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Effects of spironolactone on serum and muscle electrolytes in patients on long-term diuretic therapy for congestive heart failure and/or arterial hypertension.

T Dyckner, P O Wester, L Widman
RCT European journal of clinical pharmacology 1986 22 sitasi
PubMed DOI
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Study Design

Jenis Studi
Randomized Controlled Trial
Ukuran Sampel
48
Populasi
hypertensive patients
Durasi
26.0 weeks
Intervensi
Effects of spironolactone on serum and muscle electrolytes in patients on long-term diuretic therapy for congestive heart failure and/or arterial hypertension. 100 mg/d
Pembanding
control group
Luaran Utama
blood pressure
Arah Efek
Mixed
Risiko Bias
Moderate

Abstract

The effect of adding spironolactone (Aldactone) on muscle electrolytes was studied in 48 patients with arterial hypertension and/or congestive heart failure who had received conventional diuretic treatment, including a potassium supplement, for more than 1 year. After 6 months on spironolactone 100 mg/day as well as the original conventional diuretic therapy, there was a significant increase in both skeletal muscle potassium and magnesium. At the same time these parameters decreased in the control group. In the spironolactone group there was also a significant increase in the mean serum potassium and creatinine levels. There was a significant fall in blood pressure in the spironolactone-treated group.

TL;DR

After 6 months on spironolactone 100 mg/day as well as the original conventional diuretic therapy, there was a significant increase in both skeletal muscle potassium and magnesium and these parameters decreased in the control group.

Used In Evidence Reviews

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