ACE inhibitor instead of β-blockers for better QOL in hypertension
Transcript of ACE inhibitor instead of β-blockers for better QOL in hypertension
lO INTERNATIONAL RESEARCH & OPINION
ACE inhibitor instead of P-blockers for better QOL in hypertension
Replacing ~-blockers with captopril improves the quality of life (QOL) of patients with mild to moderate hypertension without compromising BP control. This was the conclusion of a study conducted by researchers at the Ben-Gurion University of Negev, Beer Sheva, Israel.
The study included 133 patients (mean age 54 years) whose hypertension was well controlled by long-term treatment with atenolol or propranolol, with or without diuretics, and who had few adverse effects of treatment.
Six to 15 months after randomisation to continue ~-blocker therapy (n = 80) or to change to captopril
(53), captopril recipients reported improvements in all 6 areas of physical QOL. These improvements were significant compared with those reported by ~-blocker recipients in 4 areas (sleep, gastrointestinal symptoms, physical performance and cognitive function). Patients receiving captopril also experienced a greater increase in psychological well-being than those receiving ~-blockers; they also had improved health perception whereas ~-blocker recipients experienced a decline in this area. Paran E. Anson 0, Neumann L. 1be effects of replacing beta-blockers with
an angiotensin converting enzyme inhibitor on the quality of life of hypertensive patients. American Journal of Hypertension 9: 1206-1213, Part
1 ' Dec 1996 """"""'
PharmacoEconomics & Outcomes News 25 Jan 1997 No. 96 1173-5503197/0096-0001 0/$01 .00° Ad is International Limited 1997. All rights rnerved