EFFECTS OF AMLODIPINE, FOSINOPRIL AND METOPROLOL ON HEMODYNAMICS IN HYPERTENSIVE PATIENTS

<p><strong>Aim.</strong> To assess an efficacy of antihypertensive therapy with calcium antagonist, angiotensin converting enzyme inhibitor and β-blocker in patients with arterial hypertension (AH) taking into account influence on central and peripheral hemodynamics.</p><p...

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Main Authors: A. L. Hohlov (Author), M. I. Shunikova (Author), A. Yu. Sosnin (Author), I. N. Kagramanyan (Author), L. A. Lisenkova (Author)
Format: Book
Published: Столичная издательская компания, 2015-12-01T00:00:00Z.
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001 doaj_81766c5d9e974a4ab9b33e39df7c0955
042 |a dc 
100 1 0 |a A. L. Hohlov  |e author 
700 1 0 |a M. I. Shunikova  |e author 
700 1 0 |a A. Yu. Sosnin  |e author 
700 1 0 |a I. N. Kagramanyan  |e author 
700 1 0 |a L. A. Lisenkova  |e author 
245 0 0 |a EFFECTS OF AMLODIPINE, FOSINOPRIL AND METOPROLOL ON HEMODYNAMICS IN HYPERTENSIVE PATIENTS 
260 |b Столичная издательская компания,   |c 2015-12-01T00:00:00Z. 
500 |a 1819-6446 
500 |a 2225-3653 
500 |a 10.1234/1819-6446-2007-4-33-38 
520 |a <p><strong>Aim.</strong> To assess an efficacy of antihypertensive therapy with calcium antagonist, angiotensin converting enzyme inhibitor and β-blocker in patients with arterial hypertension (AH) taking into account influence on central and peripheral hemodynamics.</p><p><strong>Material and methods.</strong> 60 patients with AH of I-II stage, 1-2 grade were studied. They were split in 3 groups. Patients of the first group received amlodipine (Tenox), 5-10 mg/d, the second group - fosinopril (Monopril), 10-20 mg/d and the third group - metoprolol (Metocard), 50-200 mg/d.</p><p>Diuretics were added when necessary. Ambulatory blood pressure (BP) monitoring, echocardiography, ultrasound investigation of brachiocephalic and main cerebral arteries, test on reactive hyperemia and nitroglycerine were conducted before and after 6 months of therapy.</p><p><strong>Results.</strong> Amlodipine, fosinopril and metoprolol had similar antihypertensive effect. Amlodipine was more effective in comparison with fosinopril and metoprolol in reduction of left ventricular (LV) myocardial mass and improving of LV diastolic function. Amlodipine and fosinopril had positive effect on vascular remodeling. Metoprolol reduced in BP morning elevation and heart rate, but had no effect on systolic BP variability.</p><p><strong>Conclusion.</strong> Amlodipine, fosinopril and metoprolol have similar antihypertensive effect but different influence on the heart, arteries, BP variability and hemodinamics.</p> 
546 |a EN 
546 |a RU 
690 |a артериальная гипертония 
690 |a диастолическая дисфункция 
690 |a вариабельность артериального давления 
690 |a гемодинамика 
690 |a эндотелиальная функция 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
690 |a Diseases of the circulatory (Cardiovascular) system 
690 |a RC666-701 
655 7 |a article  |2 local 
786 0 |n Рациональная фармакотерапия в кардиологии, Vol 3, Iss 4, Pp 33-38 (2015) 
787 0 |n http://www.rpcardio.ru/jour/article/view/499 
787 0 |n https://doaj.org/toc/1819-6446 
787 0 |n https://doaj.org/toc/2225-3653 
856 4 1 |u https://doaj.org/article/81766c5d9e974a4ab9b33e39df7c0955  |z Connect to this object online.