Review Article

Effects of Angiotensin-Converting Enzyme Inhibitors on Arterial Stiffness: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Table 3

Subgroup analyses for cf-PWV.

GroupWMD and 95% CIP valueHeterogeneity (%)P value for heterogeneityP value for interaction test

Country
 Eastern−0.46 (−1.78 to 0.86)0.49690.10.0010.042
 Western−0.06 (−0.54 to 0.42)0.81492.5<0.001

Mean age (years)
 ≥60.00.03 (−2.17 to 2.22)0.97998.7<0.001<0.001
 <60.0−0.18 (−0.53 to 0.17)0.31269.50.002

Percentage male (%)
 ≥60.0−0.40 (−0.75 to −0.04)0.03177.5<0.001<0.001
 <60.00.45 (−1.00 to 1.89)0.54792.2<0.001

Control
 ARB0.01 (−0.31 to 0.33)0.9610.00.6420.003
 CCB−0.33 (−1.06 to 0.40)0.373
 Diuretic−0.07 (−1.15 to 1.01)0.89681.00.022
 BRB−0.18 (−0.85 to 0.48)0.58895.6<0.001

Follow-up duration
 >24−0.25 (−0.83 to 0.33)0.39987.4<0.001<0.001
 ≤24−0.10 (−0.72 to 0.53)0.76490.8<0.001

Baseline PWV
 ≥10.0−0.12 (−0.59 to 0.35)0.61582.7<0.001<0.001
 <10.0−0.15 (−0.97 to 0.67)0.71993.9<0.001

Study quality
 High−0.41 (−0.79 to −0.03)0.03284.9<0.001<0.001
 Low0.17 (−0.50 to 0.85)0.61584.7<0.001

PWV, pulse wave velocity; cf-PWV, carotid-femoral pulse wave velocity; CCB, calcium channel blocker; CI, confidence interval; ARB, angiotensin receptor blocker or inhibitor; DBP, diastolic blood pressure; WMD, weighted mean difference.