Miall W E, Greenberg G, Brennan P
MRC Epidemiology and Medical Care Unit, Northwick Park Hospital, Harrow, UK.
Nephron. 1987;47 Suppl 1:111-4. doi: 10.1159/000184566.
17,354 mildly hypertensive adults with diastolic (v) pressures of 90-109 mm Hg took part in a 5 1/2 year trial in which each was randomized to treatment with either bendrofluazide, propranolol, or placebo. The main results of the trial have been published; they showed stroke benefit but no overall reduction in the incidence of coronary events and no effect on all-cause mortality. Further analyses of the data have shown interesting differences between subgroups of the population, with regard to the effects of the two types of treatment on stroke, on coronary events and on ECG changes. These results, and the effects of interaction between cigarette smoking and the efficacy of these drugs, if confirmed in other studies, should influence the choice of drug therapy for mild hypertension.
17354名舒张压在90至109毫米汞柱之间的轻度高血压成年人参与了一项为期5年半的试验,试验中他们被随机分为接受苄氟噻嗪、普萘洛尔或安慰剂治疗。该试验的主要结果已经发表;结果显示治疗对中风有益,但并未使冠状动脉事件的发生率整体降低,且对全因死亡率没有影响。对数据的进一步分析表明,在人群亚组之间,就这两种治疗对中风、冠状动脉事件和心电图变化的影响而言,存在有趣的差异。如果这些结果以及吸烟与这些药物疗效之间的相互作用效应在其他研究中得到证实,将会影响轻度高血压药物治疗的选择。