Abstract:
OBJECTIVES:Calcium channel inhibitors have beneficial impact on microcirculation, but beta-blocker effect is controversial. Clinicians still do not agree on beta-blocker combination with other treatments in the management of impaired microcirculation. The aim of the present study was to describe the effects of beta-blocker metoprolol monotherapy and combined with calcium channel inhibitor felodipin on digital microcirculation in primary Raynaud's syndrome. METHODS:We enrolled in this study 46 patients suffering from both hypertension and primary Raynaud's syndrome. Fifteen patients were treated with beta-blocker monotherapy (metoprolol), 13 received combined beta-blocker and calcium channel blocker therapy (felodipin and metoprolol), while 18 patients without any medications served as controls. Measurement of digital microcirculation was carried out with laser Doppler scanner. RESULTS AND CONCLUSIONS:Our investigation concludes that the concurrent administration of beta-blockers with calcium channel inhibitors positively reduces symptoms in patients suffering from Raynaud's syndrome.
journal_name
Microvasc Resjournal_title
Microvascular researchauthors
Csiki Z,Garai I,Shemirani AH,Papp G,Zsori KS,Andras C,Zeher Mdoi
10.1016/j.mvr.2011.04.004subject
Has Abstractpub_date
2011-07-01 00:00:00pages
84-7issue
1eissn
0026-2862issn
1095-9319pii
S0026-2862(11)00066-5journal_volume
82pub_type
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