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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 trích dẫn
PubMed DOI
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Study Design

Loại nghiên cứu
Randomized Controlled Trial
Cỡ mẫu
48
Đối tượng nghiên cứu
hypertensive patients
Thời gian
26.0 weeks
Can thiệp
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
Đối chứng
control group
Kết quả chính
blood pressure
Xu hướng hiệu quả
Mixed
Nguy cơ sai lệch
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.

Tóm lược

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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