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September 1, 1982Hepatology

Comparison of the Effects of A Cardioselective and A Nonselective β–Blocker on Portal Hypertension in Patients With Cirrhosis

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Key result

Atenolol decreased portal venous pressure significantly less than propranolol in patients with cirrhosis, despite similar reductions in cardiac output.

Why the study?

Does atenolol compared to propranolol reduce portal venous pressure in patients with portal hypertension due to cirrhosis?

Population

Patients with portal hypertension due to cirrhosis

Comparison

Atenolol 100 mg oral single dose vs Propranolol 40 mg oral single dose

Design

Other

Follow-up

1 hour

Authors

PHPatrick HillonCentre National de la Recherche ScientifiqueDLDidier LebrecHôpital BeaujonCMCristina Parrilla MuñozInserm

Discussion

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Implication

May support propranolol over atenolol for portal pressure in cirrhosis; leaves open need for confirmatory trials on selective agents.

Structured PICO

Does atenolol compared to propranolol reduce portal venous pressure in patients with portal hypertension due to cirrhosis?

P
Population
Patients with portal hypertension due to cirrhosis
I
Intervention
Atenolol 100 mg oral single dose
C
Comparator
Propranolol 40 mg oral single dose
O
Outcome
Changes in cardiac output and portal venous pressuresurrogate

Propranolol is more effective than atenolol in reducing portal venous pressure in cirrhotic patients due to its additional extracardiac effects.

Cite This Study

Hillon et al. (1982) studied Portal hypertension due to cirrhosis. Atenolol vs. Propranolol was evaluated on Cardiac output and portal venous pressure. Atenolol decreased portal venous pressure significantly less than propranolol in patients with cirrhosis, despite similar reductions in cardiac output.

synapsesocial.com/papers/6a9b105c388090d12d91c8d0https://doi.org/10.1002/hep.1840020503
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Also Consider

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

  1. 1The Paradox of Beta-Adrenergic Blockade in Hypertension1968 · 266 citations
  2. 2Control of the Splanchnic Circulation in Man1967 · 74 citations
  3. 3Propranolol for Prevention of Recurrent Gastrointestinal Bleeding in Patients with Cirrhosis1981 · 521 citations