Weir MR, Saunders E
Racial similarity in response to the angiotensin converting enzyme inhibitor trandolapril
11th Scientific Meeting, American Society of Hypertension
Am J Hypert (Apr) 9:174A 1996

Blacks have been found to have reduced responses to certain blood pressure lowering agents compared with whites (Moser M, J Natl Med Assoc 87 Supple 8: 612, 1995). This effect has been noted for beta-blockers and ACE inhibitors, particularly for older populations. The angiotensin II receptor blocker losartan is also slightly less effective in blacks compared with whites (Goldberg A, Sweet C, Can J Cardiol 11 Suppl F:27F, 1995). This differential response is not seen when small doses of diuretics are added to the regimen.

In this study hypertensives were treated with the ACE inhibitor trandolapril for 6 weeks. There was no difference in response in 505 non-black subjects compared with 322 black subjects. Therefore, at least for this ACE inhibitor there are no important racial differences in responsiveness. (Mark S. Paller, M.D., University of Minnesota, Minneapolis)

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11th Scientific Meeting, American Society of Hypertension
H: Drug therapy : ACE inhibitors
H: Special problems : Ethnic populations