Evaluation of the antihypertensive effect of celiprolol by ambulatory blood pressure monitoring

Gianfranco Parati, Guido Pomidossi, Roberto Casadei, Silvia Trazzi, Antonella Ravogli, Alberto Zanchetti, Giuseppe Mancia

Research output: Contribution to journalArticlepeer-review

Abstract

The use of ambulatory blood pressure monitoring has gained popularity because it is not subject to those limitations associated with traditional sphygmomanometry (inaccuracy of blood pressure readings, low number of readings, and failure to represent daytime blood pressure readings). In the present study, we provide evidence that the 24-hour mean blood pressure obtained through intraarterial blood pressure measurements in ambulatory patients provides a more accurate diagnosis (and perhaps a prognosis) of hypertension than that provided by cuff-obtained casual blood pressure measurement. Furthermore, despite a reduction in the amount and in the accuracy of the information obtained, blood pressure data provided by noninvasive blood pressure monitoring are also more accurate diagnostically than cuff-obtained casual blood pressure measurements. In 15 essential hypertensive patients in whom celiprolol, 400 mg once daily, was compared with placebo in a randomized double-blind crossover study, the use of noninvasive 24-hour automatic blood pressure monitoring showed that in responsive patients, celiprolol induced a sustained reduction in systolic and diastolic blood pressure throughout the 24 hours. The blood pressure reduction was also apparent during the night, despite the concomitant occurrence of a slight tachycardia. These findings demonstrate that once-daily administration of celiprolol provides an effective lowering of the 24-hour blood pressure profile. This dosing schedule can therefore be regarded as appropriate for antihypertensive therapy.

Original languageEnglish
JournalThe American Journal of Cardiology
Volume61
Issue number5
DOIs
Publication statusPublished - Feb 10 1988

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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