PMID- 2648967 OWN - NLM STAT- MEDLINE DCOM- 19890427 LR - 20131121 IS - 0003-3928 (Print) IS - 0003-3928 (Linking) VI - 38 IP - 1 DP - 1989 Jan TI - [Cardiac arrhythmia in moderate arterial hypertension. Epidemiologic survey of 251 cases. Effect of sotalol]. PG - 47-51 AB - 251 untreated patients with mild to moderate hypertension were included in a multicenter study aimed 1) to detect arrhythmias (24-H Holter recording) and 2) to assess the efficacy of sotalol on blood pressure and possible arrhythmias. Patients with coronary heart disease or previously documented arrhythmias were excluded. Atrial arrhythmias such as premature beats, fibrillation, flutter and paroxysmal atrial tachycardia were detected in 16% of patients. Monomorphic ventricular premature contractions (VPCs) (Lown I and II) were detected in 41% of patients and polymorphic VPCs or duplets/triplets (Lown III and IV) in 14%. A correlation seems to exist between the level of hypertensive cardiopathy, judged on electrocardiographic data (Tarazi classification), age of patients and severity of arrhythmias. Sotalol was administered during 2 months at a mean dose of 160 mg per day. The treatment was effective on blood pressure and arrhythmias (82% improvement of severe VPCs) and the drug was well tolerated. It was difficult to conclude if these good results are due to the betablocking properties or specific class II antiarrhythmic effects of sotalol or to the combined activity. FAU - Clementy, J AU - Clementy J AD - Hopital Cardiologique du Haut-Leveque, Bordeaux Pessac. FAU - Safar, M AU - Safar M FAU - Vrancea, F AU - Vrancea F LA - fre PT - Clinical Trial PT - English Abstract PT - Journal Article PT - Multicenter Study TT - Les troubles du rythme cardiaque dans l'hypertension arterielle moderee. Enquete epidemiologique sur 251 cas. Effet du sotalol. PL - France TA - Ann Cardiol Angeiol (Paris) JT - Annales de cardiologie et d'angeiologie JID - 0142167 RN - A6D97U294I (Sotalol) SB - IM MH - Adult MH - Aged MH - Arrhythmias, Cardiac/drug therapy/*etiology MH - Electrocardiography MH - Female MH - Humans MH - Hypertension/*complications/drug therapy MH - Male MH - Middle Aged MH - Multicenter Studies as Topic MH - Sotalol/*therapeutic use EDAT- 1989/01/01 00:00 MHDA- 1989/01/01 00:01 CRDT- 1989/01/01 00:00 PHST- 1989/01/01 00:00 [pubmed] PHST- 1989/01/01 00:01 [medline] PHST- 1989/01/01 00:00 [entrez] PST - ppublish SO - Ann Cardiol Angeiol (Paris). 1989 Jan;38(1):47-51.