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一种心脏选择性β受体阻滞剂(阿替洛尔)治疗原发性高血压的疗效及耐受性。一项双盲研究(作者译)

[Efficacy and tolerability of a cardioselective beta-blocking drug (atenolol) in the treatment of essential hypertension. A double blind study (author's transl)].

作者信息

Rengo F, Trimarco B, Petretta M, Ferrara N, Bonaduce D, Chiariello M, Condorelli M

出版信息

G Ital Cardiol. 1978;8(8):861-7.

PMID:359398
Abstract

The antihypertensive effect of atenolol, a new beta 1 receptor blocking agent, was studied in a double blind non cross-over trial in 40 patients (pts) affected by mild to moderately severe essential hypertension with normal plasma renin activity. After a run-in period (15 days) of placebo treatment pts were assigned to two groups. The first (group A) continued placebo treatment for 30 days, the second (Group B) were given atenolol (ICI 66082) 100 mg daily for 30 days also. Atenolol significantly reduced systolic and diastolic blood pressure in recumbent and standing position and heart rate at rest. No significantly changes of the same parameters were observed in group A. Body weight and plasma renin activity was unchanged in both groups. Atenolol treatment never was discharged in order to side effects. These results seem to suggest that atenolol can be an useful drug in the treatment of systemic blood hypertension.

摘要

在一项双盲非交叉试验中,对40例血浆肾素活性正常的轻度至中度重度原发性高血压患者,研究了新型β1受体阻滞剂阿替洛尔的降压作用。在经过15天的安慰剂治疗导入期后,患者被分为两组。第一组(A组)继续接受30天的安慰剂治疗,第二组(B组)也接受阿替洛尔(ICI 66082)每日100毫克,持续30天。阿替洛尔显著降低了卧位和站立位的收缩压和舒张压以及静息心率。A组未观察到相同参数的显著变化。两组的体重和血浆肾素活性均未改变。阿替洛尔治疗从未因副作用而停药。这些结果似乎表明,阿替洛尔可能是治疗系统性高血压的一种有用药物。

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