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October 24, 1986JAMA

A comparison of verapamil and propranolol for the initial treatment of hypertension. Racial differences in response

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Key result

Verapamil lowered systolic blood pressure more effectively than propranolol in both black (16.9 vs 8.1 mm Hg) and white (19.0 vs 12.7 mm Hg) patients with essential hypertension.

Why the study?

Does verapamil monotherapy improve blood pressure reduction compared to propranolol in black and white patients with essential hypertension?

Population

Black and white patients with essential hypertension

Comparison

Verapamil monotherapy vs Propranolol monotherapy

Design

Other

Authors

LCL. X. Cubeddu

Discussion

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Implication

May support verapamil over propranolol for BP lowering across races; hypothesis-generating and requires randomized confirmation.

Study Design

Type

RCT

Structured PICO

Does verapamil monotherapy improve blood pressure reduction compared to propranolol in black and white patients with essential hypertension?

P
Population
Black and white patients with essential hypertension.
I
Intervention
Verapamil monotherapy
C
Comparator
Propranolol monotherapy
O
Outcome
Blood pressure reduction (systolic and diastolic)surrogate

Verapamil monotherapy is more effective than propranolol for lowering blood pressure in both black and white patients with essential hypertension, with equal efficacy across races unlike propranolol.

Cite This Study

L. X. Cubeddu (1986) conducted an RCT in essential hypertension. Verapamil vs. Propranolol was evaluated on blood pressure reduction. Verapamil lowered systolic blood pressure more effectively than propranolol in both black (16.9 vs 8.1 mm Hg) and white (19.0 vs 12.7 mm Hg) patients with essential hypertension.

synapsesocial.com/papers/6a97567bb58c727d448bd49fhttps://doi.org/10.1001/jama.256.16.2214
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Also Consider

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

  1. 1A Comparison of Verapamil and Propranolol for the Initial Treatment of Hypertension1986 · 92 citations
  2. 2Verapamil and propranolol in essential hypertension1984 · 47 citations
  3. 3Additive antianginal effect of verapamil in patients receiving propranolol1982 · 16 citations
  4. 4Chronic Stable Angina: Comparison of Verapamil and Propranolol1982 · 5 citations
  5. 5A double-blind randomized trial of propranolol and verapamil in the treatment of effort angina.1982 · 40 citations