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β受体阻滞剂、钙通道阻滞剂和血管紧张素受体阻滞剂在高血压患者中的有效性和安全性评估:一项前瞻性研究。

Effectiveness and safety assessment of beta-blockers, calcium channel blockers, and angiotensin receptor blockers in hypertensive patients: a prospective study.

作者信息

Solanki Nilay, Pandit Dhruvi, Desai Shubha

机构信息

Department of Pharmacology, Ramanbhai Patel College of Pharmacy, Charotar University of Science and Technology, CHARUSAT Campus Changa 388421, Gujarat, India.

Research Department, Dr. Jivraj Mehta Smarak and Health Foundation Ahmedabad, Gujarat, India.

出版信息

Am J Cardiovasc Dis. 2021 Oct 25;11(5):601-610. eCollection 2021.

Abstract

BACKGROUND

Hypertension is most common prevailing cardiovascular disease worldwide. In this condition the effectiveness and safety of already available and many time-tested medications should be regularly reviewed.

METHODOLOGY

Ethical approval of study was obtained from human research ethics committee of the hospital. 180 patients were enrolled with three groups of antihypertensive medication groups as calcium channel blocker (amlodipine), beta blocker (metoprolol) and angiotensin receptor blocker (telmisartan) over a span of eight months. The data was obtained from week zero to twelve (SBP: Systolic Blood Pressure and DBP: Diastolic Blood Pressure). Safety of Beta blocker, calcium channel blocker and angiotensin receptor blocker were investigated.

RESULTS

Comparison of efficacy between the beta blocker, calcium channel blocker and angiotensin blocker receptor blocker were shown to be non-significant. It indicated that all drug therapies have the same successful reduction of SBP (P-0.4819). No significant adverse reactions were observed in either class of the medicines.

CONCLUSION

The study showed the efficacy of Calcium Channel Blocker, Beta Blocker and Angiotensin Receptor Blocker in reduction of SBP & DBP was same, while Calcium Channel Blockers were superior to other two medications.

摘要

背景

高血压是全球最常见的流行心血管疾病。在这种情况下,应定期审查现有且经过多次测试的药物的有效性和安全性。

方法

该研究获得了医院人类研究伦理委员会的伦理批准。在八个月的时间里,招募了180名患者,分为三组抗高血压药物组,即钙通道阻滞剂(氨氯地平)、β受体阻滞剂(美托洛尔)和血管紧张素受体阻滞剂(替米沙坦)。数据收集自第零周至第十二周(收缩压:SBP和舒张压:DBP)。研究了β受体阻滞剂、钙通道阻滞剂和血管紧张素受体阻滞剂的安全性。

结果

β受体阻滞剂、钙通道阻滞剂和血管紧张素受体阻滞剂之间的疗效比较显示无显著差异。这表明所有药物治疗在降低收缩压方面同样成功(P = 0.4819)。在任何一类药物中均未观察到显著的不良反应。

结论

该研究表明,钙通道阻滞剂、β受体阻滞剂和血管紧张素受体阻滞剂在降低收缩压和舒张压方面的疗效相同,而钙通道阻滞剂优于其他两种药物。

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本文引用的文献

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