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May 15, 2010Journal of Chinese Integrative Medicine

Traditional Chinese versus integrative treatment in elderly patients with isolated systolic hypertension: a multicenter, randomized, double-blind controlled trial

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Key result

Integrative treatment with Jiangya Capsule and nimodipine was superior to either treatment alone in decreasing systolic blood pressure in elderly patients with isolated systolic hypertension (P<0.05).

Why the study?

Does integrative treatment (Jiangya Capsule plus nimodipine) or TCM (Jiangya Capsule) improve blood pressure and vasoactive biomarkers compared to nimodipine alone in elderly patients with isolated systolic hypertension?

Population

270 elderly patients with isolated systolic hypertension (ISH) from Beijing, China.

Comparison

Integrative treatment or Traditional Chinese… vs Western medicine for 4 weeks.

Design

RCT, randomly divided into 3 groups, double-blind

Follow-up

4 weeks

Authors

HLH. LiUniversité Paris-Sud

Discussion

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Implication

Supports Jiangya Capsule plus nimodipine over monotherapy for elderly isolated systolic hypertension; extends evidence for integrative TCM-Western regimens.

Study Design

Type

RCT (n=270)

Blinding

Double-blind

Randomization

randomized

Multicenter

Yes

Structured PICO

Does integrative treatment (Jiangya Capsule plus nimodipine) or TCM (Jiangya Capsule) improve blood pressure and vasoactive biomarkers compared to nimodipine alone in elderly patients with isolated systolic hypertension?

P
Population
270 elderly patients with isolated systolic hypertension (ISH) from Beijing, China.
I
Intervention
Integrative treatment (Jiangya Capsule plus nimodipine) or Traditional Chinese Medicine (Jiangya Capsule plus nimodipine simulation) for 4 weeks.
C
Comparator
Western medicine (nimodipine plus Jiangya Capsule simulation) for 4 weeks.
O
Outcome
Office blood pressure, 24-hour ambulatory blood pressure, serum nitric oxide (NO), and plasma endothelin-1 (ET-1), thromboxane B2 (TXB2) and 6-keto-prostaglandin 1alpha (6-keto-PGF1alpha) at 4 weeks.surrogate

Main Result

p-value: p=<0.05

Integrative treatment combining Jiangya Capsule and nimodipine was superior to either treatment alone in reducing systolic blood pressure in elderly patients with isolated systolic hypertension.

Cite This Study

H. Li (2010) conducted an RCT in isolated systolic hypertension (ISH) (n=270). Integrative treatment (Jiangya Capsule plus nimodipine) or TCM treatment (Jiangya Capsule) vs. Western medicine (nimodipine plus Jiangya Capsule simulation) was evaluated on office blood pressure, 24-hour ambulatory blood pressure, and vasoactive agents (p=<0.05). Integrative treatment with Jiangya Capsule and nimodipine was superior to either treatment alone in decreasing systolic blood pressure in elderly patients with isolated systolic hypertension (P<0.05).

synapsesocial.com/papers/6a0da7c2d8df3832a209b4d1https://doi.org/10.3736/jcim20100503

Topics

Hypertension management
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