Key result
Anti-hypertensive treatment with cilazapril, atenolol, or nifedipine showed no significant differences in any index of learning or memory after 24 weeks.
Why the study?
Do different anti-hypertensive medications (cilazapril, atenolol, nifedipine) have differential effects on learning and memory?
RCT (n=76)
Randomly allocated
Do different anti-hypertensive medications (cilazapril, atenolol, nifedipine) have differential effects on learning and memory?
There are no significant differential effects on learning and memory among patients treated with cilazapril, atenolol, or nifedipine over 24 weeks.
No differential cognitive effects among these agents; confirms equivalent impact on learning and memory in hypertension.
The aim of the study was to investigate whether there were differential effects of three different anti-hypertensive medications (cilazapril, atenolol, nifedipine) on cognitive function. 2. A sub-group of patients participating in a large clinical trial of these three drugs, randomly allocated between the three drug conditions, received cognitive assessment at two points before the commencement of treatment and then after 12 and 24 weeks of treatment. Seventy-six patients began treatment, and 55 completed the full course. 3. Tests of learning and memory were designed specially for the study, with a different but comparable version administered on each assessment occasion, in a fixed order. 4. No significant differences between drug groups were found in any index of learning or memory, at any testing occasion. The results were the same whether or not treatment non-completers were included in the analysis.
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Powell et al. (1993) conducted an RCT in Hypertension (n=76). Cilazapril, atenolol, or nifedipine vs. Active comparators (cilazapril vs atenolol vs nifedipine) was evaluated on Index of learning or memory. Anti-hypertensive treatment with cilazapril, atenolol, or nifedipine showed no significant differences in any index of learning or memory after 24 weeks.
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