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Evaluation of ambulatory blood pressure and Carotid intima-media thickness and left ventricular remodeling of Tianma Gouteng decoction in patients with essential hypertension
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DOI   10.11656/j.issn.1673-9043.2015.04.06
Key Words   essential hypertension;Carotid intima-media thickness;left ventricular remodeling;Tianma Gouteng decoction
Author NameAffiliation
GUAN Wei Department of Cardiology, Fourth Central Hospital of Tianjin, Tianjin 300140, China 
LIN Zhan-zeng Department of Cardiology, Fourth Central Hospital of Tianjin, Tianjin 300140, China 
Abstract
    [Objective] To research the effect of ambulatory blood pressure and Carotid intima-media thickness and left ventricular remodeling of Tianma Gouteng decoction. [Methods] The study is to divide 60 patients into test group and control group randomly, who were treated with Tianma Gouteng decoction and Benazepril hydrochloride respectively for 6 months. Measure changes of 24 h tendence blood pressure, BP smooth index,intima media thickness(IMT). [Results] After 6 month's therapy, changes of 24 h tendencies blood pressure, either average systolic pressure (SBP) or diastolic pressure (DBP) (P<0.05) of days or nights, significantly decreased, especially in days P<0.05) with nights(P<0.001). Of smooth index, both of them got high results by SBP and DBP but no significant different. But intima media thickness(IMT) results show significant differency by Tianma Gouteng decoction group(P<0.05 or P<0.001).LVMI results show significantly decreased with the two groups. [Conclusion] This study show that Tianma Gouteng decoction have same efficacy in lowering the 24 h blood pressure, compared with Benazepril hydrochloride, even superior to Benazepril hydrochloride in day BP control and reverse Carotid IMT and left ventricular remodeling.

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