VACLAVIK, Jan, Richard SEDLAK, Jiří JARKOVSKÝ, Eva KOCIANOVA and Milos TABORSKY. Effect of spironolactone in patients with resistant arterial hypertension in relation to age and sex: Insights from the aspirant trial. Biomedical Papers of the Faculty of Medicine and Dentistry of Palacký University, Olomouc, Czech Republic. Olomouc: Palacký University, 2014, vol. 158, No 3, p. 384-390. ISSN 1213-8118. Available from: https://dx.doi.org/10.5507/bp.2012.105.
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Basic information
Original name Effect of spironolactone in patients with resistant arterial hypertension in relation to age and sex: Insights from the aspirant trial
Authors VACLAVIK, Jan (203 Czech Republic), Richard SEDLAK (203 Czech Republic), Jiří JARKOVSKÝ (203 Czech Republic, guarantor, belonging to the institution), Eva KOCIANOVA (203 Czech Republic) and Milos TABORSKY (203 Czech Republic).
Edition Biomedical Papers of the Faculty of Medicine and Dentistry of Palacký University, Olomouc, Czech Republic, Olomouc, Palacký University, 2014, 1213-8118.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.200
RIV identification code RIV/00216224:14110/14:00077045
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.5507/bp.2012.105
UT WoS 000345398500009
Keywords in English Age; Blood pressure; Resistant hypertension; Sex; Spironolactone
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 24/4/2015 13:48.
Abstract
Methods. Patients with an office systolic blood pressure (BP) >140 mmHg or diastolic BP >90 mmHg, despite treatment with at least 3 antihypertensive drugs including a diuretic, were randomly assigned to receive spironolactone or a placebo for 8 weeks in a double-blind, placebo-controlled, multicentre trial (ASPIRANT). Background. There are currently limited data on whether the effect of spironolactone in patients with resistant arterial hypertension depends on age and sex. Results. Analyses were done on 55 patients treated with spironolactone and 56 patients treated with placebo. Significant reductions of office systolic BP (-8.9 +/- 6.7 mmHg, P=0.012), 24-h ABPM systolic BP (-7.9 +/- 7.2 mmHg, P=0.032) and ABPM day-time systolic BP (-7.5 +/- 7.1 mmHg) after 8 weeks of spironolactone treatment, compared to placebo, were only observed in patients with a median age 62 years, and is effective to a similar extent in men and women.
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