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November 1, 1982Clinical Pharmacology & Therapeutics

Renal effects of acute calcium blockade with nifedipine in hypertensive patients receiving beta-adrenoceptor-blocking drugs

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Why the study?

Does a single 20-mg sublingual dose of nifedipine improve blood pressure and renal function in patients with mild to moderate arterial hypertension insufficiently treated on beta-blocker monotherapy?

Population

10 patients with mild to moderate arterial hypertension insufficiently treated on beta-blocker monotherapy

Design

Cohort

Follow-up

Acute (single dose)

Authors

CCCramer ChristensenUniversity of CopenhagenOPOle Lederballe PedersenUniversity of CopenhagenEME. MikkelsenAarhus University

Discussion

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Implication

May support acute BP lowering on beta-blockers; hypothesis-generating for renal effects, pending randomized trials.

Structured PICO

Does a single 20-mg sublingual dose of nifedipine improve blood pressure and renal function in patients with mild to moderate arterial hypertension insufficiently treated on beta-blocker monotherapy?

P
Population
10 patients with mild to moderate arterial hypertension insufficiently treated on beta-blocker monotherapy
I
Intervention
Single 20-mg sublingual dose of nifedipine
O
Outcome
Effects on blood pressure and renal functionsurrogate

Acute sublingual nifedipine effectively reduces blood pressure and maintains renal blood flow with diuretic and uricosuric effects in hypertensive patients inadequately controlled on beta-blockers.

Cite This Study

Christensen et al. (1982) studied this question.

synapsesocial.com/papers/6a8af2db60c8c47a9ee3b21ehttps://doi.org/10.1038/clpt.1982.205

Topics

Hypertension management
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Also Consider

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

  1. 1Clinical Effects of Intravenous Nifedipine on Renal Function1983 · 92 citations
  2. 2Short-term and Long-term Renal Response to Nifedipine Monotherapy1989 · 8 citations
  3. 3Acute and Chronic Effects of Nifedipine on Plasma Renin Activity and Plasma Adrenaline and Noradrenaline in Controls and Hypertensive Patients1979 · 47 citations
  4. 4Hemodynamic and reflex responses to acute and chronic antihypertensive therapy with the calcium entry blocker nifedipine.1983 · 133 citations
  5. 5Antihypertensive and Humoral Effects of Nifedipine in Essential Hypertension Nifedipine in Essential Hypertension1989 · 4 citations