Administration of losartan improves aortic arterial stiffness and reduces the occurrence of acute coronary syndrome in aged patients with essential hypertension.

BACKGROUNDS AND AIMS: Increased arterial stiffness may increase cardiovascular morbidity and mortality. Angiotensin II type 1 receptor blocker losartan is potentially useful in controlling the central blood pressure and arterial stiffness in mild to moderate essential hypertension, while the effects of losartan in aged patients with essential hypertension are not entirely investigated. METHODS: The carotid-femoral arterial pulse wave velocity (PWV) was measured in aged patients with essential hypertension. RESULTS: In a cross-sectional study, PWV value was significantly higher in these old patients with essential hypertension, compared with patients without essential hypertension. Logistic regression analysis indicated that age, hypertension duration, and losartan treatment are risk factors of arterial stiffness. In a perspective study, long-term administration of losartan (50 mg/d) remarkably reduced PWV in aged patients with essential hypertension. In a longitudinal study, PWV is an independent predictor of the occurrence of acute coronary syndrome (ACS) in elderly patients with essential hypertension by using multivariate analysis. Further, the ACS occurrence was reduced by long-term administration of losartan in aged patients with essential hypertension, compared with the old hypertensive patients without taking losartan. CONCLUSION: Losartan treatment is a negative risk factor of arterial stiffness and reduces the risk of ACS in aged patients with essential hypertension.

Performance of a constructed wetland-pond system for treatment and reuse of wastewater from campus buildings.

A constructed wetland-pond system consisting of two free-water-surface-flow (FWS) wetland cells, a scenic pond, and a slag filter in series was used for reclamation of septic tank effluent from a campus building. The results show that FWS wetlands effectively removed major pollutants under a hydraulic loading rate between 2.1 and 4.2 cm/d, with average efficiencies ranging from 74 to 78% for total suspended solids, 73 to 88% for 5-day biochemical oxygen demand, 42 to 49% for total nitrogen, 34 to 70% for total phosphorous, 64 to 79% for total coliforms, and 90 to 99.9% for Escherichia coli. After passing through the scenic pond and slag filter, the reclaimed water was used for landscape irrigation. There were a variety of ornamental plants and aquatic animals established in the second FWS cell and scenic pond with good water quality, thus enhancing landscape and ecology amenity in campuses.