HYPERTENSION MANAGEMENT AND STROKE PREVENTION ...

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38 ALLHAT vs. ANBP-2 • Randomized double-blind vs. PROBE design • ACEI vs. thiazide-type diuretic, n = 24,309 vs. 6,083 • Number of patients with events – CVD: n = 6,455 vs. 823 – CHD: n = 3,956 vs. 368 – Stroke: n = 1,132 vs. 219 – Heart failure: n = 1,482 vs. 147 • Treatment differences consistent across gender subgroup vs. differences noted only in men • SBP slightly lower with diuretic in both trials
39 DOES ALLHAT TRUMP HOPE? • Different populations-ALLHAT, HBP, HOPE, not. • ACE-I used to control BP in ALLHAT • Different ACE-I used: lack proof of Class Effect ALLHAT does not trump HOPE
Page 1 and 2: HYPERTENSION MANAGEMENT AND STROKE
Page 3 and 4: 3 Hypertension Treatment by Drug Cl
Page 5 and 6: 5 ALLHAT Antihypertensive Trial Des
Page 7 and 8: 7 ALLHAT Pre-Specified Outcomes All
Page 9 and 10: 9 ALLHAT Inclusion Criteria for Ant
Page 11 and 12: 11 ALLHAT ALLHAT Inclusion Criteria
Page 13 and 14: 13 ALLHAT High-risk hypertensive pa
Page 15 and 16: 15 ALLHAT Step 2 Agents: Reserpine
Page 17 and 18: 17 Cumulative Event Rate 0.30 0.25
Page 19 and 20: 19 ALLHAT 100.0 80.0 60.0 % 40.0 20
Page 21 and 22: 21 ALLHAT mm Hg BP 150 145 140 135
Page 23 and 24: 23 Percent ALLHAT 80 60 40 20 0 59
Page 25 and 26: 25 ALLHAT Cumulative Stroke Rate .1
Page 27 and 28: 27 ALLHAT Cumulative Mortality Rate
Page 29 and 30: 29 ALLHAT Total 1.04 (0.99, 1.09) A
Page 31 and 32: 31 ALLHAT Total 1.38 (1.25, 1.52) A
Page 33 and 34: 33 ALLHAT AHT: TOTAL CHD AND ALL CA
Page 35 and 36: 35 ALLHAT Antihypertensive Trial: I
Page 40 and 41: Primary Adjudicated Events - Ramipr
Page 42 and 43: DOES OBSERVED BP REDUCTION ACCOUNT
Page 44 and 45: Quartiles ≤124 125-139 140-150 15
Page 46 and 47: SUBGROUP RESULTS BY OTHER DRUG THER
Page 48 and 49: 48 Blood Pressure Classification BP
Page 50 and 51: 50 New Features and Key Messages
Page 52 and 53: 52 New Features and Key Messages (C
Page 54 and 55: 54 Algorithm for Treatment of Stage

HYPERTENSION MANAGEMENT AND STROKE PREVENTION ...

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