An appraisal of antihypertensive efficacy and adverse reactions with two drug regimens : enalapril maleate as part of triple therapy compared to conventional triple therapy in moderate to severe hypertension

A randomized, double-blind, parallel treatment trial was carried out in 24 patients with moderate to severe hypertension to compare the effectiveness and tolerance of two treatment regimens in reducing and maintaining supine diastolic blood pressure below 90 mmHg. Patients in Group I received 10 to...

Ausführliche Beschreibung

Bibliographische Detailangaben
Veröffentlicht in:Interim guidelines for the control of infections with Vero cytotoxin producing Escherichia coli (VTEC). Subcommittee of the PHLS Working Group on Vero cytotoxin producing Escherichia coli (VTEC). - 1995. - 3(1984), 8 vom: 25., Seite 505-14
1. Verfasser: Fernandez, P G (VerfasserIn)
Weitere Verfasser: Kim, B K, Galway, A B
Format: Aufsatz
Sprache:English
Veröffentlicht: 1984
Zugriff auf das übergeordnete Werk:Interim guidelines for the control of infections with Vero cytotoxin producing Escherichia coli (VTEC). Subcommittee of the PHLS Working Group on Vero cytotoxin producing Escherichia coli (VTEC)
Schlagworte:Clinical Trial Comparative Study Journal Article Randomized Controlled Trial Antihypertensive Agents Dipeptides Hydrochlorothiazide 0J48LPH2TH Hydralazine 26NAK24LS8 mehr... Enalapril 69PN84IO1A Propranolol 9Y8NXQ24VQ
LEADER 01000naa a22002652 4500
001 NLM062992287
003 DE-627
005 20231221222836.0
007 tu
008 231221s1984 xx ||||| 00| ||eng c
028 5 2 |a pubmed24n0210.xml 
035 |a (DE-627)NLM062992287 
035 |a (NLM)6322207 
040 |a DE-627  |b ger  |c DE-627  |e rakwb 
041 |a eng 
100 1 |a Fernandez, P G  |e verfasserin  |4 aut 
245 1 3 |a An appraisal of antihypertensive efficacy and adverse reactions with two drug regimens  |b enalapril maleate as part of triple therapy compared to conventional triple therapy in moderate to severe hypertension 
264 1 |c 1984 
336 |a Text  |b txt  |2 rdacontent 
337 |a ohne Hilfsmittel zu benutzen  |b n  |2 rdamedia 
338 |a Band  |b nc  |2 rdacarrier 
500 |a Date Completed 11.04.1984 
500 |a Date Revised 21.11.2013 
500 |a published: Print 
500 |a Citation Status MEDLINE 
520 |a A randomized, double-blind, parallel treatment trial was carried out in 24 patients with moderate to severe hypertension to compare the effectiveness and tolerance of two treatment regimens in reducing and maintaining supine diastolic blood pressure below 90 mmHg. Patients in Group I received 10 to 40 mg enalapril maleate per day with the addition of 50 mg hydrochlorothiazide per day and then 250 to 1000 mg alpha-methyldopa per day, if necessary. Patients in Group II received 50 mg hydrochlorothiazide per day with the addition of 80 to 240 mg propranolol and then 100 to 200 mg hydralazine per day, if necessary. Apart from the hydrochlorothiazide dosage which was fixed, the dosage of the other active drugs was titrated incrementally until the target blood pressure level was achieved. Blood pressures, heart rate and body weight were monitored at 2-weekly intervals during 26 weeks of active therapy. In Group I, blood pressure control was achieved and maintained with enalapril alone in 9 patients, 2 patients required double therapy and 1 patient triple therapy. In Group II, 9 patients required double therapy, 2 triple therapy, and only 1 patient received monotherapy. Supine and erect blood pressure control was comparable in both groups. There was, however, a significant decrease in supine heart rate in patients in Group II. More importantly, 8 of the 12 patients in Group II experienced non-life threatening adverse reactions (4 were hypokalaemic and required supplementary potassium, 2 had cold hands and feet, 1 man had sexual dysfunction and 1 acute gout) and no adverse reactions were reported by Group I patients 
650 4 |a Clinical Trial 
650 4 |a Comparative Study 
650 4 |a Journal Article 
650 4 |a Randomized Controlled Trial 
650 7 |a Antihypertensive Agents  |2 NLM 
650 7 |a Dipeptides  |2 NLM 
650 7 |a Hydrochlorothiazide  |2 NLM 
650 7 |a 0J48LPH2TH  |2 NLM 
650 7 |a Hydralazine  |2 NLM 
650 7 |a 26NAK24LS8  |2 NLM 
650 7 |a Enalapril  |2 NLM 
650 7 |a 69PN84IO1A  |2 NLM 
650 7 |a Propranolol  |2 NLM 
650 7 |a 9Y8NXQ24VQ  |2 NLM 
700 1 |a Kim, B K  |e verfasserin  |4 aut 
700 1 |a Galway, A B  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Interim guidelines for the control of infections with Vero cytotoxin producing Escherichia coli (VTEC). Subcommittee of the PHLS Working Group on Vero cytotoxin producing Escherichia coli (VTEC)  |d 1995  |g 3(1984), 8 vom: 25., Seite 505-14  |w (DE-627)NLM023961570 
773 1 8 |g volume:3  |g year:1984  |g number:8  |g day:25  |g pages:505-14 
912 |a GBV_USEFLAG_A 
912 |a SYSFLAG_A 
912 |a GBV_NLM 
912 |a GBV_ILN_11 
912 |a GBV_ILN_22 
912 |a GBV_ILN_24 
912 |a GBV_ILN_31 
912 |a GBV_ILN_39 
912 |a GBV_ILN_40 
912 |a GBV_ILN_72 
912 |a GBV_ILN_120 
912 |a GBV_ILN_121 
912 |a GBV_ILN_350 
951 |a AR 
952 |d 3  |j 1984  |e 8  |b 25  |h 505-14