LIFE: losartan versus atenolol

As indicated in table 4 of the orginal LIFE report,2 of the enrolled population of 586 individuals initiated on losartan, only 54 (9%) ended the study still on monotherapy, and of the 609 patients initiated on atenolol, only 39 (6%) ended on monotherapy; by the end of the study most patients were on...

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Veröffentlicht in:The Lancet (British edition) 2003-10, Vol.362 (9393), p.1416-1416
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description As indicated in table 4 of the orginal LIFE report,2 of the enrolled population of 586 individuals initiated on losartan, only 54 (9%) ended the study still on monotherapy, and of the 609 patients initiated on atenolol, only 39 (6%) ended on monotherapy; by the end of the study most patients were on combination therapy (373 [64%] in the losartan group and 376 [62%] in the atenolol group). To conclude that losartan is better than atenolol in reducing sudden cardiac death, when there arc so few patients who were actually enrolled in a direct comparison of losartan with atenolol, is misleading. More correct, would be to conclude that the LIFE study implies that patients on a combination antihypertensive therapy, including losartan, do better than those on a combination, including atenolol.
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To conclude that losartan is better than atenolol in reducing sudden cardiac death, when there arc so few patients who were actually enrolled in a direct comparison of losartan with atenolol, is misleading. 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subjects Antihypertensive Agents - therapeutic use
Atenolol - therapeutic use
Comorbidity
Death, Sudden, Cardiac - prevention & control
Diabetes
Diabetes Mellitus - epidemiology
Drug therapy
Drug Therapy, Combination
Heart failure
Humans
Hydrochlorothiazide - therapeutic use
Hypertension - drug therapy
Hypertension - epidemiology
Hypertrophy, Left Ventricular - epidemiology
Losartan - therapeutic use
Patients
Randomized Controlled Trials as Topic
Treatment Outcome
title LIFE: losartan versus atenolol
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