Review Article

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

Table 5

Subgroup analyses for DBP.

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

Country
 Eastern1.18 (−3.54 to 5.90)0.62482.70.0010.910
 Western1.19 (−0.33 to 2.71)0.12578.0<0.001

Mean age (years)
 ≥60.02.70 (−1.98 to 7.39)0.25891.4<0.0010.004
 <60.00.24 (−1.21 to 1.69)0.74446.10.054

Percentage male (%)
 ≥60.01.69 (−0.80 to 4.19)0.18476.7<0.0010.162
 <60.0−0.00 (−2.96 to 2.95)0.99881.80.001

Control
 ARB0.25 (−2.15 to 2.65)0.83926.80.2430.026
 CCB−1.74 (−3.38 to -0.10)0.0380.00.685
 Diuretic1.50 (−7.58 to 10.58)0.74670.90.001
 BRB2.57 (0.39 to 4.74)0.02186.4<0.001

Follow-up duration
 >24−0.20 (−0.42 to 0.02)0.0740.00.870<0.001
 ≤241.89 (-0.34 to 4.12)0.09677.7<0.001

Baseline PWV
 ≥10.0−0.58 (−1.55 to 0.40)0.24934.20.155<0.001
 <10.03.30 (1.10 to 5.50)0.00362.90.013

Study quality
 High1.51 (−0.53 to 3.55)0.14676.2<0.0010.020
 Low0.75 (−1.60 to 3.11)0.53078.2<0.001

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