidence interval (CI) 23-49%] reduction in major vascular events compared to a 20% (95% CI 7-31%) reduction in Western participants (P homogeneity = 0.06). Similarly, there were higher relative risk reductions for all other outcomes among Asian participants, but this only reached statistical significance for heart failure and vascular death (P= 0.02 for each). The number needed to treat for major vascular events over 5 years was 15 (95% CI 10-26) in Asian compared to 28 (95% CI 17-94) in Western participants (P homogeneity = 0.09). Conclusions BP lowering reduces the risk of major vascular events, with separately significant reductions, in both Asia and the West.</div>
</front>
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<pA>
<fA01 i1="01" i2="1">
<s0>0263-6352</s0>
</fA01>
<fA02 i1="01">
<s0>JOHYD3</s0>
</fA02>
<fA03 i2="1">
<s0>J. hypertens.</s0>
</fA03>
<fA05>
<s2>28</s2>
</fA05>
<fA06>
<s2>2</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG">
<s1>Perindopril-based blood pressure lowering reduces major vascular events in Asian and Western participants with cerebrovascular disease: the PROGRESS trial</s1>
</fA08>
<fA11 i1="01" i2="1">
<s1>ARIMA (Hisatomi)</s1>
</fA11>
<fA11 i1="02" i2="1">
<s1>ANDERSON (Craig)</s1>
</fA11>
<fA11 i1="03" i2="1">
<s1>OMAE (Teruo)</s1>
</fA11>
<fA11 i1="04" i2="1">
<s1>LISHENG LIU</s1>
</fA11>
<fA11 i1="05" i2="1">
<s1>TZOURIO (Christophe)</s1>
</fA11>
<fA11 i1="06" i2="1">
<s1>WOODWARD (Mark)</s1>
</fA11>
<fA11 i1="07" i2="1">
<s1>MACMAHON (Stephen)</s1>
</fA11>
<fA11 i1="08" i2="1">
<s1>NEAL (Bruce)</s1>
</fA11>
<fA11 i1="09" i2="1">
<s1>RODGERS (Anthony)</s1>
</fA11>
<fA11 i1="10" i2="1">
<s1>CHALMERS (John)</s1>
</fA11>
<fA14 i1="01">
<s1>The George Institute for International Health, the University of Sydney and the Royal Prince Alfred Hospital</s1>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>National Cardiovascular Center</s1>
<s2>Suita</s2>
<s3>JPN</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Division of Hypertension, Fu Wai Hospital and Cardiovascular Institute, Chinese Academy of Medical Sciences</s1>
<s2>Beijing</s2>
<s3>CHN</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>INSERM U708 and the Department of Neurology, Hôpital Lariboisière</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="05">
<s1>Mount Sinai School of Medicine</s1>
<s2>New York</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA17 i1="01" i2="1">
<s1>PROGRESS Collaborative Group</s1>
<s3>INC</s3>
</fA17>
<fA20>
<s1>395-400</s1>
</fA20>
<fA21>
<s1>2010</s1>
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<s0>ENG</s0>
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<s1>INIST</s1>
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<s0>0000</s0>
<s1>© 2010 INIST-CNRS. All rights reserved.</s1>
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<s0>19 ref.</s0>
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<fA47 i1="01" i2="1">
<s0>10-0104497</s0>
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<fA60>
<s1>P</s1>
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<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Journal of hypertension</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Objective To assess the benefits of blood pressure (BP) lowering on vascular events separately for Asian and for Western participants with particular emphasis on stroke subtypes and cardiac outcomes. Methods This is a subsidiary analysis of Perindopril Protection Against Recurrent Stroke Study (PROGRESS), a randomized, placebo-controlled trial that established the benefits of BP lowering in 6105 patients with cerebrovascular disease, randomly assigned to either active treatment (perindopril for all, and indapamide for those with neither an indication for, nor a contraindication to, a diuretic) or placebo(s). Outcomes are total and cause-specific vascular outcomes. Results The annual rates for total major vascular events were 4.2% in Asian and 5.2% in Western participants. Overall stroke rates were greater in Asian compared to Western participants with proportionally more lacunar infarctions and haemorrhagic strokes in Asians and more cardio-embolic infarctions and large artery infarctions in Western participants. Active treatment reduced BP by 10.3/ 4.6 mmHg in Asian, and by 8.1/3.6 mmHg in Western participants. Among Asian participants there was a 38% [95% confidence interval (CI) 23-49%] reduction in major vascular events compared to a 20% (95% CI 7-31%) reduction in Western participants (P homogeneity = 0.06). Similarly, there were higher relative risk reductions for all other outcomes among Asian participants, but this only reached statistical significance for heart failure and vascular death (P= 0.02 for each). The number needed to treat for major vascular events over 5 years was 15 (95% CI 10-26) in Asian compared to 28 (95% CI 17-94) in Western participants (P homogeneity = 0.09). Conclusions BP lowering reduces the risk of major vascular events, with separately significant reductions, in both Asia and the West.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B12B05</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002A22D</s0>
</fC02>
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<s0>Pathologie cérébrovasculaire</s0>
<s5>01</s5>
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<s0>Cerebrovascular disease</s0>
<s5>01</s5>
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<fC03 i1="01" i2="X" l="SPA">
<s0>Vaso sanguíneo encéfalo patología</s0>
<s5>01</s5>
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<s0>Accident cérébrovasculaire</s0>
<s5>02</s5>
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<s5>02</s5>
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<fC03 i1="02" i2="X" l="SPA">
<s0>Accidente cerebrovascular</s0>
<s5>02</s5>
</fC03>
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<s0>Pathologie de l'appareil circulatoire</s0>
<s5>03</s5>
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<fC03 i1="03" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>03</s5>
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<s0>Périndopril</s0>
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<s2>FR</s2>
<s5>09</s5>
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<s2>NK</s2>
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<s5>79</s5>
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<s5>43</s5>
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<s5>43</s5>
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<s5>44</s5>
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<s0>Sulfonamides</s0>
<s5>44</s5>
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<s0>Sulfamidas</s0>
<s5>44</s5>
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<s0>Thiazide</s0>
<s5>45</s5>
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<s0>Thiazide</s0>
<s5>45</s5>
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<s0>Tiazida</s0>
<s5>45</s5>
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<fC07 i1="14" i2="X" l="FRE">
<s0>Pathologie des vaisseaux sanguins</s0>
<s5>46</s5>
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<s0>Vascular disease</s0>
<s5>46</s5>
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<s0>Vaso sanguíneo patología</s0>
<s5>46</s5>
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<fN21>
<s1>067</s1>
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<s1>OTO</s1>
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