COMPARISON OF NITRENDIPINE AND CILAZAPRIL IN PATIENTS WITH HYPERTENSION AND NON-INSULIN-DEPENDENT DIABETES-MELLITUS

被引:12
作者
GIUGLIANO, D [1 ]
DEROSA, N [1 ]
MARFELLA, R [1 ]
DIMARO, G [1 ]
CACCIAPUOTI, F [1 ]
QUATRARO, A [1 ]
ACAMPORA, R [1 ]
DONOFRIO, F [1 ]
机构
[1] UNIV NAPLES 2,FAC MED,DEPT GERIATR & METAB DIS,NAPLES,ITALY
关键词
HYPERTENSION; NON-INSULIN-DEPENDENT DIABETES-MELLITUS; NITRENDIPINE; CILAZAPRIL; GLUCOSE METABOLISM;
D O I
10.1093/ajh/6.11.927
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The metabolic and cardiovascular effects of nitrendipine and cilazapril in patients who have elevated blood pressure and non-insulin-dependent diabetes mellitus (NIDDM) were compared. After at least 6 weeks of a washout period, 20 NIDDM patients who had diastolic blood pressure in the range of 90-105 mm Hg received a single-blind placebo for 4 weeks and then were randomized to receive 20 mg nitrendipine once daily and 5 mg cilazapril once daily each for 12 weeks according to a crossover, double-blind procedure. Nitrendipine and cilazapril reduced diastolic blood pressure levels 12% and 13%, left ventricular mass index (LVMI) levels 13% and 12%, and raised whole glucose disposal levels 18% and 19.5%, respectively. Only nitrendipine reduced glucose-stimulated insulin levels. Nitrendipine is as effective as cilazapril in lowering diastolic blood pressure and LVMI levels and in increasing glucose disposal levels in these patients.
引用
收藏
页码:927 / 932
页数:6
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