The L/N-type calcium channel blocker, cilnidipine, reduces heart rate and albuminuria in patients with type 2

M. Tanaka

研究成果: Article査読

11 被引用数 (Scopus)

抄録

This study was designed to investigate whether the LJN-type calcium channel blocker, cilnidipine, had a renoprotective effect compared with other calcium channel blockers. Twenty-five hypertensive patients with concomitant type 2 diabetes who had a urinary albumin-creatinine ratio (ACR) of 10-300 mg albuminJg creatinine and who had been treated with oral calcium channel blockers other than cilnidipine for more than 3 months were included. Patients' medication was changed to cilnidipine 10 mgJday or 20 mgJday without a washout period. Blood pressure and renal function were measured before and at 3 months after the new treatment. Heart rate was also determined as a marker for sympathetic nervous activity. After substitution of cilnidipine, blood pressure did not change significantly, but heart rate decreased significantly from 73.9 ±7.1 beatsJmin to 72.0 ± 8.4 beatsJmin, and the log-transformed urinary ACR decreased to 82.9 ± 49.4% of baseline values. The changes in urinary ACR and heart rate showed a significant positive correlation. Thus, there was a strong indication that cilnidipine may exert its renoprotective effect by inhibiting sympathetic nervous activity.

本文言語English
ページ(範囲)602-610
ページ数9
ジャーナルJournal of International Medical Research
38
2
DOI
出版ステータスPublished - 2010

ASJC Scopus subject areas

  • Biochemistry
  • Cell Biology
  • Biochemistry, medical

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