title: [Evaluation of the efficacy and tolerance of doxazosin vs. enalapril inaged patients with light to moderate arterial hypertension].
abstract: The above study was performed as a single blind trial in 70 elderly patients (average age 66 years) who were randomized into two groups of 36 and 34 subjects respectively. After clinical and laboratory evaluation without treatment for at least two weeks, the two groups were treated with enalapril 5-10 or 20 mg daily plus doxazosin at the dosage of 1-2-4- or 8 mg daily; they were observed for 24 weeks. During the trial, pressure values, both systolic and diastolic, were seen to diminish significantly in both groups. This effect was accompanied by minor, usually transient side effects. At echocardiography at the end of the treatment period, doxazosin was found to reduce some volumetric cardiac parameters, thus showing to be apt to counteract left ventricular hypertrophy. These findings go to counteract left ventricular hypertrophy. These findings go to show that alpha-1 inhibitors are a valid alternative in the "first step" of antihypertensive therapy, especially in patients at risk for cardiovascular complications.
authors.affiliation: Istituto di Patologia Speciale Medica e Metologica Clinica, Università deg
authors.forename: P
authors.initials: P
authors.lastname: Puddu
authors.forename: M
authors.initials: M
authors.lastname: Gallucci
authors.forename: A
authors.initials: A
authors.lastname: Curnis
authors.forename: F
authors.initials: F
authors.lastname: Pupita
authors.forename: R
authors.initials: R
authors.lastname: Ansuini
authors.forename: E
authors.initials: E
authors.lastname: Malacco
mesh_terms: D000367:Age Factors; D000368:Aged; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D000959:Antihypertensive Agents / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D001835:Body Weight; D004305:Dose-Response Relationship, Drug; D017292:Doxazosin / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D004452:Echocardiography; D004656:Enalapril / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D012737:Sex Factors
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D000959:Antihypertensive Agents; D004656:Enalapril; D017292:Doxazosin
vernacular_title: Valutazione dell'efficacia e della tollerabilità del doxazosin vs enalapril in pazienti anziani affetti da ipertensione arteriosa lieve-moderata.