title: [Medical expert consensus in AH on the clinical use of triple fixed-dose antihypertensive therapy in Spain].
abstract: BACKGROUND
  The opinion of experts (different specialties) on the triple fixed-dose antihypertensive therapy in clinical practice may differ.
  
  
  METHODS
  Online questionnaire with controversial aspects of the triple therapy answered by panel of experts in hypertension (HT) using two-round modified Delphi method.
  
  
  RESULTS
  The questionnaire was completed by 158 experts: Internal Medicine (49), Nephrology (26), Cardiology (83). Consensus was reached (agreement) on 27/45 items (60%); 7 items showed differences statistically significant. Consensus was reached regarding: Predictive factors in the need for combination therapy and its efficacy vs. increasing the dose of a pretreatment, and advantage of triple therapy (prescription/adherence/cost/pressure control) vs. free combination.
  
  
  CONCLUSIONS
  This consensus provides an overview of the clinical use of triple therapy in moderate-severe and resistant/difficult to control HT.
authors.affiliation: Servicio de Cardiología, Hospital Clínico Universitario, Santiago de Compostela, España. Electronic address: pilarmazon@yahoo.es.
authors.forename: P
authors.initials: P
authors.lastname: Mazón
authors.affiliation: Servicio de Cardiología, Hospital Vall d'Hebrón, Barcelona, España.
authors.forename: E
authors.initials: E
authors.lastname: Galve
authors.affiliation: Servicio de Medicina Interna, Hospital Infanta Sofía, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: Gómez
authors.affiliation: Servicio de Nefrología, Hospital Universitario Central de Asturias, Oviedo, España.
authors.forename: M
authors.initials: M
authors.lastname: Gorostidi
authors.affiliation: Servicio de Nefrología, Hospital Universitario Dr. Peset, Valencia, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Górriz
authors.affiliation: Unidad de Hipertensión, Hospital Virgen de las Nieves, Granada, España.
authors.forename: J D
authors.initials: JD
authors.lastname: Mediavilla
mesh_terms: D026683:Advisory Committees / Q000458:organization & administration; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D032921:Consensus; D003697:Delphi Technique; D004359:Drug Therapy, Combination; D019538:Health Care Surveys; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D013030:Spain
chemical_list: D000959:Antihypertensive Agents
keywords: Antihipertensivos; Antihypertensive drugs; Arterial hypertension; Combinación de medicamentos; Drug combination; Hipertensión arterial