THE EFFECT OF CAPTOPRIL AND METOPROLOL AS MONOTHERAPY OR COMBINED WITH BENDROFLUMETHIAZIDE ON BLOOD-LIPIDS

被引:18
作者
FOSS, OP [1 ]
JENSEN, EK [1 ]
机构
[1] NOVO IND AS,DK-2800 BAGSVAERD,DENMARK
关键词
bendroflumethiazide; captopril; coronary heart disease; lipids; metoprolol;
D O I
10.1111/j.1365-2796.1990.tb00129.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Abstract. In a 24‐week randomized multicentre single‐blind study, including mild to moderate hypertensives free from other diseases, the effect on blood lipids of captopril (n = 51) was studied and compared with that of metoprolol (n = 53). In order to keep the diastolic pressure < 95 mm Hg, bendroflumethiazide was added to the medication for 11 patients in the captopril group and 11 patients in the metoprolol group. Neither captopril nor metoprolol altered total cholesterol significantly. Captopril as monotherapy increased HDL‐cholesterol by 6.2% (P < 0.01) and decreased triglycerides by 10.6% (P < 0.05). Metoprolol as monotherapy decreased HDL‐cholesterol by 5.6% (P < 0.01) and increased triglycerides by 10.3% (P < 0.05). When bendroflumethiazide was added the favourable effect of captopril on the blood lipids disappeared while the undesirable effect of metoprolol became more pronounced. 1990 Blackwell Publishing Ltd
引用
收藏
页码:119 / 123
页数:5
相关论文
共 15 条
[1]   METOPROLOL - AN UPDATED REVIEW OF ITS PHARMACODYNAMIC AND PHARMACOKINETIC PROPERTIES, AND THERAPEUTIC EFFICACY, IN HYPERTENSION, ISCHEMIC-HEART-DISEASE AND RELATED CARDIOVASCULAR DISORDERS [J].
BENFIELD, P ;
CLISSOLD, SP ;
BROGDEN, RN .
DRUGS, 1986, 31 (05) :376-429
[2]  
BURSTEIN M, 1970, J LIPID RES, V11, P583
[3]  
COSTA F, 1988, AM J HYPERTENS S, V1, P221
[4]   EFFECT OF ANTIHYPERTENSIVE AGENTS ON LIPID-METABOLISM [J].
CUTLER, R .
AMERICAN JOURNAL OF CARDIOLOGY, 1983, 51 (04) :628-631
[5]   EINE NEUE BESTIMMUNG DER NEUTRALFETTE IM BLUTSERUM UND GEWEBE .I. PRINZIP DURCHFUHRUNG UND BESPRECHUNG DER METHODE [J].
EGGSTEIN, M ;
KREUTZ, FH .
KLINISCHE WOCHENSCHRIFT, 1966, 44 (05) :262-&
[6]  
GHIRLANDA G, 1987, CURR THER RES CLIN E, V42, P948
[7]   TREATMENT OF MILD HYPERTENSION - A 5-YEAR CONTROLLED DRUG TRIAL - THE OSLO STUDY [J].
HELGELAND, A .
AMERICAN JOURNAL OF MEDICINE, 1980, 69 (05) :725-732
[8]  
HELGELAND A, 1984, J CARDIOVASC PHARM, V6, P474
[9]  
LEREN P, 1988, ACTA MED SCAND, V223, P321
[10]  
LEREN P, 1980, LANCET, V2, P4