H. Kiesewetter et al., EFFECTS OF FELODIPINE ON THE ARTERIAL BLOOD-PRESSURE AND FLUIDITY OF BLOOD IN PATIENTS WITH ARTERIAL-HYPERTENSION WHO STAGE-I, Clinical hemorheology, 14(3), 1994, pp. 355-367
The aim of this investigation was to examine the effect of felodipine
on the blood pressure and on the rheological properties of patients wh
o suffer from arterial hypertension without secondary organic changes
(WHO stage I) and had not undergone antihypertensive treatment up to t
hat time. 104 patients were included in this randomised, placebo-contr
olled double-blind study. Felodipine significantly decreased the confi
rmatory parameters, the systolic and diastolic blood pressures, by 10%
from 154 to 140 mmHg and from 94 to 85 mmHg respectively (p<0.001). A
significant difference between felodipine and placebo was found for t
he exploratory parameters except for the haematocrit. Felodipine decre
ased the plasma viscosity by 7% (p<0.001), the erythrocyte aggregation
by t2% (p<0.01), the spontaneous thrombocyte aggregation by 40% (p<0.
001) and leukocyte adhesiveness by 24% (p<0.01). These parameters rema
ined unchanged by placebo. One of the patients in the felodipine group
complained of kidney pain and headache and discontinued the treatment
. Another patient in the Felodipine group and two of the patients in t
he placebo group dropped out because of lack of compliance. Five patie
nts in the felodipine group and 4 patients in the placebo group compla
ined of adverse drug reactions such as headache, ankle edema, tirednes
s, kidney pain, gastrointestinal complaints and one had an attack of g
out.