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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1995-3-3
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pubmed:abstractText |
We studied the hemodynamic, neurohumoral, and biochemical effects of the novel angiotensin type 1 (AT1) receptor antagonist irbesartan in 86 untreated patients with essential hypertension on a normal sodium diet. According to a double-blind parallel group trial, patients were randomized to a once-daily oral dose of the AT1 receptor antagonist (1, 25, or 100 mg) or placebo after a placebo run-in period of 3 weeks. Randomization medication was given for 1 week. Compared with placebo, 24-hour ambulatory blood pressure did not change with the 1-mg dose, and it fell (mean and 95% confidence interval) by 7.0 (4.2-9.8)/6.1 (3.9-8.1) mm Hg with the 25-mg dose and by 12.1 (8.1-16.2)/7.2 (4.9-9.4) mm Hg with the 100-mg dose. Heart rate did not change during either dose. With the 25-mg dose, the antihypertensive effect was attenuated during the second half of the recording, and with the 100-mg dose, it was maintained for 24 hours. Baseline values of renin and the antihypertensive response to the 25- and 100-mg doses were well correlated (r = .68, P < .01). Renin did not change with the 1-mg dose, but it rose threefold to fourfold with the 25-mg dose and fourfold to fivefold with the 100-mg dose 4 to 6 hours after administration. With the 100-mg dose, renin was still elevated twofold 24 hours after dosing. The changes in renin induced by the AT1 receptor antagonist were associated with parallel increments in angiotensin I and angiotensin II. Aldosterone, despite AT1 receptor blockade, did not fall.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Aldosterone,
http://linkedlifedata.com/resource/pubmed/chemical/Angiotensin II,
http://linkedlifedata.com/resource/pubmed/chemical/Angiotensin Receptor Antagonists,
http://linkedlifedata.com/resource/pubmed/chemical/Biphenyl Compounds,
http://linkedlifedata.com/resource/pubmed/chemical/Catecholamines,
http://linkedlifedata.com/resource/pubmed/chemical/Electrolytes,
http://linkedlifedata.com/resource/pubmed/chemical/Renin,
http://linkedlifedata.com/resource/pubmed/chemical/Tetrazoles,
http://linkedlifedata.com/resource/pubmed/chemical/irbesartan
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0194-911X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
22-9
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:7843749-Adult,
pubmed-meshheading:7843749-Aldosterone,
pubmed-meshheading:7843749-Angiotensin II,
pubmed-meshheading:7843749-Angiotensin Receptor Antagonists,
pubmed-meshheading:7843749-Biphenyl Compounds,
pubmed-meshheading:7843749-Body Weight,
pubmed-meshheading:7843749-Catecholamines,
pubmed-meshheading:7843749-Double-Blind Method,
pubmed-meshheading:7843749-Electrolytes,
pubmed-meshheading:7843749-Female,
pubmed-meshheading:7843749-Hemodynamics,
pubmed-meshheading:7843749-Humans,
pubmed-meshheading:7843749-Hypertension,
pubmed-meshheading:7843749-Male,
pubmed-meshheading:7843749-Middle Aged,
pubmed-meshheading:7843749-Renin,
pubmed-meshheading:7843749-Tetrazoles
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pubmed:year |
1995
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pubmed:articleTitle |
Hemodynamic and biochemical effects of the AT1 receptor antagonist irbesartan in hypertension.
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pubmed:affiliation |
Department of Internal Medicine I, University Hospital Dijkzigt, Rotterdam, The Netherlands.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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