Literature Search 1. Your Research Question Hypertention ,does the use of angiotension converting enzyme inhibitors compared to calcium channel blockers lead to a greater reduction in blood pressure. Plan your SEARCH 2. PICO Patient (Population) Hypertension Intervention angiotensin (Exposure) converting enzyme Synony ms Hyperte nsion High blood pressure Elevate d blood pressure Medical Subheading (MeSH) Angiote nsin converti ng enzyme Search: (((angiotensin converting enzyme) OR (angiotensinconverting enzyme)) OR (peptidyl-dipeptidase A)) AND ("Angiotensin-Converting Enzyme Inhibitors"[Mesh] OR "Angiotensin-Converting Enzyme Inhibitors" [Pharmacological Action]) ("peptidyl dipeptidase a"[MeSH Terms] OR "peptidyl dipeptidase a"[All Fields] OR ("angiotensin"[All Fields] AND "converting"[All Fields] AND "enzyme"[All Fields]) OR "angiotensin converting enzyme"[All Fields] OR ("peptidyl dipeptidase a"[MeSH Terms] OR "peptidyl dipeptidase a"[All Fields] OR ("angiotensin"[All Fields] angiote nsinconverti ng Search: (((hypertension) OR (high blood pressure)) OR (elevated blood pressure)) AND ("Hypertension"[Mesh] OR "Intra-Abdominal Hypertension"[Mesh] OR "Intracranial Hypertension"[Mesh] OR "Hypertension, Renal"[Mesh] OR "Hypertension, Pulmonary"[Mesh] OR "Hypertension, Malignant"[Mesh]) ("hypertense"[All Fields] OR "Hypertension"[MeSH Terms] OR "Hypertension"[All Fields] OR "hypertension s"[All Fields] OR "hypertensions"[All Fields] OR "hypertensive"[All Fields] OR "hypertensive s"[All Fields] OR "hypertensives"[All Fields] OR ("Hypertension"[MeSH Terms] OR "Hypertension"[All Fields] OR ("high"[All Fields] AND "blood"[All Fields] AND "pressure"[All Fields]) OR "high blood pressure"[All Fields]) OR ("Hypertension"[MeSH Terms] OR "Hypertension"[All Fields] OR ("elevated"[All Fields] AND "blood"[All Fields] AND "pressure"[All Fields]) OR "elevated blood pressure"[All Fields])) AND ("Hypertension"[MeSH Terms] OR "Intra-Abdominal Hypertension"[MeSH Terms] OR "Intracranial Hypertension"[MeSH Terms] OR "hypertension, renal"[MeSH Terms] OR "hypertension, pulmonary"[MeSH Terms] OR "hypertension, malignant"[MeSH Terms]) Translations hypertension: "hypertense"[All Fields] OR "hypertension"[MeSH Terms] OR "hypertension"[All Fields] OR "hypertension's"[All Fields] OR "hypertensions"[All Fields] OR "hypertensive"[All Fields] OR "hypertensive's"[All Fields] OR "hypertensives"[All Fields] high blood pressure: "hypertension"[MeSH Terms] OR "hypertension"[All Fields] OR ("high"[All Fields] AND "blood"[All Fields] AND "pressure"[All Fields]) OR "high blood pressure"[All Fields] elevated blood pressure: "hypertension"[MeSH Terms] OR "hypertension"[All Fields] OR ("elevated"[All Fields] AND "blood"[All Fields] AND "pressure"[All Fields]) OR "elevated blood pressure"[All Fields] Comparison enzyme peptidyl dipeptid ase A AND "converting"[All Fields] AND "enzyme"[All Fields]) OR "angiotensin converting enzyme"[All Fields]) OR ("peptidyl dipeptidase a"[MeSH Terms] OR "peptidyl dipeptidase a"[All Fields] OR "peptidyl dipeptidase a"[All Fields])) AND ("AngiotensinConverting Enzyme Inhibitors"[MeSH Terms] OR "AngiotensinConverting Enzyme Inhibitors"[Pharmacological Action]) Translations angiotensin converting enzyme: "peptidyl-dipeptidase a"[MeSH Terms] OR "peptidyl-dipeptidase a"[All Fields] OR ("angiotensin"[All Fields] AND "converting"[All Fields] AND "enzyme"[All Fields]) OR "angiotensin converting enzyme"[All Fields] angiotensin-converting enzyme: "peptidyl-dipeptidase a"[MeSH Terms] OR "peptidyl-dipeptidase a"[All Fields] OR ("angiotensin"[All Fields] AND "converting"[All Fields] AND "enzyme"[All Fields]) OR "angiotensin converting enzyme"[All Fields] peptidyl-dipeptidase A: "peptidyl-dipeptidase a"[MeSH Terms] OR "peptidyl-dipeptidase a"[All Fields] OR "peptidyl dipeptidase a"[All Fields] calcium Search: (((calcium channel blockers) OR (calcium-channel calcium channel channel blockers)) OR (calcium antagonists)) AND ("Calcium Channel blockers blockers Blockers"[Mesh] OR "Calcium Channel Blockers" [Pharmacological Action]) calcium ("Calcium Channel Blockers"[Pharmacological Action] OR "Calcium Channel Blockers"[MeSH Terms] OR ("calcium"[All Fields] AND channel "channel"[All Fields] AND "blockers"[All Fields]) OR "Calcium blockers Channel Blockers"[All Fields] OR ("Calcium Channel Blockers"[Pharmacological Action] OR "Calcium Channel calcium Blockers"[MeSH Terms] OR ("calcium"[All Fields] AND "channel"[All antagon Fields] AND "blockers"[All Fields]) OR "Calcium Channel ists Blockers"[All Fields]) OR ("Calcium Channel Blockers"[Pharmacological Action] OR "Calcium Channel Blockers"[MeSH Terms] OR ("calcium"[All Fields] AND "channel"[All Fields] AND "blockers"[All Fields]) OR "Calcium Channel Blockers"[All Fields] OR ("calcium"[All Fields] AND "antagonists"[All Fields]) OR "calcium antagonists"[All Fields])) AND ("Calcium Channel Blockers"[MeSH Terms] OR "Calcium Channel Blockers"[Pharmacological Action]) Translations calcium channel blockers: "calcium channel blockers"[Pharmacological Action] OR "calcium channel blockers"[MeSH Terms] OR ("calcium"[All Fields] AND "channel"[All Fields] AND "blockers"[All Fields]) OR "calcium channel blockers"[All Fields] calcium-channel blockers: "calcium channel Outcome blockers"[Pharmacological Action] OR "calcium channel blockers"[MeSH Terms] OR ("calcium"[All Fields] AND "channel"[All Fields] AND "blockers"[All Fields]) OR "calcium channel blockers"[All Fields] calcium antagonists: "calcium channel blockers"[Pharmacological Action] OR "calcium channel blockers"[MeSH Terms] OR ("calcium"[All Fields] AND "channel"[All Fields] AND "blockers"[All Fields]) OR "calcium channel blockers"[All Fields] OR ("calcium"[All Fields] AND "antagonists"[All Fields]) OR "calcium antagonists"[All Fields] Antihyp antihypertensive ertensiv e Antihyperte nsive Reduce d blood pressure Search: (((antihypertensive) OR (anti-hypertensive)) OR (reduced blood pressure)) AND ("Antihypertensive Agents"[Mesh] OR "Antihypertensive Agents" [Pharmacological Action]) ("antihypertension"[All Fields] OR "Antihypertensive Agents"[Pharmacological Action] OR "Antihypertensive Agents"[MeSH Terms] OR ("antihypertensive"[All Fields] AND "agents"[All Fields]) OR "Antihypertensive Agents"[All Fields] OR "antihypertensive"[All Fields] OR "antihypertensives"[All Fields] OR ("Antihypertensive Agents"[Pharmacological Action] OR "Antihypertensive Agents"[MeSH Terms] OR ("antihypertensive"[All Fields] AND "agents"[All Fields]) OR "Antihypertensive Agents"[All Fields] OR ("anti"[All Fields] AND "hypertensive"[All Fields]) OR "anti hypertensive"[All Fields]) OR (("reduce"[All Fields] OR "reduced"[All Fields] OR "reduces"[All Fields] OR "reducing"[All Fields]) AND ("blood pressure"[MeSH Terms] OR ("blood"[All Fields] AND "pressure"[All Fields]) OR "blood pressure"[All Fields] OR "blood pressure determination"[MeSH Terms] OR ("blood"[All Fields] AND "pressure"[All Fields] AND "determination"[All Fields]) OR "blood pressure determination"[All Fields] OR "arterial pressure"[MeSH Terms] OR ("arterial"[All Fields] AND "pressure"[All Fields]) OR "arterial pressure"[All Fields]))) AND ("Antihypertensive Agents"[MeSH Terms] OR "Antihypertensive Agents"[Pharmacological Action]) Translations antihypertensive: "antihypertension"[All Fields] OR "antihypertensive agents"[Pharmacological Action] OR "antihypertensive agents"[MeSH Terms] OR ("antihypertensive"[All Fields] AND "agents"[All Fields]) OR "antihypertensive agents"[All Fields] OR "antihypertensive"[All Fields] OR "antihypertensives"[All Fields] anti-hypertensive: "antihypertensive agents"[Pharmacological Action] OR "antihypertensive agents"[MeSH Terms] OR ("antihypertensive"[All Fields] AND "agents"[All Fields]) OR "antihypertensive agents"[All Fields] OR ("anti"[All Fields] AND "hypertensive"[All Fields]) OR "anti hypertensive"[All Fields] reduced: "reduce"[All Fields] OR "reduced"[All Fields] OR "reduces"[All Fields] OR "reducing"[All Fields] blood pressure: "blood pressure"[MeSH Terms] OR ("blood"[All Fields] AND "pressure"[All Fields]) OR "blood pressure"[All Fields] OR "blood pressure determination"[MeSH Terms] OR ("blood"[All Fields] AND "pressure"[All Fields] AND "determination"[All Fields]) OR "blood pressure determination"[All Fields] OR "arterial pressure"[MeSH Terms] OR ("arterial"[All Fields] AND "pressure"[All Fields]) OR "arterial pressure"[All Fields] Other considerations Where do you plan to search What types of studies are you planning to include (other data bases) pubmed PEDro Cochrane library Medline Sci Hub Clinical Trial Meta-Analysis systematic Review Randomized Controlled Trial Are there any inclusion / exclusion criteria that could be applied as search limits, e.g. population demographics (such as age, gender, ethnicity)? Age Body composition Gender female ethnicity 3. Snapshot of “Search history” Replace this picture with your one 4. Add the “ Summary text” Once you finish selection, Go to save and select ‘selection’, ‘summary text’ and create the file. Paste the content here 1: Sundström J, Lind L, Nowrouzi S, Hagström E, Held C, Lytsy P, Neal B, Marttala K, Östlund O. Heterogeneity in Blood Pressure Response to 4 Antihypertensive Drugs: A Randomized Clinical Trial. JAMA. 2023 Apr 11;329(14):1160-1169. doi: 10.1001/jama.2023.3322. PMID: 37039792; PMCID: PMC10091169. 2: Song G, Yoon HY, Yee J, Kim MG, Gwak HS. Antihypertensive drug use and psoriasis: A systematic review, meta- and network meta-analysis. Br J Clin Pharmacol. 2022 Mar;88(3):933-941. doi: 10.1111/bcp.15060. Epub 2021 Oct 5. PMID: 34611920. 3: Xie M, Tang T, Liang H. Efficacy of single-pill combination in uncontrolled essential hypertension: A systematic review and network meta-analysis. Clin Cardiol. 2023 Aug;46(8):886-898. doi: 10.1002/clc.24082. Epub 2023 Jul 11. PMID: 37432701; PMCID: PMC10436803. 4: Nazarzadeh M, Bidel Z, Canoy D, Copland E, Wamil M, Majert J, Smith Byrne K, Sundström J, Teo K, Davis BR, Chalmers J, Pepine CJ, Dehghan A, Bennett DA, Smith GD, Rahimi K; Blood Pressure Lowering Treatment Trialists’ Collaboration. Blood pressure lowering and risk of new-onset type 2 diabetes: an individual participant data meta-analysis. Lancet. 2021 Nov 13;398(10313):1803-1810. doi: 10.1016/S0140-6736(21)01920-6. PMID: 34774144; PMCID: PMC8585669. 5: Suchard MA, Schuemie MJ, Krumholz HM, You SC, Chen R, Pratt N, Reich CG, Duke J, Madigan D, Hripcsak G, Ryan PB. Comprehensive comparative effectiveness and safety of first-line antihypertensive drug classes: a systematic, multinational, large-scale analysis. Lancet. 2019 Nov 16;394(10211):1816-1826. doi: 10.1016/S0140-6736(19)32317-7. Epub 2019 Oct 24. PMID: 31668726; PMCID: PMC6924620. 6: Naci H, Salcher-Konrad M, Dias S, Blum MR, Sahoo SA, Nunan D, Ioannidis JPA. How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure. Br J Sports Med. 2019 Jul;53(14):859-869. doi: 10.1136/bjsports-2018-099921. Epub 2018 Dec 18. PMID: 30563873. 7: Qi J, An R, Bhatti P, Spinelli JJ, Murphy RA. Anti-hypertensive medications and risk of colorectal cancer: a systematic review and meta-analysis. Cancer Causes Control. 2022 Jun;33(6):801-812. doi: 10.1007/s10552-022-01570-1. Epub 2022 Mar 21. PMID: 35314908. 8: den Brok MGHE, van Dalen JW, Abdulrahman H, Larson EB, van Middelaar T, van Gool WA, van Charante EPM, Richard E. Antihypertensive Medication Classes and the Risk of Dementia: A Systematic Review and Network Meta-Analysis. J Am Med Dir Assoc. 2021 Jul;22(7):1386-1395.e15. doi: 10.1016/j.jamda.2020.12.019. Epub 2021 Jan 16. PMID: 33460618. 9: Fishel Bartal M, Blackwell SC, Pedroza C, Lawal D, Amro F, Samuel J, Chauhan SP, Sibai BM. Oral combined hydrochlorothiazide and lisinopril vs nifedipine for postpartum hypertension: a comparative-effectiveness pilot randomized controlled trial. Am J Obstet Gynecol. 2023 May;228(5):571.e1-571.e10. doi: 10.1016/j.ajog.2023.01.015. Epub 2023 Feb 12. PMID: 36787814. 10: Najmeddin F, Solhjoo M, Ashraf H, Salehi M, Rasooli F, Ghoghaei M, Soleimani A, Bahreini M. Effects of Renin-Angiotensin-Aldosterone Inhibitors on Early Outcomes of Hypertensive COVID-19 Patients: A Randomized Triple-Blind Clinical Trial. Am J Hypertens. 2021 Nov 20;34(11):1217-1226. doi: 10.1093/ajh/hpab111. PMID: 34265044; PMCID: PMC8344947. 11: Hu N, Ji H. Medications on hypertension, hyperlipidemia, diabetes, and risk of amyotrophic lateral sclerosis: a systematic review and meta-analysis. Neurol Sci. 2022 Sep;43(9):5189-5199. doi: 10.1007/s10072-022-06131-7. Epub 2022 May 26. PMID: 35616813. 12: Salem M, Sallam AM, Abdel-Aleem E, El-Mesallamy HO. Effect of Lisinopril and Verapamil on Angiopoietin 2 and Endostatin in Hypertensive Diabetic Patients with Nephropathy: A Randomized Trial. Horm Metab Res. 2021 Jul;53(7):470-477. doi: 10.1055/a-1517-6643. Epub 2021 Jul 19. PMID: 34282598. 13: Yoselevsky EM, Seely EW, Celi AC, Robinson JN, McElrath TF. A randomized controlled trial comparing the efficacy of nifedipine and enalapril in the postpartum period. Am J Obstet Gynecol MFM. 2023 Dec;5(12):101178. doi: 10.1016/j.ajogmf.2023.101178. Epub 2023 Oct 6. PMID: 37806651. 14: Bao H, Huang X, Li P, Sheng C, Zhang J, Wang Z, Song D, Hu L, Ding C, Cheng Z, Yao C, Chen G, Cui Y, Qin X, Tang G, Wang X, Huo Y, Cheng X, Wang J. Combined use of amlodipine and folic acid are significantly more efficacious than amlodipine alone in lowering plasma homocysteine and blood pressure among hypertensive patients with hyperhomocysteinemia and intolerance to ACEI: A multicenter, randomized, double-blind, parallel-controlled clinical trial. J Clin Hypertens (Greenwich). 2023 Aug;25(8):689-699. doi: 10.1111/jch.14697. Epub 2023 Jul 11. PMID: 37433173; PMCID: PMC10423753. 15: Ma H, Jiang H, Feng J, Gan Y. Angiotensin Receptor Blocker and Calcium Channel Blocker Preventing Atrial Fibrillation Recurrence in Patients with Hypertension and Atrial Fibrillation: A Meta-analysis. Cardiovasc Ther. 2021 May 17;2021:6628469. doi: 10.1155/2021/6628469. PMID: 34104205; PMCID: PMC8149258. 16: Farmakis IT, Pyrgidis N, Doundoulakis I, Mykoniatis I, Akrivos E, Giannakoulas G. Effects of Major Antihypertensive Drug Classes on Erectile Function: a Network Meta-analysis. Cardiovasc Drugs Ther. 2022 Oct;36(5):903-914. doi: 10.1007/s10557-021-07197-9. Epub 2021 May 4. PMID: 33945044. 17: Derington CG, Bress AP, Moran AE, Weintraub WS, Herrick JS, Cushman WC, Kronish IM, Stults B, Shimbo D, Muntner P, Greene T, Bates JT, Chang TI, Katz LA, Rehman SU, Roumie CL, Tamariz L, King JB. Antihypertensive Medication Regimens Used in the Systolic Blood Pressure Intervention Trial. Hypertension. 2023 Mar;80(3):590-597. doi: 10.1161/HYPERTENSIONAHA.122.20373. Epub 2022 Dec 15. PMID: 36519451; PMCID: PMC9931643. 18: Peng X, Peng DF, Tang SY. Effect of diltiazem on exercise tolerance in patients with stable coronary artery disease and hypertension. J Physiol Pharmacol. 2021 Aug;72(4). doi: 10.26402/jpp.2021.4.07. Epub 2021 Dec 31. PMID: 34987129. 19: Azoulay L, St-Jean A, Dahl M, Quail J, Aibibula W, Brophy JM, Chan AW, Bresee L, Carney G, Eltonsy S, Tamim H, Paterson JM, Platt RW; Canadian Network for Observational Drug Effect Studies (CNODES) Investigators. Hydrochlorothiazide use and risk of keratinocyte carcinoma and melanoma: A multisite population-based cohort study. J Am Acad Dermatol. 2023 Aug;89(2):243-253. doi: 10.1016/j.jaad.2023.04.035. Epub 2023 Apr 25. PMID: 37105517. 20: Honda A, Tahara N, Tahara A, Bekki M, Maeda-Ogata S, Sugiyama Y, Igata S, Nishino Y, Matsui T, Kurata S, Abe T, Yamagishi SI, Fukumoto Y. Effects of olmesartan and amlodipine on blood pressure, endothelial function, and vascular inflammation. J Nucl Cardiol. 2023 Aug;30(4):1613-1626. doi: 10.1007/s12350-023-03200-y. Epub 2023 Feb 3. PMID: 36737518. 21: Hu Y, Liang L, Liu S, Kung JY, Banh HL. Angiotensin-converting enzyme inhibitor induced cough compared with placebo, and other antihypertensives: A systematic review, and network meta-analysis. J Clin Hypertens (Greenwich). 2023 Aug;25(8):661-688. doi: 10.1111/jch.14695. Epub 2023 Jul 7. PMID: 37417783; PMCID: PMC10423763. 22: Qin L, Zhang N, Ishigami J, Miller ER 3rd, Pfister M, Moran AE, Cox E. Dyskalemia risk associated with fixed-dose anti-hypertensive medication combinations. J Hum Hypertens. 2022 Nov;36(11):989-995. doi: 10.1038/s41371-021-00600-w. Epub 2021 Sep 23. PMID: 34556798. 23: Guo QH, Zhu ZM, Feng YQ, Lin JX, Wang JG. Blood pressure lowering effects of β-blockers as add-on or combination therapy: A meta-analysis of randomized controlled trials. J Clin Hypertens (Greenwich). 2023 Mar;25(3):227-237. doi: 10.1111/jch.14616. Epub 2023 Feb 8. PMID: 36756690; PMCID: PMC9994166. 24: Langerhuizen DWG, Verweij LPE, van der Wouden JC, Kerkhoffs GMMJ, Janssen SJ. Antihypertensive drugs demonstrate varying levels of hip fracture risk: A systematic review and meta-analysis. Injury. 2022 Mar;53(3):1098-1107. doi: 10.1016/j.injury.2021.09.036. Epub 2021 Sep 28. PMID: 34627629. 25: Copland E, Canoy D, Nazarzadeh M, Bidel Z, Ramakrishnan R, Woodward M, Chalmers J, Teo KK, Pepine CJ, Davis BR, Kjeldsen S, Sundström J, Rahimi K; Blood Pressure Lowering Treatment Trialists' Collaboration. Antihypertensive treatment and risk of cancer: an individual participant data meta-analysis. Lancet Oncol. 2021 Apr;22(4):558-570. doi: 10.1016/S1470-2045(21)00033-4. PMID: 33794209; PMCID: PMC8024901. 26: Ileri C, Dogan Z, Ozben B, Bircan L, Acet A, Sen T. The Impact of Timing of Fixed Dose Triple Antihypertensive Combinations on Ambulatory Blood Pressure Monitoring Parameters. Clin Exp Hypertens. 2023 Dec 31;45(1):2224941. doi: 10.1080/10641963.2023.2224941. PMID: 37337964. 27: Ren L, Yu S, Xu W, Overton JL, Chiamvimonvat N, Thai PN. Lack of association of antihypertensive drugs with the risk and severity of COVID-19: A metaanalysis. J Cardiol. 2021 May;77(5):482-491. doi: 10.1016/j.jjcc.2020.10.015. Epub 2020 Nov 2. PMID: 33168337; PMCID: PMC7605745. 28: Mazza A, Townsend DM, Schiavon L, Torin G, Lenti S, Rossetti C, Rigatelli G, Rubello D. Long-term effect of the perindopril/indapamide/amlodipine single-pill combination on left ventricular hypertrophy in outpatient hypertensive subjects. Biomed Pharmacother. 2019 Dec;120:109539. doi: 10.1016/j.biopha.2019.109539. Epub 2019 Oct 15. PMID: 31627089; PMCID: PMC7104809. 29: Goldstein ED, Wolcott Z, Garg G, Navarro K, Delic A, Yaghi S, Sederholm B, Prabhakaran S, Wong KH, McLean K, de Havenon AH. Effect of Antihypertensives by Class on Cerebral Small Vessel Disease: A Post Hoc Analysis of SPRINT-MIND. Stroke. 2022 Aug;53(8):2435-2440. doi: 10.1161/STROKEAHA.121.037997. Epub 2022 May 4. PMID: 35506388. 30: Seleme VB, Marques GL, Mendes AEM, Rotta I, Pereira M, Júnior EL, da Cunha CLP. Nebivolol for the Treatment of Essential Systemic Arterial Hypertension: A Systematic Review and Meta-Analysis. Am J Cardiovasc Drugs. 2021 Mar;21(2):165-180. doi: 10.1007/s40256-020-00422-0. PMID: 32710438. 31: Yamal JM, Martinez J, Osani MC, Du XL, Simpson LM, Davis BR. Mortality and Morbidity Among Individuals With Hypertension Receiving a Diuretic, ACE Inhibitor, or Calcium Channel Blocker: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2023 Dec 1;6(12):e2344998. doi: 10.1001/jamanetworkopen.2023.44998. PMID: 38048133; PMCID: PMC10696481. 32: Du XL, Simpson LM, Tandy BC, Bettencourt JL, Davis BR. Risk of hospitalized and non-hospitalized gastrointestinal bleeding in ALLHAT trial participants receiving diuretic, ACE-inhibitor, or calcium-channel blocker. PLoS One. 2021 Nov 18;16(11):e0260107. doi: 10.1371/journal.pone.0260107. PMID: 34793552; PMCID: PMC8601451. 33: Cho M, Choi CY, Choi YJ, Rhie SJ. Clinical outcomes of renin angiotensin system inhibitor-based dual antihypertensive regimens in chronic kidney disease: a network meta-analysis. Sci Rep. 2023 Apr 7;13(1):5727. doi: 10.1038/s41598-023-32266-4. PMID: 37029191; PMCID: PMC10082011. 34: Bezabih YM, Bezabih A, Alamneh E, Peterson GM, Bezabhe W. Comparison of renin-angiotensin-aldosterone system inhibitors with other antihypertensives in association with coronavirus disease-19 clinical outcomes. BMC Infect Dis. 2021 Jun 5;21(1):527. doi: 10.1186/s12879-021-06088-6. PMID: 34090358; PMCID: PMC8178664. 35: Ojji DB, Cornelius V, Partington G, Francis V, Pandie S, Smythe W, Hickman N, Barasa F, Damasceno A, Dzudie A, Jones E, Ingabire PM, Mondo C, Ogah O, Ogola E, Sani MU, Shedul GL, Shedul G, Rayner B, Sliwa K, Poulter N; for CREOLE Investigators. Effect of 3, 2-Drug Combinations of Antihypertensive Therapies on Blood Pressure Variability in Black African Patients: Secondary Analyses of the CREOLE Trial. Hypertension. 2022 Nov;79(11):2593-2600. doi: 10.1161/HYPERTENSIONAHA.121.18333. Epub 2022 Sep 2. PMID: 36052684. 36: Nakagawa N, Sato N, Saijo Y, Morimoto H, Koyama S, Ogawa Y, Uekita K, Maruyama J, Ohta T, Nakamura Y, Takeuchi T, Hasebe N; ASAHI-AI investigators. Assessment of suitable antihypertensive therapies: Combination with high-dose amlodipine/irbesartan vs triple combination with amlodipine/irbesartan/indapamide (ASAHI-AI study). J Clin Hypertens (Greenwich). 2020 Sep;22(9):1577-1584. doi: 10.1111/jch.13977. Epub 2020 Aug 6. PMID: 32762115; PMCID: PMC8029846. 37: Poulter NR, Dolan E, Gupta AK, O'Brien E, Whitehouse A, Sever PS. Efficacy and Safety of Incremental Dosing of a New Single-Pill Formulation of Perindopril and Amlodipine in the Management of Hypertension. Am J Cardiovasc Drugs. 2019 Jun;19(3):313-323. doi: 10.1007/s40256-018-00314-4. PMID: 30919249. 38: Barzilay JI, Lai D, Davis BR, Pressel S, Previn HE, Arnett DK. The Interaction of a Diabetes Gene Risk Score With 3 Different Antihypertensive Medications for Incident Glucose-level Elevation. Am J Hypertens. 2019 Mar 16;32(4):343-349. doi: 10.1093/ajh/hpy199. PMID: 30590387; PMCID: PMC6420683. 39: Zhang J, Tong A, Dai Y, Niu J, Yu F, Xu F. Comparative risk of new-onset diabetes mellitus for antihypertensive drugs in elderly: A Bayesian network meta-analysis. J Clin Hypertens (Greenwich). 2019 Aug;21(8):1082-1090. doi: 10.1111/jch.13598. Epub 2019 Jun 26. PMID: 31241860; PMCID: PMC8030293. 5. Write a short reflection on the process in 250 words. (What have you learned and how this will be useful in your professional career?) These data reveal substantial heterogeneity in blood pressure response to drug therapy for hypertension, findings that may have implications for personalized therapy. Some study confirmed the associations between antihypertensive drugs and psoriasis; ACE inhibitors, BBs, CCBs and thiazide diuretics increased the risk of psoriasis. Therefore, antihypertensive drug users should be carefully monitored for psoriasis he effect of exercise interventions on SBP remains under-studied, especially among hypertensive populations. Our findings confirm modest but consistent reductions in SBP in many studied exercise interventions across all populations but individuals receiving medications generally achieved greater reductions than those following structured exercise regimens. Assuming equally reliable estimates, the SBP-lowering effect of exercise among hypertensive populations appears similar to that of commonly used antihypertensive medications. Generalisability of these findings to real-world clinical settings should be further evaluated. His randomized triple-blind multicentric clinical trial did not show any deleterious effects of ACEi/ARB medications in hypertensive COVID-19 patients. Engaging in evidence based practice on PubMed for hypertension has been enlightening through this process, I have learned the significance of critically evaluating research studies to inform clinical decision making. Understanding the latest evidence allows for more effective and tailored treatment approaches in the physiotherapy.it enhances my ability to provide patient cantered care, ensuring interventions are based on the most current and reliable evidence available. This approach fosters confidence in my practice and promote better outcome for patient. these data reveal substantial heterogeneity in blood pressure response to drug therapy for hypertension, findings that may have implications for personalized therapy, physiotherapy or any other medical career.