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. 2008 Jan 23;2008(1):CD003653. doi: 10.1002/14651858.CD003653.pub3

Wu 1993.

Methods Multi‐centre study (Taiwan). 
 Open label 
 Method of randomization: NR 
 Concealment of allocation: NR 
 Duration of treatment: single dose 
 Follow‐up: 2 h
Participants 64 patients with high blood pressure and cerebral signs or symptoms symptoms (headache, dizziness, convulsion, coma) during haemodyalisis.
Inclusion Criteria:
Patients with SBP >190 or DBP >120 associated with symptoms (headache, dizziness, convulsion, coma) during haemodyalisis.
Exclusion Criteria:
Patients with increasing BP less than 20 min after initiating haemodyalisis. Patients with drop of BP to level less than 170/110 within 20 min were also excluded.
* Except for BP and HR, baseline characteristics were not provided. The type of emergencies was not reported according to randomized group.
Interventions Nifedipine (N):n=30, 
 Captopril (C): n=35 
 Prazosin (P):n=27 
 Dose regimen: sublingual single dose 
 Nifedipine 10 mg , Captopril 25 mg , and Prazosin 10 mg
Outcomes Outcomes obtained from this trial: 
 Total SAE: Not reported (NR) 
 Mortality: NR 
 Total non‐fatal cardiovascular events: NR 
 Individual CVE: NR 
 Withdraw due to adverse events= N/A (single dose) 
 Blood pressure: 
 Data was obtained from tables 1,2 and 3 on page 285‐286. Standard deviation of change was not reported but imputed from end point. The calculated weighted mean BP change was: 
 Captopril: SBP‐41±8, DBP‐27.71±10 
 Nifedipine: SBP‐42±10, DBP‐35.85±8 
 Prazosin: SBP‐14.6±6, DBP‐21.57±8 
 Heart rate: 
 Data was obtained from tables 1,2 and 3 on page 285‐286. Standard deviation of change was not reported but imputed from end point. The calculated weighted mean HR change was: 
 Captopril: ‐1.28±9 
 Nifedipine: ‐4.28±17 
 Prazosin: ‐0.85±9
Notes Source of Funding : NR
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear