[Efficacy of quadropril (spirapril) vs capropril in treatment of essential hypertension].

Abstract:

AIM:To compare the efficacy of monotherapy with quadropril (spirapril) vs captopril in essential hypertension. MATERIAL AND METHODS:20 female patients aged 55 +/- 2 years with moderate hypertension (WHO classification) were included in the study. 16 patients had congestive heart failure stage II NYHA and 4 patients stage III NYHA. ECG and echocardiography were performed in all the patients. Two patient groups of 10 patients were treated for 6 weeks. Group 1 received 6 mg quadropril once daily. Group 2 received 25 mg captopril 3 times daily. The therapy was considered to be efficient if diastolic pressure (BP) was reduced to 90 +/- 5 mm Hg and systolic BP to 140 +/- 10 mm Hg from baseline values in the range of 210/120-170/100 mm Hg. RESULTS:The hypotensive effect of quadropril resulted in stabilisation of BP during the second week of therapy. A significant BP decrease was achieved at the end of 6 week therapy. Systolic BP fell from 178.8 +/- 3.2 to 145 +/- 5.6 mm Hd and diastolic BP from 109.7 +/- 1.2 to 92.4 +/- 1.7 mm Hg. Central and cardiac hemodynamic parameters improved. In one patient the condition improved from CHF stage III to stage II NYHA. No adverse effects were observed. A hypotensive effect of captopril reduced significantly systolic blood pressure from 182.1 +/- 2.7 to 150 +/- 4.6 mm Hg and diastolic BP from 110.4 +/- 1.1 to 100.1 +/- 1.9 mm Hg. Two patients developed adverse effects: cough and chest dyscomfort. CONCLUSION:Quadropril monotherapy showed to be more effective in diastolic BP decrease compared with captopril monotherapy and had advantages in one daily dose regimen, absence of the first dose effect and side effects.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Polimbetov DS,Kraĭsman VA,Isaeva BG,Aliev FR

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

94-6

issue

10

eissn

0040-3660

issn

2309-5342

journal_volume

72

pub_type

杂志文章
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    doi:

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    doi:

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  • [Treatment of patients with HBV cirrhosis: successes, unsolved problems].

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    更新日期:1988-01-01 00:00:00

  • [New findings in the pathogenesis of chronic glomerulonephritis].

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    更新日期:1994-01-01 00:00:00

  • [Experience with using high doses of cerebrolysin in vascular dementia].

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    doi:

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  • [Effectiveness and characteristics of the action of etmozin in treating extrasystole in middle-aged and elderly patients].

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