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March 1, 1977CirculationOpen Access

Multiclinic controlled trial of bethanidine and guanethidine in severe hypertension.

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Why the study?

Does bethanidine compared to guanethidine improve blood pressure control in patients with severe hypertension on hydrochlorothiazide?

Population

108 patients with severe hypertension

Comparison

Bethanidine added to hydrochlorothiazide vs Guanethidine added to hydrochlorothiazide

Design

RCT, assigned randomly, double-blind

Follow-up

6 months

Authors

ERElí A. RamírezUnited States Department of Veterans AffairsLELeo ElsonAGArthur S. GearHunter Holmes McGuire VA Medical Center

Discussion

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Implication

Supports preferring guanethidine over bethanidine for severe hypertension; confirms RCT superiority in diastolic BP reduction.

Structured PICO

Does bethanidine compared to guanethidine improve blood pressure control in patients with severe hypertension on hydrochlorothiazide?

P
Population
108 patients with severe hypertension (initial diastolic blood pressure 100-124 mm Hg while taking hydrochlorothiazide)
I
Intervention
Bethanidine added to hydrochlorothiazide
C
Comparator
Guanethidine added to hydrochlorothiazide
O
Outcome
Average reduction of diastolic blood pressure at the fifth and sixth monthssurrogate

Guanethidine provides significantly better diastolic blood pressure control than bethanidine in patients with severe hypertension on hydrochlorothiazide.

Cite This Study

Ramírez et al. (1977) studied this question.

synapsesocial.com/papers/6a70bc7d35aa2c282ce20e3chttps://doi.org/10.1161/01.cir.55.3.519
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects Morbidity of Treatment on in Hypertension1970 · 1,332 citations
  2. 2The Prolonged Treatment of Hypertension with Guanethidine1961 · 33 citations
  3. 3Bethanidine, Guanethidine, and Methyldopa in Treatment of Hypertension: a Within-patient Comparison1968 · 109 citations