2005Shiyong laonian yixueRequires access

The effects of intravenous diltiazem for aged patients with hypertension crisis

Lin Hon

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Abstract

Objective To evaluate the effects of intravenous diltiazem for aged patients with hypertension crisis. Methods Intravenous diltiazem was given to group A(n=30, SBP 192.4±17.2mmHg and DBP 110.6±8.8 mmHg) 10-20 mg, and intravenous nitroglycerin was given to group B(n=31, SBP 189.7±16.9 mmHg and DBP 112.8± 7.4 mmHg) 10 mg within 2 hours. The blood pressure (BP) was observed after 5 min, doses recorded and regulated according to BP, ECG, HR, SBP, DBP, HR×SBP and tolerance dosage. Results After treatment with diltiazem and nitroglycerin the BP of all patients decreased significantly(P0.01). More adverse events like headache(8 patients), dizziness, swelling, palpitation(6 patients) developed and 3 patients could not tolerate in group B. ST-T, in ECG improved in 2 groups but there was no statistical significance. None suffered from A-VB, severe low BP and heart failure. Conclusions The intravenous diltiazem is more effective and safer to treat aged patients with hypertension crisis.

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Objective To evaluate the effects of intravenous diltiazem for aged patients with hypertension crisis. Methods Intravenous diltiazem was given to group A(n=30, SBP 192.4±17.2mmHg and DBP 110.6±8.8 mmHg) 10-20 mg, and intravenous nitroglycerin was given to group B(n=31, SBP 189.7±16.9 mmHg and DBP 112.8± 7.4 mmHg) 10 mg within 2 hours. The blood pressure (BP) was observed after 5 min, doses recorded and regulated according to BP, ECG, HR, SBP, DBP, HR×SBP and tolerance dosage. Results After treatment with diltiazem and nitroglycerin the BP of all patients decreased significantly(P0.01). More adverse events like headache(8 patients), dizziness, swelling, palpitation(6 patients) developed and 3 patients could not tolerate in group B. ST-T, in ECG improved in 2 groups but there was no statistical significance. None suffered from A-VB, severe low BP and heart failure. Conclusions The intravenous diltiazem is more effective and safer to treat aged patients with hypertension crisis.

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Available abstract

Objective To evaluate the effects of intravenous diltiazem for aged patients with hypertension crisis. Methods Intravenous diltiazem was given to group A(n=30, SBP 192.4±17.2mmHg and DBP 110.6±8.8 mmHg) 10-20 mg, and intravenous nitroglycerin was given to group B(n=31, SBP 189.7±16.9 mmHg and DBP 112.8± 7.4 mmHg) 10 mg within 2 hours. The blood pressure (BP) was observed after 5 min, doses recorded and regulated according to BP, ECG, HR, SBP, DBP, HR×SBP and tolerance dosage. Results After treatment with diltiazem and nitroglycerin the BP of all patients decreased significantly(P0.01). More adverse events like headache(8 patients), dizziness, swelling, palpitation(6 patients) developed and 3 patients could not tolerate in group B. ST-T, in ECG improved in 2 groups but there was no statistical significance. None suffered from A-VB, severe low BP and heart failure. Conclusions The intravenous diltiazem is more effective and safer to treat aged patients with hypertension crisis.

Key concepts: Diltiazem, Medicine, Blood pressure, Adverse effect, Anesthesia, Cardiology, Internal medicine, Calcium

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