Cited by 125Blood Pressure and Hypertension StudiesSodium Intake and HealthCardiovascular Health and Disease Prevention

Exceptional early blood pressure control rates: The ACCOMPLISH trial

Open access
Jamerson, Kenneth, Bakris, George L., Dahlöf, Björn, Pitt, Bertram, Velazquez, Eric, Gupte, Jitendra, Lefkowitz, Martin, Hester, Allen +18 more·2007·Blood Pressure

Abstract

BACKGROUND: ACCOMPLISH is a "new-generation" hypertension trial assessing single-tablet combination therapy for initial treatment of high-risk hypertension. At baseline, 97% of subjects were treated with anti-hypertensive medication at entry, but only 37% of participants had blood pressure (BP) control (<140/90 mmHg). Single-tablet combination therapy may improve control rates. METHODS: The mean BP change from baseline at the end of 6 months (the time point when subjects should have had all of the drug titrations to achieve BP control) was examined for 10,704 randomized patients. Within-group changes were examined using t-tests. Comparisons between subgroups were made using analysis of variance (ANOVA) and covariance (ANCOVA). RESULTS: Mean (+/-SD) BP fell from 145+/-18/80+/-11 mmHg at randomization to 132+/-16/74+/-10 mmHg. The 6-month BP control rate was 73% in the overall trial (78% in the US), 43% in diabetics and 40% in patients with renal disease. Of the patients uncontrolled, 61% were not on maximal medications, suggesting potential increases in control rates. Serious hypotensive events occurred in 1.8% of participants. CONCLUSION: ACCOMPLISH BP control rates are the highest of any multi-national trial to date. Whereas current guidelines recommend combination therapy only for stage 2 hypertension, in this trial it is expedient and safe for both stage 1 and 2 hypertension.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1080/08037050701395571

Cites

24 of 24 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The higher prevalence of apparent treatment-resistant hypertension among treated hypertensive adults in clinical trials (34%-39%) is likely explained by the selection of patients with demographic and comorbidity characteristics that place them at high risk for the fatal and nonfatal cardiovascular disease outcomes of interest.

    “The higher prevalence of aTRH among treated hypertensive adults in clinical trials (34%−39%) is likely explained by the selection of patients with demographic and comorbidity characteristics that place them at high risk for the fatal and nonfatal CVD outcomes of interest.21–26”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Jamerson KA, Bakris GL, Wun CC, Dahlof B, Lefkowitz M, Manfreda S, et al. Rationale and design of the Avoiding Cardiovascular events through COMbination therapy in Patients LIving with Systolic Hypertension (ACCOMPLISH) trial. Am J Hypertens. 2004;17:793-801.
  2. Chobanian AV, Bakris GL, Black HR, Cushman C, Green LA, Izzo JL, et al. and the National High Blood Pressure Education Program Coordinating Committee. The seventh report of the Joint National Committee on preven- tion, detection, evaluation, and treatment of high blood pressure. The JNC7 Report. JAMA. 2003;289:2560-2572.

Cited by

Sorted by citations

Authors
Jamerson, K., Bakris, G. L., Dahlöf, B., Pitt, B., Velazquez, E., Gupte, J., Lefkowitz, M., Hester, A., Shi, V., Kjeldsen, S. E., Cushman, W., Papademetriou, V., Weber, M., Jamerson, K., Bakris, G. L., Dahlöf, B., Pitt, B., Velazquez, E., Gupte, J., Lefkowitz, M., Hester, A., Shi, V., Kjeldsen, S. E., Cushman, W., Papademetriou, V., & Weber, M.
Venue
Blood Pressure
Published
2007-01
Volume
16
Issue
2
Pages
80-86
ISSN
  • 0803-7051 (ISSN-L)
  • 1651-1999
OpenAlex
W2074526141
Cited by
125
References
24
Citations by year
2025: 1 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 6 · 2016: 1 · 2015: 2 · 2014: 5 · 2013: 9 · 2012: 6
FWCI
16.20
Type
journal article
Language
en
Open access
Locations
  • Blood Pressure (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Brigham and Women's Hospital
  • Novartis Pharma
  • Duke Clinical Research Institute
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Keywords
ACCOMPLISH trial, hypertension, blood pressure control, antihypertensive drugs, high-risk hypertension, diabetes mellitus, kidney disease, hypotension, dose titration
MeSH terms
Antihypertensive Agents, Benzazepines, Blood Pressure, Double-Blind Method, Drug Therapy, Combination, Humans, Hydrochlorothiazide, Hypertension, Amlodipine

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review