Morbidity and mortality in patients randomised to double-blind treatment with a long-acting calcium-channel blocker or diuretic in the International Nifedipine GITS study: Intervention as a Goal in Hypertension Treatment (INSIGHT).

Author: BrownM J, CastaigneA, ManciaG, PalmerC R, RosenthalT, RuilopeL M, de LeeuwP W

Paper Details 
Original Abstract of the Article :
The efficacy of antihypertensive drugs newer than diuretics and beta-blockers has not been established. We compared the effects of the calcium-channel blocker nifedipine once daily with the diuretic combination co-amilozide on cardiovascular mortality and morbidity in high-risk patients with hyperte...See full text at original site
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引用元:
https://doi.org/10.1016/S0140-6736(00)02527-7

データ提供:米国国立医学図書館(NLM)

Nifedipine vs. Diuretics: A Race Against Hypertension

Hypertension, a leading cause of cardiovascular disease, has been a formidable foe for healthcare professionals. This study tackles the question of which class of antihypertensive medication, calcium channel blockers or diuretics, is more effective in reducing cardiovascular morbidity and mortality. The researchers conducted a randomized controlled trial comparing the effects of nifedipine, a calcium channel blocker, with a combination of diuretics, co-amilozide, in high-risk patients with hypertension.

The Search for the Best Weapon Against Hypertension

The results of the study showed no significant difference in cardiovascular mortality and morbidity between the two treatment groups. This suggests that both nifedipine and diuretics can effectively control hypertension and reduce cardiovascular risk. However, it's crucial to note that this study focused on high-risk patients, and the findings may not apply to all individuals with hypertension.

Navigating the Shifting Sands of Hypertension Treatment

Imagine a caravan of camels traversing a desert, each camel carrying a different strategy to combat the heat. Some camels might rely on shade, while others might drink from the occasional oasis. This study suggests that both nifedipine and diuretics are effective in controlling hypertension, but the best approach might vary depending on individual factors. It's a reminder that there is no single solution for every patient, and a personalized approach is key.

Dr.Camel's Conclusion

This study underscores the complexity of hypertension and the need for a comprehensive approach to treatment. Just as camels adapt to the ever-changing landscape of the desert, healthcare professionals must be adaptable and tailor treatment strategies to meet the specific needs of each patient. The search for the best treatment for hypertension is an ongoing journey, and continued research is essential to find the most effective strategies for managing this common and often silent disease.

Date :
  1. Date Completed 2000-09-14
  2. Date Revised 2022-04-08
Further Info :

Pubmed ID

10972368

DOI: Digital Object Identifier

10.1016/S0140-6736(00)02527-7

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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