Table 2.
Spironolactone n=28 | Placebo n=32 | ||||||
---|---|---|---|---|---|---|---|
BL | 24 wk | Δ | BL | 24 wk | Δ | P-Value | |
Brachial artery FMD | |||||||
percent change | 8.0±5.5 | 7.8±4.3 | −0.2±3.2 | 8.4±6.2 | 8.0±4.6 | −0.4±4.7 | 0.9 |
absolute change; mm | 0.26±0.16 | 0.26±0.12 | −0.00±0.11 | 0.26±0.14 | 0.25±0.13 | −0.01±0.13 | 0.8 |
Baseline brachial artery diameter (mm) | 3.6±0.7 | 3.6±0.6 | −0.1±0.2 | 3.4±0.6 | 3.3±0.6 | −0.0±0.2 | 0.5 |
Peak shear rate (s−1) | 1009±424 | 1100±336 | 91±329 | 1121±489 | 1174±426 | 54±410 | 0.7 |
Brachial artery dilation to nitroglycerin | |||||||
percent change * | 27.9±9.1 | 28.6±6.8 | 0.7±4.4 | 28.0±6.1 | 28.9±7.3 | 0.9±7.4 | 0.9 |
absolute change; mm * | 0.94±0.22 | 0.97±0.19 | 0.03±0.12 | 0.95±0.21 | 0.94±0.17 | −0.01±0.19 | 0.5 |
Brachial SBP (mmHg) | 124±13 | 117±11 | −6 (−15, 1) | 124±10 | 125±13 | −2 (−7, 10) | 0.04 |
Brachial DBP (mmHg) | 74±10 | 70±9 | −4 (−10, 3) | 75±9 | 75±10 | −1 (−7, 9) | 0.2 |
Carotid-femoral PWV (cm/s) | 640±125 | 603±101 | −37±78 | 659±138 | 658±131 | −1±89 | 0.1 |
Carotid-radial PWV (cm/s) | 924±126 | 903±147 | −21±106 | 920±185 | 937±187 | 18±188 | 0.3 |
Carotid intimal medial thickness (mm) | 0.48±0.09 | 0.48±0.09 | −0.01±0.05 | 0.47±0.07 | 0.47±0.06 | −0.00±0.07 | 0.7 |
Carotid augmentation index (%) | 9.3±15.0 | 2.5±16.5 | −6.8±14.6 | 8.3±15.4 | 13.4±14.1 | 5.2±13.3 | 0.002 |
Carotid artery compliance (mm/mm Hg * 10−1) | 0.12±0.04 | 0.12±0.04 | 0.01±0.02 | 0.12±0.04 | 0.12±0.03 | 0.00±0.03 | 0.5 |
Carotid β-stiffness index (A.U.) | 6.1±2.0 | 5.8±1.7 | −0.3±1.3 | 6.0±2.1 | 5.8±2.1 | −0.2±1.9 | 0.7 |
Carotid SBP (mmHg) | 118±15 | 110±12 | −8±15 | 120±15 | 120±16 | 0±17 | 0.06 |
Data are mean±S.D or median [IQR]. P-value is a comparison of the change from baseline to 24 weeks (Δ) between the 2 groups using a t-test for normally distributed variables and a non-parametric (Wilcoxon rank sums) test for non-normally distributed variables. Blood pressures were taken in the supine position. BL, baseline; FMD, flow-mediated dilation; NTG, nitroglycerin; SBP, systolic blood pressure; DBP, diastolic blood pressure; PWV, pulse-wave velocity.
N=16 for spironolactone and n=15 for placebo for NTG variables.