| Clinical efficacy of sublingual captopril in the treatment of hypertensive urgency. | |
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MedLine Citation:
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PMID: 19421685 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: This study aimed to evaluate the response rate, clinical efficacy and onset of action of sublingual captopril in patients diagnosed with hypertensive urgency. METHODS: In this cross-sectional study, 101 (67 female and 34 male) patients with a diagnosis of hypertensive urgency (systolic pressure greater than or equal to 180 mmHg and/or diastolic pressure greater than or equal to 110 mmHg, and no findings of target organ damage) were included. Sublingual captopril (25 mg) was administered and the blood pressure was measured during a follow-up period of 120 minutes. RESULTS: After 60 minutes, an ideal decrease (25 percent of the initial blood pressure) was detected in 54 patients (53.5 percent). An additional 25 mg of sublingual captopril was administered to the remaining 47 patients (46.5 percent). Of these, 19 (18.8 percent) did not respond even to the second dose of sublingual captopril. These non-responders consisted of patients who were taking multidrug antihypertensive regimens before presentation due to hypertensive urgency. No serious side effect was recorded during the study period. CONCLUSION: Sublingual captopril can be used as an effective, easily applicable and safe treatment in the management of hypertensive urgency for 120 minutes for those who do not receive multidrug antihypertensive regimens. |
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Authors:
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H Kazerani; B Hajimoradi; A Amini; M H Naseri; Y Moharamzad |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Singapore medical journal Volume: 50 ISSN: 0037-5675 ISO Abbreviation: Singapore Med J Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-05-07 Completed Date: 2009-07-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404516 Medline TA: Singapore Med J Country: Singapore |
Other Details:
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Languages: eng Pagination: 400-2 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Imam Ali Hospital, Kermanshah University of Medical Sciences, Shahid Beheshti Boulevard, Kermanshah 67158-47145, Iran. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Sublingual Antihypertensive Agents / administration & dosage*, adverse effects Blood Pressure / drug effects Captopril / administration & dosage*, adverse effects Cross-Sectional Studies Dose-Response Relationship, Drug Drug Therapy, Combination Emergencies* Female Humans Hypertension / drug therapy* Male Middle Aged Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents; 62571-86-2/Captopril |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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