Choice of treatment: outcomes and treatment goals

Rather, physicians were limited to ?-blockers, reserpine, and clonidine; imperfect add-on choices for at least some of the treatments, where a diuretic would be far more usual and probably preferable. [...]although there is a well-established, essentially additive effect on blood pressure produced b...

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Veröffentlicht in:The American heart journal 2003-10, Vol.146 (4), p.565-567
1. Verfasser: Temple, Robert J.
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creator Temple, Robert J.
description Rather, physicians were limited to ?-blockers, reserpine, and clonidine; imperfect add-on choices for at least some of the treatments, where a diuretic would be far more usual and probably preferable. [...]although there is a well-established, essentially additive effect on blood pressure produced by angiotensin-converting enzyme inhibitors (ACEIs) and diuretics, although all outcome studies of ACEIs in heart failure used those drugs in addition to diuretics, and although that combination (unlike ACEIs alone) has a similar effect on blood pressure in both black and nonblack patients, such a combination could not, for the most part, be used in ALLHAT. [...]despite the constrained follow-on therapy, there was no difference between chlorthalidone, amlodipine, and lisinopril for the primary study outcome (total coronary heart disease or nonfatal myocardial infarction), all-cause mortality, or combined coronary heart disease.
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source Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE; ProQuest Central UK/Ireland
subjects Angiotensin Receptor Antagonists
Antihypertensive Agents - administration & dosage
Antihypertensive Agents - therapeutic use
Benzimidazoles - administration & dosage
Benzimidazoles - therapeutic use
Blood pressure
Blood Pressure - drug effects
Cardiovascular disease
Clinical Trials as Topic
Drug Approval
Drug therapy
Heart attacks
Losartan - administration & dosage
Losartan - therapeutic use
Tetrazoles - administration & dosage
Tetrazoles - therapeutic use
United States
United States Food and Drug Administration
title Choice of treatment: outcomes and treatment goals
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