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Differences in Glucose Tolerance Between Fixed-Dose Antihypertensive Drug Combinations in People With Metabolic Syndrome

Response to O'Malley, Bouldin, and Riche

  1. George L. Bakris, MD
  1. From the Hypertension Unit, Section of Endocrinology, Diabetes, and Metabolism, Pritzker School of Medicine, University of Chicago, Chicago, Illinois
  1. Address correspondence to George Bakris, MD, Professor of Medicine, Director, Hypertension Unit, Section of Endocrinology, Diabetes & Metabolism, University of Chicago-Pritzker School of Medicine, Chicago, IL 60637. E-mail: gbakris{at}earthlink.net

Unfortunately, O'Malley, Bouldin, and Riche (1) are laboring under the impression that the peroxisome proliferator–activated receptor-γ (PPARγ) effects, described for some angiotensin receptor blockers (ARBs), such as telmisartan, in animal and cell models, are clinically relevant (2–4); sadly, this is not the case. The authors anchor their argument on data that evaluated telmisartan on PPARγ activity but unfortunately had no comparator ARB (5). Moreover, there are no …

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