title: Hemodynamic effects of labetalol in young and older adult hypertensives.
abstract: Twenty young (45 years or younger) and 20 older (55 years or older) adult patients with mild hypertension were enrolled in this study to compare the hemodynamic effects of labetalol versus placebo in two age groups. Ten patients in each group were randomly assigned to receive either a single oral dose of labetalol (200 mg) or placebo. Hemodynamic parameters were recorded immediately before and two hours after ingestion. Labetalol was more effective than placebo in significantly lowering systolic blood pressure (-11 versus + 5 mm Hg, -23 versus + 4 mm Hg), diastolic blood pressure (-9 versus + 2 mm Hg, -12 versus + 5 mm Hg), and total systemic resistance (-259 versus + 42 dynes-sec cm-5, -390 versus + 74 dynes-sec cm-5) in young and older hypertensive subjects, respectively. There was no significant changes in heart rate, stroke volume index, or cardiac index in either age group. These data indicate that labetalol lowers blood pressure in young an older hypertensives primarily by reducing peripheral resistance and that the antihypertensive effect may be somewhat greater in older patients.
authors.affiliation: Division of Cardiology, Texas Tech University Health Sciences Center, Lubbock 79430.
authors.forename: J C
authors.initials: JC
authors.lastname: Buell
authors.forename: R S
authors.initials: RS
authors.lastname: Eliot
authors.forename: J R
authors.initials: JR
authors.lastname: Plachetka
authors.forename: M R
authors.initials: MR
authors.lastname: Little
mesh_terms: D000328:Adult; D000375:Aging; D001794:Blood Pressure / Q000187:drug effects*; D002302:Cardiac Output / Q000187:drug effects; D004304:Dosage Forms; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000503:physiopathology*; D007741:Labetalol / Q000494:pharmacology* / Q000627:therapeutic use; D008875:Middle Aged; D013318:Stroke Volume / Q000187:drug effects; D014655:Vascular Resistance / Q000187:drug effects
chemical_list: D004304:Dosage Forms; D007741:Labetalol