Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/22146
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dc.contributor.authorElisaf, M. S.en
dc.contributor.authorTheodorou, J.en
dc.contributor.authorPappas, H.en
dc.contributor.authorPapagalanis, N.en
dc.contributor.authorKatopodis, K.en
dc.contributor.authorKalaitzidis, R.en
dc.contributor.authorSiamopoulos, K. C.en
dc.date.accessioned2015-11-24T19:22:08Z-
dc.date.available2015-11-24T19:22:08Z-
dc.identifier.issn0950-9240-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22146-
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectAngiotensin-Converting Enzyme Inhibitors/*therapeutic useen
dc.subjectAntihypertensive Agents/*therapeutic useen
dc.subjectDiuretics/*therapeutic useen
dc.subjectDrug Therapy, Combinationen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectHydrochlorothiazide/*therapeutic useen
dc.subjectHypertension/*blood/*drug therapyen
dc.subjectIndapamide/*therapeutic useen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPerindopril/*therapeutic useen
dc.subjectRenin/blooden
dc.subjectSodium Chloride Symporter Inhibitors/*therapeutic useen
dc.titleEffectiveness and metabolic effects of perindopril and diuretics combination in primary hypertensionen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/10578225-
heal.identifier.secondaryhttp://www.nature.com/jhh/journal/v13/n11/pdf/1000834a.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate1999-
heal.abstractThe effectiveness as well as the metabolic effects of the combination of diuretics [hydrochlorothiazide (HCT) vs indapamide (IND)] and perindopril (P) in 14 patients (7 male, 7 female) aged 37-62 years with mild idiopathic hypertension were studied. Following a 4-week wash-out period and a 4-week period of monotherapy with P (4 mg/daily), IND (2.5 mg/daily) or HCT (25 mg/daily) was added for 4 weeks. Selection of the diuretic agent was random. Following a 4-week wash-out period from the diuretic, in which only P was given, the alternative diuretic was administered for another period of 4 weeks. P decreased blood pressure levels significantly. However, the drug was more efficacious in patients with higher plasma renin activity (PRA). Combination treatment induced an additional decrease in the blood pressure levels, mainly in patients with lower PRA. The combination of P + HCT was more effective than the combination P + IND. The addition of either HCT or IND evoked a small but statistically significant increase in serum glucose levels while fasting as well as during the 75 g oral glucose challenge. However, insulin levels did not change significantly during the study. Small but not statistically significant changes in serum electrolytes and lipid parameters were observed during the various phases of the study, while a statistically significant increase in the serum uric acid was noticed when the combination P + HCT was given. We conclude: (1) P in small doses is an effective and safe antihypertensive agent, (2) PRA has a predictive value in determining the effectiveness of P treatment, (3) the combination of P with small doses of HCT or IND is more efficacious than P alone, (4) the combination treatment has adverse effects in the carbohydrate tolerance, while there are not significant changes in serum electrolyte and lipid parameters.en
heal.journalNameJ Hum Hypertensen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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