Control of Edema in Hypertensive Subjects Treated With Calcium Antagonist (Nifedipine) or Angiotensin-Converting Enzyme Inhibitors With Pycnogenol

Author:

Belcaro Gianni1,Cesarone Maria Rosaria2,Ricci Andrea2,Cornelli Umberto2,Rodhewald Peter2,Ledda Andrea2,Di Renzo Andrea2,Stuard Stefano2,Cacchio Marisa2,Vinciguerra Giulia2,Gizzi Giuseppe2,Pellegrini Luciano2,Dugall Mark2,Fano Filiberto2

Affiliation:

1. Department of Biomedical Sciences, Irvine2 Vasc Lab, Microcirculation Lab and Physiology, G D’annunzio University, Pescara-Chieti San Valentino Vascular Screening Project,

2. Department of Biomedical Sciences, Irvine2 Vasc Lab, Microcirculation Lab and Physiology, G D’annunzio University, Pescara-Chieti San Valentino Vascular Screening Project

Abstract

The presence of edema in different phases and stages of essential hypertension may be due to antihypertensive treatment. Some drugs may cause edema by inducing vasodilatation, increasing the capillary exchange surface and capillary filtration. Pycnogenol has an important anti-edema effect in diabetic microangiopathy and chronic venous insufficiency. This 8-week study evaluated capillary filtration in 2 comparable treatment groups with hypertension treated with a calcium antagonist (nifedipine) or angiotensin-converting enzyme inhibitor to define its efficacy in preventing edema caused by antihypertensives. A significant decrease in filtration was observed in the Pycnogenol groups. Pycnogenol controls this type of edema, it helps to prevent and limit long-term damage in the microcirculation in hypertensive patients, and allows the dose of anti-hypertensive drugs to be reduced in most patients.

Publisher

SAGE Publications

Subject

Hematology,General Medicine

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