Publication details

CORD: Comparison of Recommended Doses of ace inhibitors and angiotensin II receptor blockers

Authors

ŠPINAR Jindřich VÍTOVEC Jiří SOUČEK Miroslav DUŠEK Ladislav PAVLÍK Tomáš ET al.

Year of publication 2009
Type Article in Periodical
Magazine / Source International Journal of Cardiology
MU Faculty or unit

Faculty of Medicine

Citation
Field Cardiovascular diseases incl. cardiosurgery
Keywords Hypertension; Losartan; Ramipril; Cough
Description The CORD trials tested ramipril and losartan in patients with hypertension. CORD A randomised 4016 patients with blood pressure (BP) < 160/100 mm Hg, who had been treated with an ACEI for > 3 months. The patients discontinued ACEI and switched to losartan. After 1 month the BP decreased to 7.7/4.7 mm Hg (p < 0.001) and after 1 year to 13.8/8.7 mm Hg (p < 0.001). CORD B compared ramipril and losartan in 3813 patients with hypertension who were not being treated with an ACEI or ARB. The patients were randomised to ramipril (n = 1926) or losartan (n = 1887). After 1 year the BP decreased in the ramipril group to 21.8/13.7 mm Hg (p < 0.001) and in the losartan group to 22.0/13.3 mm Hg (p < 0.001). No significant differences were found between the groups. No differences were in serious adverse events. Dry cough was more frequently after ramipril (33 vs 4, p < 0.001).
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