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Advances in Therapy

, Volume 24, Issue 6, pp 1260–1270 | Cite as

Medium-term effects of bisoprolol administration on renal hemodynamics and function in mild to moderate essential hypertension

  • Salvatore Paterna
  • Gaspare Parrinello
  • Pietro Di Pasquale
  • Daniele Torres
  • Gabriella La Rocca
  • Roberta Antona
  • Laura Vernuccio
  • Ersilia Fornaciari
  • Antonina Tarantino
  • Ercole Piccione
  • Sergio Fasullo
  • Giuseppe Licata
Article

Abstract

Arterial hypertension is a significant cause of end-stage renal failure; effective treatment of hypertensive patients reduces the rate of progression of this disorder. β-Blockers, particularly nonselective agents, are associated with deterioration of renal function in patients with chronic renal failure. Previous studies on the interaction of the β1-selective adrenergic antagonist bisoprolol with kidney function have been performed only acutely and over the short term. This study was designed to evaluate the antihypertensive efficacy and effects on renal hemodynamics and function of bisoprolol during medium-term (6 mo) treatment of patients with mild to moderate essential hypertension. After a 2-wk run-in period on placebo, 87 consecutive hypertensive patients (46 men, 41 women) according to ESH-ESC (European Society of Hypertension/European Society of Cardiology) guidelines, aged from 27 to 64 y (mean age, 50±11 y), without renal or cardiovascular disease, were enrolled and assigned to treatment with bisoprolol 5 mg once daily for 6 mo. At recruitment and at 6 mo after treatment, renal function was assessed and renal hemodynamics evaluated in all patients through radioisotope studies. The mediumterm effects of bisoprolol included a significant reduction in blood pressure and heart rate (P< .001) without significant adverse drug reactions. Moreover, bisoprolol produced no alteration in renal function or hemodynamics, or in cardiac output. Data presented here indicate that bisoprolol 5 mg given once daily to treat patients with mild to moderate essential hypertension is effective and safe for treatment and for preservation of renal performance when given on a medium-term basis.

Keywords

bisoprolol essential hypertension renal hemodynamics 

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Copyright information

© Health Communications Inc 2007

Authors and Affiliations

  • Salvatore Paterna
    • 1
  • Gaspare Parrinello
    • 2
  • Pietro Di Pasquale
    • 3
  • Daniele Torres
    • 2
  • Gabriella La Rocca
    • 1
  • Roberta Antona
    • 1
  • Laura Vernuccio
    • 1
  • Ersilia Fornaciari
    • 1
  • Antonina Tarantino
    • 1
  • Ercole Piccione
    • 1
  • Sergio Fasullo
    • 3
  • Giuseppe Licata
    • 1
  1. 1.Department of Emergency CareUniversity of PalermoItaly
  2. 2.Department of Internal MedicineUniversity of PalermoItaly
  3. 3.Department of CardiologyGF Ingrassia HospitalItaly

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