Efficacy of losartan and carvedilol on central hemodynamics in hypertensives: A prospective, randomized, open, blinded end point, multicenter study

Eung Ju Kim, Woo Hyuk Song, Jae Ung Lee, Mi Seung Shin, Sahng Lee, Byeong Ok Kim, Kyeong Sun Hong, Seong Woo Han, Chang Gyu Park, Hong Seog Seo

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

Renin-angiotensin system (RAS) blockers have shown clinical outcomes superior to those of the beta (β)-blocker atenolol, despite similar reductions in the peripheral blood pressure (BP), perhaps because of different impacts on central hemodynamics. However, few comparative studies of RAS blockers and newer vasodilating β-blockers have been performed. We compared the central hemodynamic effects of losartan and carvedilol in a prospective, randomized, open, blinded end point study. Of the 201 hypertensive patients enrolled, 182 (49.6±9.9 years, losartan group=88 and carvedilol group=94) were analyzed. Carotid-femoral pulse wave velocity (cfPWV), aortic augmentation index (AIx), AIx corrected for a heart rate (HR) of 75 beats per minute (AIx@HR75) and central BP were measured noninvasively at baseline and after a 24-week treatment regimen with losartan or carvedilol. After 24 weeks, there were no between-group differences in the brachial BP, cfPWV, AIx@HR75 or central BP changes, except for a more favorable AIx effect with losartan. The changes in all measured metabolic and inflammatory parameters were also not significantly different between the two groups, except for uric acid. Losartan and carvedilol showed generally comparable effects on central hemodynamic indices, metabolic profile, inflammatory parameters and peripheral arterial pressure with a 24-week treatment.

Original languageEnglish
Pages (from-to)50-56
Number of pages7
JournalHypertension Research
Volume37
Issue number1
DOIs
Publication statusPublished - 2014

Keywords

  • blood pressure
  • carvedilol
  • central hemodynamics
  • hypertension
  • losartan

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

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