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Effect of Ramipril vs Amlodipine on Renal Outcomes in Hypertensive Nephrosclerosis: A Randomized Controlled Trial

Article Abstract:

The ACE inhibitor ramipril may slow the progression of kidney disease in African-Americans who have hypertension. This was the conclusion of a study of 1,094 African-Americans who had hypertensive kidney disease.

Author: Bakris, George L., Agodoa, Lawrence Y., Appel, Lawrence, Beck, Gerald, Bourgoignie, Jacques, Briggs, Josephine P., Charleston, Jeanne, Cheek, DeAnna, Cleveland, William, Douglas, Janice G., Douglas, Margaret, Dowie, Donna, Faulkner, Marquetta, Gabriel, Avril, Cassman, Jennifer, Greene, Tom, Hall, Yvette, Hebert, Lee, Hiremath, Leena, Jamerson, Kenneth, Johnson, Carolyn J., Kopple, Joel, Kusek, John, Lash, James, Lea, Janice, Lewis, Julia B., Lipkowitz, Michael, Massry, Shaul, Middleton, John, Miller III, Edgar R., Norris, Keith, O'Connor, Daniel, Ojo, Akinlou, Phillips, Robert A., Pogue, Velvie, Rahman, Mahboob, Randall, Otelio S., Rostand, Stephen, Schulman, Gerald, Smith, Winifred, Thornley-Brown, Denyse, Tisher, C. Craig, Toto, Robert D., Wright, Jr., Jackson T.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2001
Evaluation, Development and progression, Ramipril, Complications

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Renal function change in hypertensive members of the Multiple Risk Factor Intervention Trial: racial and treatment effects

Article Abstract:

African American patients with hypertension may be more likely to develop impaired kidney function than are members of other ethnic groups despite special treatment for the condition. Among 5,524 men with mild to moderate high blood pressure, 2,758 received special treatment for high blood pressure and 2,766 received the usual care. Control of blood pressure was approximately the same in both treatment groups and among patients from different ethnic groups, but black patients were more likely to develop impaired kidney function than non-black patients. Patients with both increased systolic and diastolic blood pressure and older patients were also more likely to develop impaired kidney function. Decreased diastolic blood pressure was associated with a lower chance of kidney disorders among the non-black patients. Treatment to maintain a decreased diastolic blood pressure did not affect the risk of developing impaired kidney function among the black patients.

Author: Neaton, James D., Cohen, Jerome D., Walker, W. Gordon, Cutler, Jeffrey A., Neuwirth, Rachel
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1992
Complications and side effects, Risk factors

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Metabolic effects of carvedilol vs metoprolol in patients with type 2 diabetes mellitus and hypertension: A randomized controlled trial

Article Abstract:

The study comparing the effects of beta-blockers with different pharmacological profiles on glycemic and metabolic control in participants with diabetes mellitus (DM) and hypertension receiving renin-angiotensin system (RAS) blockade, in the context of cardiovascular risk factors is presented. It is concluded that the use of carvedilol in the presence of RAS blockade did not affect glycemic control and improved some components of the metabolic syndrome relative to metoprolol in participants with DM and hypertension.

Author: Bakris, George L., Fonseca, Vivian, Lukas, Mary Ann, Phillips, Robert A., Raskin, Philip, Messerli, Franz H., Katholi, Richard E., Wright, Jackson T., Jr., Anderson, Karen M., McGill, Janet B., Bell, David S. H., Oakes, Rosemary
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2004
Science & research, Pharmaceutical Preparation Manufacturing, Pharmaceutical preparations, Beta Blockers, Care and treatment, Research, Type 2 diabetes, Adrenergic beta blockers, Adrenergic beta-antagonists, Cookery for hypertensives

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Subjects list: Hypertension, African Americans, Diseases, Kidney diseases
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