(Hypertension. 2001;38:1480.)
© 2001 American Heart Association, Inc.
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In Memoriam
(Hypertension. 2001;38:e27.)
Comparative Effects of Ramipril on Ambulatory and Office Blood Pressures
A HOPE Substudy
Per Svensson
Ulf de Faire
Peter Sleight
Salim Yusuf
Jan Östergren
Abstract
In the HOPE-trial, the ACE inhibitor ramipril significantly reduced cardiovascular morbidity and mortality in patients at high risk for cardiovascular events. The benefit could only partly be attributed to the modest mean reduction of office blood pressure (OBP) during the study period (3/2 mm Hg). However, because according to the HOPE protocol ramipril was given once daily at bedtime and blood pressure was measured during the day, the 24-hour reduction of blood pressure may be underestimated based on OBP. Thirty-eight patients with peripheral arterial disease enrolled in the HOPE study underwent 24-hour ambulatory blood pressure (ABP) measurement before randomization and after 1 year. OBP was measured in the sitting position immediately before fitting the ABP measuring equipment to the patients. Ramipril did not significantly
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