Comparison of amlodipine versus other calcium channel blockers on blood pressure variability in hypertensive patients in China: a retrospective propensity score-matched analysis
机构:[1]Capital Med Univ, Beijing TongRen Hosp, Dept Endocrinol, Beijing, Peoples R China临床科室内分泌科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Pfizer Investment Co Ltd, Beijing, Peoples R China[3]Shanghai Palan DataRx Co Ltd, Shanghai, Peoples R China
Aim: Reducing the fluctuation of blood pressure has recently been recognized as a potential target for improving management of hypertension to prevent cardiovascular events, particularly for strokes. Some randomized controlled trials demonstrated that amlodipine can effectively reduce blood pressure as a well-established, long-acting calcium channel blocker (CCB). However, few data are available for amlodipine on blood pressure variability (BPV) in China in a real-world setting. This study aimed to assess the effect of amlodipine versus other CCB antihypertensive agents on BPV. Materials & methods: A retrospective propensity score-matched analysis was conducted, which retrieved the encounter data from 5582 hypertensive inpatients (with a median age of 69, female percentage of 48%, diastolic blood pressure 40 and <150mmHg; systolic blood pressure (SBP) 70mmHg and <260mmHg), who had taken at least one antihypertensive agent and completed at least three SBP measurements during the visit. International Classification of Diseases was used to identify the hypertensive patients. BPV was calculated with standard deviation (SD) and coefficient of variation (CV) of SBP during a single inpatient visit. The Propensity Score Matching was used to balance the cohort of patients prescribed amlodipine or other CCBs. A series of appropriate statistical tests were applied to the propensity score-matched samples to examine the different effects on BPV. Additionally, the hypertensive patients with comorbidity such as coronary artery disease, diabetes mellitus, myocardial infarction, heart failure and chronic kidney disease were analyzed. Results: For the hypertensive patients (n=1756, for each cohort), patients prescribed amlodipine showed lower BPV than patients prescribed other CCBs (12.90 vs 13.76mmHg, p<0.05 [SD] and 9.47 vs 10.06, p<0.05 [CV]). For the hypertensive patients with comorbidity (n=1080, for each cohort), patients prescribed amlodipine had lower BPV than patients prescribed other CCBs as well (13.24 vs 14.23mmHg, p<0.05 [SD] and 9.66vs 10.28, p<0.05 [CV]). Conclusion: amlodipine was associated with lower BPV than other CCBs for both hypertensive patients and hypertensive patients with comorbidity.
第一作者机构:[1]Capital Med Univ, Beijing TongRen Hosp, Dept Endocrinol, Beijing, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Zhang Lin,Yang JinKui,Li LanTing,et al.Comparison of amlodipine versus other calcium channel blockers on blood pressure variability in hypertensive patients in China: a retrospective propensity score-matched analysis[J].JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH.2018,7(7):651-660.doi:10.2217/cer-2017-0063.
APA:
Zhang, Lin,Yang, JinKui,Li, LanTing,Liu, DongDong,Xie, XiaoPing...&Lin, Yong.(2018).Comparison of amlodipine versus other calcium channel blockers on blood pressure variability in hypertensive patients in China: a retrospective propensity score-matched analysis.JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH,7,(7)
MLA:
Zhang, Lin,et al."Comparison of amlodipine versus other calcium channel blockers on blood pressure variability in hypertensive patients in China: a retrospective propensity score-matched analysis".JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH 7..7(2018):651-660