Comparison of Candesartan Versus Metoprolol for Treatment of Systemic Hypertension After Repaired Aortic Coarctation

November 30th, 2009    Posted by: admin

Publication year: 2009
Source: The American Journal of Cardiology, In Press, Corrected Proof, Available online 26 November 2009
Els, Moltzer , Francesco U.S. Mattace, Raso , Yusuf, Karamermer , Eric, Boersma , Gary D., Webb , …

Even after successful repair, hypertension is one of the main determinants of cardiovascular morbidity and mortality in patients with aortic coarctation (CoA). We compared the effect of candesartan (angiotensin II receptor blockade) and metoprolol (β-adrenergic receptor blockade) on blood pressure, large artery stiffness, and neurohormonal status in hypertensive patients after repair of CoA. In the present open-label, crossover study, hypertensive patients after CoA repair were first randomly assigned to treatment with candesartan 8 mg or metoprolol 100 mg once per day. After 8 weeks of treatment with one of the drugs, the other treatment was given for 8 weeks. The…

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