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. 2013 Sep 27;9:535–549. doi: 10.2147/VHRM.S44568

Table 4.

Changes in ambulatory blood pressure monitoring data in the two treatment groups

Patterns Losartan + HCTZ
Bisoprolol + HCTZ
Baseline 3 months 6 months Baselines 3 months 6 months
Maximum 24-hour SBP, mmHg 184.7 ± 8.1 173.8 ± 14.7 158.2 ± 4.1* 188.8 ± 6.4 174.8 ± 6.8 161.7 ± 6.7*
Maximum 24-hour DBP, mmHg 113.2 ± 3.8 102.6 ± 7.2*** 103.3 ± 2.9*** 111.4 ± 7.3 112.8 ± 5.6 110.1 ± 6.5
24-hour pulse pressure, mmHg 59.3 ± 2.8 59.9 ± 4.6 51.3 ± 3.1 53.8 ± 2.4 51.2 ± 6.5 48.7 ± 2.9
Daily index SBP, % 7.9 ± 1.6 8.7 ± 1.5 7.9 ± 1.7 9.5 ± 2.3 8.9 ± 1.5 7.2 ± 1.8
Daily index DBP, % 11.4 ± 1.9 13.6 ± 2.2 12.0 ± 1.6 11.7 ± 1.9 11.5 ± 2.3 12.8 ± 2.8
Pressure load, 24-hour SBP, % 69.0 ± 5.4 49.5 ± 6.9*** 23.7 ± 4.5* 74.7 ± 5.6 56.4 ± 7.5* 25.9 ± 7.4*
Pressure load, 24-hour DBP, % 44.2 ± 6.5 21.9 ± 6.0** 13.1 ± 2.8* 58.8 ± 9.9 35.9 ± 8.1** 15.1 ± 6.1*
Daytime SBP, mmHg 148.9 ± 3.5 137.3 ± 3.1** 125.9 ± 2.6*,^ 151.1 ± 4.2 140.3 ± 4.1 125.8 ± 4.1*,^^
Daytime DBP, mmHg 97.1 ± 2.6 80.9 ± 2.9* 75.2 ± 1.8* 95.2 ± 4.0 85.7 ± 3.5 78.4 ± 2.7*
Daytime HR, beats per minute 72.9 ± 2.0 77.3 ± 2.9 78.0 ± 2.5 83.9 ± 3.5# 76.3 ± 3.8 77.6 ± 3.3
Daytime pulse pressure, mmHg 58.7 ± 2.6 62.3 ± 5.9 50.7 ± 2.2*** 54.6 ± 2.6 54.6 ± 3.4 47.4 ± 2.0
Daytime SBP variability, mmHg 16.7 ± 0.9 13.2 ± 0.8* 13.7 ± 0.9*** 16.6 ± 1.3 13.8 ± 1.0 14.5 ± 1.8
Daytime DBP variability, mmHg 12.3 ± 0.7 10.9 ± 0.7 10.7 ± 0.7 11.6 ± 1.1 10.4 ± 0.6 12.4 ± 1.2
Pressure load, daytime SBP, % 63.5 ± 6.0 46.1 ± 7.7 17.2 ± 4.7*,^ 68.9 ± 6.7 47.9 ± 8.1 20.7 ± 8.4*,^^
Pressure load, daytime DBP, % 44.0 ± 6.3 23.2 ± 7.2*** 12.3 ± 2.9* 60.4 ± 9.7 36.6 ± 9.0 18.4 ± 7.1*
Nighttime SBP, mmHg 136.5 ± 4.5 125.8 ± 3.1 117.3 ± 3.5* 140.1 ± 4.1 130.7 ± 3.7 117.3 ± 4.2*,^^
Nighttime DBP, mmHg 83.4 ± 2.7 69.9 ± 1.9* 66.0 ± 1.5* 85.9 ± 3.5 75.3 ± 2.6***,# 66.9 ± 2.7*
Nighttime pulse pressure, mmHg 60.1 ± 3.7 56.4 ± 3.1 51.3 ± 2.7 52.0 ± 2.9 55.4 ± 3.4 50.4 ± 2.6
Nighttime HR, beats per minute 74.8 ± 3.3 67.6 ± 2.5 69.3 ± 2.5 78.2 ± 3.8 65.6 ± 3.8 67.5 ± 2.1***
Nighttime SBP variability, mmHg 15.9 ± 1.5 12.7 ± 1.3 13.6 ± 1.1 11.9 ± 1.3# 14.8 ± 1.6 12.6 ± 2.1
Nighttime DBP variability, mmHg 10.4 ± 0.8 9.2 ± 0.8 10.3 ± 0.9 8.4 ± 1.2 10.4 ± 1.6 9.6 ± 1.3
Pressure load, nighttime SBP, % 73.5 ± 6.2 54.1 ± 7.6 37.4 ± 6.5* 85.1 ± 5.2 71.1 ± 8.4 36.2 ± 10.1*
Pressure load, nighttime DBP, % 33.7 ± 7.1 15.7 ± 5.1*** 11.7 ± 3.2* 60.4 ± 8.9 33.6 ± 7.7*** 10.6 ± 6.7*
Morning surge SBP, mmHg 65.6 ± 6.6 43.6 ± 5.5** 42.1 ± 2.6* 67.7 ± 6.5 48.3 ± 5.6*** 38.7 ± 6.0**
Morning surge DBP, mmHg 35.4 ± 5.9 26.1 ± 4.7 33.8 ± 2.5 33.7 ± 4.3 34.7 ± 4.0 29.3 ± 5.6
Target 24-hour BP, n (%) 20 (62.5) 24 (75.0)^ 14 (51.9) 18 (66.7)^^

Notes:

*

P < 0.01;

**

P < 0.02;

***

P < 0.05 versus baseline in same group;

^

P < 0.01;

^^

P < 0.05 versus month 3 in same group;

#

P < 0.05 versus losartan + HCTZ group.

Abbreviations: DBP, diastolic blood pressure; SBP, systolic blood pressure; HCTZ, hydrochlorothiazide; HR, heart rate.