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  2. Randomized Controlled Trial
IJCS
Case Report

A Fixed-Dose Triple-Combination Therapy for the Initial Steps of Hypertension Treatment: Protocol for the NEXT Randomized Clinical Trial

Rogerio Orlow et al. Caroline Consuelo de Sousa Sayuri Inuzuka Audes Feitosa … Andréa Araujo Brandão Marco Mota Gomes Vanildo da Silva Guimarães Neto Elizabeth do Espírito Santo Cestario Eduardo Costa Duarte Barbosa Rodrigo Bezerra Mayara Cedrim Santos Ana Luiza Lima Sousa Sandro Rodrigues Batista Priscila Valverde de Oliveira Vitorino Weimar Kunz Sebba Barroso

Introduction

Complications from arterial hypertension account for an estimated 18 deaths per minute worldwide, establishing it as the second leading risk factor for global mortality. Between 1990 and 2019, the number of adults with arterial hypertension doubled from 650 million to 1.3 billion. Of these, only 54% are diagnosed, 42% are treated, and a mere 21% of those treated achieve adequate blood pressure (BP) control.

Although effective BP control often requires the use of multiple drugs, monotherapy remains a predominant initial approach to arterial hypertension management globally, which limits the timely achievement of therapeutic goals. This is significant because even modest reductions in systolic BP of 5 mmHg are associated with an approximate 10% reduction in the risk of major cardiovascular events, irrespective of pre-existing cardiovascular disease.

[…]

  • Cardiology
  • cardiovascular diseases
  • Hypertension
  • Randomized Controlled Trial
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Creative Commons Attribution (CC BY) Creative Commons license
24/07/2026 DOI: 10.36660/ijcs.20260025 Visualizações 10

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Formato de Documento Eletrônico (Vancouver)

Orlow R, Sousa CC, Inuzuka S, Feitosa A, Brandão AA, Gomes MM, Guimarães Neto VS, et al. A Fixed-Dose Triple-Combination Therapy for the Initial Steps of Hypertension Treatment: Protocol for the NEXT Randomized Clinical Trial. International Journal of Cardiovascular Sciences 2026;39:e20260025.

Formato de Documento Eletrônico (ABNT)

Orlow, Rogerio; Sousa, Caroline Consuelo de; Inuzuka, Sayuri; Feitosa, Audes; Brandão, Andréa Araujo; Gomes, Marco Mota; Guimarães Neto, Vanildo da Silva; Cestario, Elizabeth do Espírito Santo; Barbosa, Eduardo Costa Duarte; Bezerra, Rodrigo; Santos, Mayara Cedrim; Sousa, Ana Luiza Lima; Batista, Sandro Rodrigues; Vitorino, Priscila Valverde de Oliveira; Barroso, Weimar Kunz Sebba. A Fixed-Dose Triple-Combination Therapy for the Initial Steps of Hypertension Treatment: Protocol for the NEXT Randomized Clinical Trial. International Journal of Cardiovascular Sciences, v. 39, e20260025, jul. 2026.

Formato de Documento Eletrônico (APA)

Orlow, R., Sousa, C. C. , Inuzuka, S., Feitosa, A., Brandão, A. A., Gomes, M. M., Guimarães Neto, V. S., Cestario, E. E. S., Barbosa, E. C. D., Bezerra, R., Santos, M. C., Sousa, A. L. L., Batista, S. R., Vitorino, P. V. O., & Barroso, W. K. S. (2026). A Fixed-Dose Triple-Combination Therapy for the Initial Steps of Hypertension Treatment: Protocol for the NEXT Randomized Clinical Trial. International Journal of Cardiovascular Sciences, 39, e20260025.

Formato de Documento Eletrônico (ISO)

Orlow, Rogerio and Sousa, Caroline Consuelo de and Inuzuka, Sayuri and Feitosa, Audes and Brandão, Andréa Araujo and Gomes, Marco Mota and Guimarães Neto, Vanildo da Silva and Cestario, Elizabeth do Espírito Santo and Barbosa, Eduardo Costa Duarte and Bezerra, Rodrigo and Santos, Mayara Cedrim and Sousa, Ana Luiza Lima and Batista, Sandro Rodrigues and Vitorino, Priscila Valverde de Oliveira and Barroso, Weimar Kunz Sebba. A Fixed-Dose Triple-Combination Therapy for the Initial Steps of Hypertension Treatment: Protocol for the NEXT Randomized Clinical Trial. International Journal of Cardiovascular Sciences [online]. 2026, vol. 39, [citado 2026-11-15], e20260025. Disponível em: <https://journals.cardiol.br/article/a-fixed-dose-triple-combination-therapy-for-the-initial-steps-of-hypertension-treatment-protocol-for-the-next-randomized-clinical-trial-2/>. ISSN 2359-4802

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