Antihypertensive Efficacy of Treatment Regimens Used in Veterans Administration Hypertension Clinics

Autor:	Horney A, Gale H. Rutan, Bingham S, Carmody S, Horace M. Perry, Sambhi M, Joseph Collins
Rok vydání:	1998
Předmět:	medicine.medical_specialty Chemotherapy business.industry medicine.medical_treatment medicine.disease Surgery Efficacy Regimen Blood pressure Internal medicine Diabetes mellitus Cohort Internal Medicine medicine Diuretic business Stroke Belt
Zdroj:	Hypertension. 31:771-779
ISSN:	1524-4563 0194-911X
DOI:	10.1161/01.hyp.31.3.771
Popis:	Abstract —There is continuing uncertainty about whether morbidity and mortality of treated hypertensive patients depends on the drug(s) used to treat or only on the level of blood pressure achieved. This study was undertaken in a sample of special Veterans Administration hypertension clinics to determine which antihypertensive drugs were selected by the involved healthcare providers and how effective they were in achieving normotension. Hypertensive veterans (n=6100) were followed in six VA Hypertension Screening and Treatment Program clinics for 46 months beginning in May 1989. Their average age was 60.7 years; 53% lived in the Stroke Belt; 46% had target organ damage, 36% were black, 23% smoked, and 10% had diabetes mellitus. Antihypertensive regimens were divided into 12 all-inclusive categories. Blood pressures were averaged at the last study visit for all patients on a regimen. The regimens of diuretic or diuretic plus β-blocker gave the lowest average pressures (140.6/82.3 mm Hg) and calcium antagonist the highest (149.0/86.5 mm Hg). ANOVA indicated that differences between seven common regimens and also between the four single drug regimens were highly significant ( P
Databáze:	OpenAIRE
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