Comparative antihypertensive effects of hydrochlorothiazide and chlorthalidone on ambulatory and office blood pressure.

Author: BergusGeorge R, CarterBarry L, ErnstMichael E, GoerdtChris J, PhillipsBeth Bryles, SteffensmeierJennifer J G, ZimmermanM Bridget

Paper Details 
Original Abstract of the Article :
Low-dose thiazide-type diuretics are recommended as initial therapy for most hypertensive patients. Chlorthalidone has significantly reduced stroke and cardiovascular end points in several landmark trials; however, hydrochlorothiazide remains favored in practice. Most clinicians assume that the drug...See full text at original site
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引用元:
https://doi.org/10.1161/01.HYP.0000203309.07140.d3

データ提供:米国国立医学図書館(NLM)

Chlorthalidone vs. Hydrochlorothiazide: A Battle of the Thiazides

The realm of hypertension treatment is a vast desert, and choosing the right diuretic is a crucial step. This study compares the antihypertensive effects of chlorthalidone and hydrochlorothiazide, two commonly used thiazide-type diuretics. It's like comparing two different oases in the desert, each offering a unique approach to lowering blood pressure. The researchers found that chlorthalidone was more effective in lowering systolic blood pressure than hydrochlorothiazide, particularly when measured using 24-hour ambulatory blood pressure monitoring. However, the difference was not as significant when measured using standard office blood pressure readings. These findings suggest that chlorthalidone might be a more effective choice for some patients, especially those with a higher risk of stroke or cardiovascular events, but further research is needed to confirm this.

Chlorthalidone: A Superior Oasis for Systolic Blood Pressure Control

The research findings indicate that chlorthalidone, when used within recommended doses, is more effective than hydrochlorothiazide in reducing systolic blood pressure, especially over 24 hours. This is like finding a hidden oasis that provides a more consistent and effective source of water than a nearby well. However, the study emphasizes that the difference in effectiveness was not evident in standard office blood pressure measurements, highlighting the importance of using various methods for monitoring blood pressure.

Navigating the Desert of Hypertension

This research provides valuable insights for clinicians treating hypertension, emphasizing the importance of understanding the nuances of different diuretics and considering factors like blood pressure monitoring techniques and individual patient characteristics. It's like learning to navigate the vast desert, understanding the unique benefits and drawbacks of different routes and water sources to reach the desired destination.

Dr.Camel's Conclusion

This study offers a closer look at the effectiveness of chlorthalidone compared to hydrochlorothiazide in managing hypertension. While chlorthalidone emerges as a potential winner in terms of lowering systolic blood pressure, the study highlights the importance of personalized treatment approaches and comprehensive blood pressure monitoring to ensure optimal management.

Date :
  1. Date Completed 2006-03-17
  2. Date Revised 2023-10-24
Further Info :

Pubmed ID

16432050

DOI: Digital Object Identifier

10.1161/01.HYP.0000203309.07140.d3

Related Literature

SNS
PICO Info
in preparation
Languages

English

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