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Symposium lectures on-line
20 February, 2009
Most of the lectures of the Symposium were published on-line. You can find the video presentations at the top of each lecture abstract. We hope to complete the whole on-line program in the near feature.
Pictures of Semmelweis Symposium 2008
1 January, 2009
You can find the pictures of all the three days of Semmelweis Symposium 2008 here.
Lecture of Prof. Sándor Kovács
31 December, 2008
You can find the whole video-presentation of Prof. Sándor Kovács at " Lectures" on the following page.
Summary
30 November, 2008
More than 500 participants from 20 countries attended Semmelweis Symposium 2008. You can find a detailed summary of the event here. A summary of press echo in the Hungarian media you can find here.
Poster abstracts
27 November, 2008
You can find the poster abstracts of Semmelweis Symposium 2008 here.
Scientific Program - printable version
23 November, 2008
You can download the printable version of the Scientific Program here.
Cardiovascular pharmacogenomics course
22 November, 2008
According to the program of Semmelweis Symposium, Peter Pokreisz (Katholieke Universiteit Leuven, Belgium) will give a lecture (in Hungarian) on cGMP regulatory mechanisms in cardiology at 18:00 Wednesday, 26 November.
Abstract submission period extended
14 November 2008
The deadline for abstract submission was extended until 18 November 2008. More detailes on the Abstract submission form.
On-line registration
4 November. 2008
Participation in the program of Semmelweis Symposium 2008 is free. However, completion the on-line registration form is required to attend the Symposium.
Abstract submission for poster presentation
3 November, 2008
Abstracts for poster presentation are welcome to the Semmelweis Symposium. Deadline for abstract submission is 15 November. More detailes on the Abstract Submission Form.
PhD course registration
2 November, 2008
Semmelweis Symposium 2008 was accredited by the School of Doctoral Studies of Semmelweis University. Students attending all the three days of the Symposium will get 2 PhD credits.
OFTEX registration
2 November, 2008
Semmelweis Symposium 2008 was registred to the OFTEX system. Colleagues attending all the three days of the Symposium will get 20 OFTEX credits. For detailed information look for SE-TK/2008-07/00383 at www.oftex.hu .
Final program
30 October, 2008
The final program of the Symposium has been completed. For detailes visit to the Scientific Program pages.
Current trends in Cardiology
18 August. 2008
This year cardiology is in the focus of Semmelweis Symposium. The members of the Heart Center take the opportunity to kindly invite you to this event.
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Efficacy of indapamide therapy for isolated systolic hypertension: a meta-analysis
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Viktor Nagy (1), István Pregun (1), Valentin Brodszky (2), Krisztián
Kárpáti (2), László Gulácsi (2), Zsolt Tulassay (1)
- II. Department of Internal
Medicine (1)
Corvinus
University of Budapest, Unit of Health Economics and Health Technology
Assessment, Budapest (2)
Objective: Tight blood pressure (BP) control
is required to reduce cardiovascular morbidity and mortality. To reach the
target BP can be problematical in isolated systolic hypertension (ISH) in
case of the coronary heart disease patients because of the danger of the
excessive diastolic (D) BP reduction. The efficacy of indapamide in ISH was
investigated in several meta-analyses, but there is no analysis which
includes all of the indapamide-studies. We have searched for all relevant
randomized-controlled-trials in connection with indapamide. We conducted a
meta-analysis of these trials from the point of view of the ISH and the
aspect of lower start BP.
Design and methods: We have studied each of
the randomised controlled indapamide trials (1995-2006) featured in MEDLINE
database. We involved only double-blind parallel studies. Both the fixed
effect model and the random effect model were used for data synthesis and
results were probed with Mantel-Hanzel test as well as inverse variance test.
Results: The data were combined from 9 trials
that included 10108 patients. From the 9 trials 4377 patients had indapamide
therapy. The average BP reduction effect of indapamide was 15.68 mmHg on
systolic (S) BP and 8.85 mmHg on DBP. Data from 5 trials, included 2856
patients, was shown, that indapamide is superior to active controls in
reducing SBP. The difference in SBP was 1.30 mmHg (95% CI: 0.28, 2.31). The
difference in DBP was not significant (-0.16 mmHg, 95% CI: -0.80, 0,48).
Pearson correlation (0.718) has close connection between start SBP and
blood-pressure reduction, that showed a significant correlation (p=0.029). It
can not be stated in aspect of DBP, it has low connection, the Pearson
correlation = 0,202, and not significant (p=0,603).
The involvement of ISH took place in 2
trials; the effect of indapamide was compared to amlodipine. There was no
difference in the reduction of SBP (0.23 mmHg, 95% CI: -3.62, 4.09), but the
DBP was reduced by indapamide significantly less (-3.12 mmHg, 95% CI: -5.32,
-0.92). The pulse pressure reduction was: indapamide 9.3 mmHg, amlodipine 7.3
mmHg, candesartan: 7.6 mmHg, placebo: 2.7 mmHg. Compare to the placebo only
the indapamide reduced significantly the pulse pressure (6.6 mmHg, 95% CI:
1,7-11.5 mmHg).
Conclusions: The blood pressure reducing
effect of indapamide depends on the start value of blood pressure. Indapamide
is effective in the treatment of ISH in case of the elderly, especially
ischemic heart disease patient.
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