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[Efficiency and safety of carvedilol treatment in high risk hypertensive patients]
1Department of Cardiology, People's Hospital, Peking University, Beijing 100044, China.
Insights
Carvedilol effectively treats high-risk hypertensive patients, showing similar safety and efficiency to primary hypertensive patients. This beta-blocker improves blood pressure and lipid profiles in those with cardiovascular risk factors.
Area of Science:
- Cardiology
- Pharmacology
- Internal Medicine
Background:
- Hypertension management requires careful consideration of patient risk factors.
- High-risk hypertensive patients often have comorbidities like NIDDM, lipid disorders, or renal impairment.
- Carvedilol is a beta-blocker with alpha-blocking activity, used for hypertension and heart failure.
Purpose of the Study:
- To assess the efficacy and safety of carvedilol in high-risk hypertensive individuals.
- To compare carvedilol's effectiveness in high-risk versus primary hypertensive patients.
- To evaluate carvedilol's impact on metabolic parameters in high-risk populations.
Main Methods:
- A comparative study involving 379 high-risk hypertensive patients and 364 primary hypertensive patients.
- Carvedilol administration followed by monitoring of blood pressure, heart rate, serum glucose, lipid profile, and creatinine.
- Statistical analysis to compare outcomes between the two groups.
Main Results:
- Carvedilol significantly reduced blood pressure and heart rate in both high-risk and primary hypertensive groups.
- High-risk patients showed significant reductions in serum glucose, total cholesterol (TC), triglycerides (TG), and LDL cholesterol.
- Treatment efficiency rates were high and statistically similar between groups (97.75% vs. 98.32%).
Conclusions:
- Carvedilol demonstrates comparable efficacy and safety in high-risk hypertensive patients as in primary hypertensive patients.
- The drug is effective in improving cardiovascular and metabolic parameters in patients with hypertension and risk factors.
- Carvedilol represents a safe and effective treatment option for a broad spectrum of hypertensive patients.
Objective:
To evaluate the efficiency and safety of carvedilol treatment in high risk hypertensive patients.
Methods:
Carvedilol was administered in 379 hypertensive patients with high risk factors such as NIDDM, lipid disorders or abnormal serum creatinine level and 364 primary hypertensive patients without risk factors. Before and after treatment with carvedilol, blood pressure, heart rate, serum glucose, lipid profile and serum creatinine level were tested.
Results:
After treatment, the blood pressure and heart rate were reduced significantly and there was no difference between the two groups. After treatment, the serum glucose, TC, TG and LDL in the high risk group, were reduced from 6.13, 5.37, 2.29 mmol/L and 3.04 to 5.80, 5.11, 2.05 and 2.87 mmol/L respectively (P < 0.001). TC was also reduced in the primary hypertensive group after treatment from 4.73 mmol/L to 4.69 mmol/L (P < 0.01). The efficiency rate of treatment in the high risk group and the primary hypertensive group was 97.75% and 98.32%; there is no statistical difference.
Conclusion:
The efficiency and safety of carvedilol in the high risk hypertensive patients is same as in the primary hypertensive patients.
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