ANTIHYPERTENSIVE AND ADRENOCORTICAL EFFECT OF LONG-TERM BENAZEPRIL TREATMENT OF ESSENTIAL-HYPERTENSION

Changes in arterial hypertension, heart rate adrenocortical hormones (11-OCS, aldosteron, progestins) in the blood and 24-h urine were followed tip in the course of 24-week use of angiotensin-converting enzyme inhibitor benazepril (10-20 mg once a day) in 24 patients with mild and moderate essential hypertension (EH) included in a placebo-controlled randomized study. A 2 and 24-week antihypertensive response was achieved in 75 and 71% of patients, respectively. 24-h urinary excretion of corticosteroids before the treatment was increased. After the treatment benazepril reduced excretion of 11-OCS by 42%, but not of aldosteron the levels of which decreased only within the first 2 weeks of treatment. The above trends in changes of gluco- and mineralocorticoid activity should be taken into consideration in long-term treatment of EH with inhibitors of angiotensin-converting enzyme.