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October 17, 2003American Journal of Hypertension501 citationsOpen Access

Efficacy of low-dose spironolactone in subjects with resistant hypertension

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Why the study?

Does low-dose spironolactone reduce blood pressure in subjects with resistant hypertension?

Population

76 African American and white subjects with resistant hypertension on multidrug regimens including a…

Design

Cohort

Follow-up

6 months

Key result

Adding low-dose spironolactone to multidrug regimens in subjects with resistant hypertension reduced blood pressure by a mean of 25/12 mm Hg at 6 months, regardless of primary aldosteronism status.

Authors

MNMari Nishizaka

Discussion

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Overview

May support spironolactone addition in resistant hypertension; leaves open randomized confirmation irrespective of aldosteronism.

Study Design

Type

Observational (n=76)

Structured PICO

Does low-dose spironolactone reduce blood pressure in subjects with resistant hypertension?

P
Population
76 African American and white subjects with resistant hypertension (34 with biochemical primary aldosteronism) on multidrug regimens including a diuretic and an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB).
I
Intervention
Low-dose spironolactone (12.5 to 25 mg/d, titrated up to 50 mg/d if blood pressure remained uncontrolled) added to baseline antihypertensive regimen.
O
Outcome
Blood pressure reduction at 6 weeks, 3 months, and 6 months.surrogate

Low-dose spironolactone provides significant additive blood pressure reduction in patients with resistant hypertension, regardless of the presence of primary aldosteronism.

Cite This Study

Mari Nishizaka (2003) conducted an observational in Resistant hypertension (n=76). Spironolactone was evaluated on Decrease in blood pressure. Adding low-dose spironolactone to multidrug regimens in subjects with resistant hypertension reduced blood pressure by a mean of 25/12 mm Hg at 6 months, regardless of primary aldosteronism status.

synapsesocial.com/papers/6a0ec4ae2eca052da647c434https://doi.org/10.1016/s0895-7061(03)01032-x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Low-dose spironolactone in the management of resistant hypertension: a surveillance study2007 · 137 citations
  2. 2Aldosterone antagonist therapy in resistant hypertension2007 · 46 citations
  3. 3Efficacy and Safety of Treatment With Low Doses of Spironolactone in Patients With Primary Aldosteronism: A Retrospective Observational Study in a Tertiary Center2026 · 2 citations
  4. 4Low dose spironolactone reduces blood pressure in patients with resistant hypertension and type 2 diabetes mellitus2013 · 137 citations
  5. 5Low-dose spironolactone, added to long-term ACE inhibitor therapy, reduces blood pressure and urinary albumin excretion in obese patients with hypertensive target organ damage2009 · 34 citations