Review Article

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

Table 4

Subgroup analyses for SBP.

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

Country
 Eastern−0.05 (−5.50 to 5.40)0.98588.7<0.001<0.001
 Western0.98 (−3.47 to 5.42)0.66794.6<0.001

Mean age (years)
 ≥60.01.03 (−3.71 to 5.76)0.67192.1<0.001<0.001
 <60.00.09 (−4.72 to 4.89)0.97290.6<0.001

Percentage male (%)
 ≥60.01.19 (−5.17 to 7.56)0.71396.6<0.001<0.001
 <60.0−0.55 (−3.16 to 2.06)0.67854.20.088

Control
 ARB−0.09 (−4.90 to 4.73)0.97266.20.019<0.001
 CCB−1.57 (−5.61 to 2.47)0.44652.10.149
 Diuretic5.81 (−10.01 to 21.62)0.47292.8<0.001
 BRB0.41 (−5.98 to 6.80)0.90097.6<0.001

Follow-up duration
 >24−4.43 (−8.61 to −0.25)0.03885.0<0.001<0.001
 ≤242.25 (−0.90 to 5.40)0.16282.7<0.001

Baseline PWV
 ≥10.0−2.75 (−6.19 to 0.70)0.11888.<0.001<0.001
 <10.03.67 (0.11 to 7.23)0.04379.2<0.001

Study quality
 High−0.14 (−6.27 to 6.00)0.96596.9<0.001<0.001
 Low1.24 (−2.06 to 4.54)0.46175.4<0.001

ARB, angiotensin receptor blocker or inhibitor; CCB, calcium channel blocker; CI, confidence interval; PWV, pulse wave velocity; SBP, systolic blood pressure; WMD, weighted mean difference.