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ORIGINAL PAPER
Clinical efficacy and safety of telmisartan 80 mg once daily vs. atenolol 50 mg once daily in patients with mild-to-moderate hypertension
L. Alcocer 1 , P. Fernández-Bonetti 2 , E. Campos 1 , R. Olvera Ruiz 3 , J. Bahena 4 , J.J. DE La Fuente 4 , C. Segovia-Ayala 4 , R. Dominguez-Henkel 1
  1 Cardiology Service, Hospital General de Mexico, S. Sa, Mexico City ;   2 Cardiology Service, Hospital de Jesus, Mexico City ;   3 Insituto Nacional de Cardilogía, Ignacio Chavez, Mexico City ;   4 Cardiology Service, Hospital Universitario, Monterrey, Mexico ;   5 Medical Department, Boehringer Ingelheim Promeco, Mexico
Correspondence to Luis Alcocer MD, Circuito Fuentes de Pedregal 789, Colonia Fuentes del Pedregal, Tlalpan. CP:14140, Mexico, D.F., Mexico
E-mail: hospitalgeneral@hotmail.com
Copyright 2004 Blackwell Publishing Ltd
KEYWORDS
Telmisartan • angiotensin II • receptor blocker • atenolol • beta-blocker • antihypertensives • hypertension

Summary

AbstractIntroductionPatients and methodsResultsDiscussionReferences

The objective of this open-label, parallel-group comparative study was to assess the clinical efficacy and safety of once-daily treatment for 8 weeks with telmisartan 80 mg in comparison with atenolol 50 mg on systolic blood pressure (SBP) and diastolic blood pressure (DBP) in patients with mild-to-moderate hypertension (morning supine SBP 141–199 mmHg, DBP 95–114 mmHg). A total of 58 patients were enrolled. The comparability of the two treatment groups was statistically documented at the beginning of the study. Telmisartan was more effective than atenolol, with a decrease in SBP of 21.7 mmHg vs. 11.8 mmHg (p = 0.03) and a non-significant decrease in DBP of 14.7 mmHg vs. 10.1 mmHg. The safety profiles of both drugs were very similar; both drugs were well tolerated. In conclusion, once-daily telmisartan 80 mg is more effective than once-daily atenolol 50 mg in lowering SBP with no negative chronotropism. Furthermore, telmisartan was as well tolerated as atenolol in the treatment of mild-to-moderate essential hypertension in adults.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1742-1241.2004.00408.x About DOI

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