Table 4.
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.