Tuncer, MustafaGunes, YilmazGuntekin, UnalGumrukcuoglu, Hasan AliEryonucu, Beyhan2025-05-102025-05-1020080741-238X10.1007/s12325-008-0012-32-s2.0-58749099621https://doi.org/10.1007/s12325-008-0012-3https://hdl.handle.net/20.500.14720/11846Gunes, Yilmaz/0000-0003-3817-851X; Gumrukcuoglu, Hasan Ali/0000-0002-5972-9870Introduction: P-wave dispersion ( PWD) has been shown to be a non-invasive electrocardiographic predictor for development of atrial fibrillation ( AF). Thus, it may be possible to decrease AF risk through improvement in PWD. Our objective was to compare the effects of cilazapril and atenolol on P-wave duration and dispersion in patients with hypertension. Methods: A total of 38 newly diagnosed hypertensive patients were enrolled in the study. The patients were randomly assigned to receive treatment with either cilazapril ( 5 mg) or atenolol ( 50 mg). Doppler echocardiographic examination, P-wave durations and PWD were measured before and 1 mo after treatment Results: Both drugs reduced blood pressure significantly ( P< 0.001). Post-treatment heart rate was significantly lower in the atenolol group ( P= 0.01). The change in maximum P-wave duration was not significant. However, both agents decreased PWD ( P= 0.001 and P< 0.001) and increased the minimum P-wave duration ( P= 0.004 and P= 0.02). Conclusion: Both cilazapril and atenolol treatments resulted in improvement in PWD.eninfo:eu-repo/semantics/closedAccessAtenololCilazaprilP-Wave DispersionArticle