Document Detail


The short-term effects of reducing elevated blood pressure in elderly patients with propranolol and dyazide.
MedLine Citation:
PMID:  6731169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Propranolol and Dyazide (25 mg hydrochlorothiazide and 50 mg triamterene) were used singly to reduce the elevated blood pressure (systolic ranging from 170 to 271 mmHg and diastolic ranging from 100 to 141 mmHg) of 38 elderly hypertensive patients whose ages ranged from 69 to 91 years. Each compound was administered for a period of four weeks with a wash-out period of four weeks in between. The following parameters were assessed before and after each treatment period: cerebral blood flow (CBF), mental functions, cardiac output (CO), electrocardiogram, glomerular filtration rate (GFR) and serum biochemistry. Both systolic and diastolic blood pressure were significantly reduced following the administration of either compound. No significant change in CBF and CO could be observed after reducing the blood pressure whether Propranolol or Dyazide was used. The GFR was, however, significantly reduced and the plasma creatinine significantly increased following Dyazide but not Propranolol administration. As expected the administration of the latter compound was associated with a significant bradycardia. No significant change could be observed in the other parameters studied.
Authors:
R C Hamdy; A Davies; K Arnold; J D Tovey; S S Saimbi; M D Short; A N Exton-Smith
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Age and ageing     Volume:  13     ISSN:  0002-0729     ISO Abbreviation:  Age Ageing     Publication Date:  1984 Mar 
Date Detail:
Created Date:  1984-06-29     Completed Date:  1984-06-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  83-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Antihypertensive Agents / therapeutic use*
Blood Pressure / drug effects*
Cardiac Output / drug effects
Cerebrovascular Circulation / drug effects
Cognition / drug effects
Drug Combinations / therapeutic use
Electrocardiography
Female
Glomerular Filtration Rate / drug effects
Humans
Hydrochlorothiazide / therapeutic use*
Hypertension / drug therapy*
Male
Propranolol / therapeutic use*
Triamterene / therapeutic use*
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 0/Drug Combinations; 14124-50-6/hydrochlorothiazide-triamterene; 396-01-0/Triamterene; 525-66-6/Propranolol; 58-93-5/Hydrochlorothiazide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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