Introduction This study assessed the real-life effectiveness of a single-pill combination (SPC) of bisoprolol/perindopril for controlling blood pressure (BP) and symptoms of angina in patients with hypertension and a history of myocardial infarction (MI). Methods Eligible patients with arterial hypertension and a history of MI were aged 18–79 years and had initiated bisoprolol/perindopril SPC within 3 months of study enrollment as part of routine Russian clinical practice. The primary endpoint was mean change in systolic and diastolic BP (SBP/DBP) at week 12 compared with baseline (data collected retrospectively). Secondary endpoints were assessed at weeks 4 and 12 and included mean change in resting heart rate (HR), proportion of patients reaching target level of resting HR, antianginal effectiveness of the SPC, and proportion of patients reaching target BP levels. Results A total of 504 patients were enrolled, of whom 481 comprised the full analysis set (mean age 61.4 ± 8.9 years, 68% men). Mean baseline SBP/DBP and HR values were 148.9 ± 16.8/87.7 ± 11.0 mmHg and 77.4 ± 10.5 bpm, respectively. Mean durations of hypertension and CAD were 12.8 ± 8.4 and 6.1 ± 6.3 years, respectively, and time since MI was 3.8 ± 5.3 years. At week 12, SBP/DBP had decreased by 24.9/12.2 mmHg ( P < 0.001 vs baseline). Target BP (< 140/90 mmHg) was achieved by 69.8% and 95.9% of patients at weeks 4 and 12, respectively, and target HR (55–60 bpm) by 17.3% and 34.5% at weeks 4 and 12 versus 3.1% at baseline ( P < 0.001). Reductions in angina attacks, nitrate consumption, and improvements in HR were statistically significant. Treatment was well tolerated. Conclusion Treatment of symptomatic patients with CAD, hypertension, and a history of MI with a bisoprolol/perindopril SPC was associated with significant decreases in SBP/DBP and a high proportion of patients achieving BP treatment goals. This was accompanied by improvements in angina symptoms and reductions in HR in a broad patient population representative of those seen in everyday clinical practice. Trial Registration ClinicalTrials.gov Identifier NCT04656847. Supplementary Information The online version contains supplementary material available at 10.1007/s12325-023-02462-9.

With a high prevalence in the Russian population and insufficient effectiveness of treatment, hypertension remains a poorly controlled cardiovascular risk factor, including due to the low compliance of patients. Noncompliance is due to a large number of factors, some of which were studied in post-hoc analysis of the Russian observational STIL’ and TRICOLOR studies. It demonstrated that fixed-dose combinations of antihypertensive drugs can make a significant contribution to solving such a complex problem as low compliance.