Hypertension trials: 1990 to 2000

Norman M Kaplan

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

A large number of randomized controlled trials have been published over the past decade. The earlier ones established the benefits of low-dose diuretic-based therapy. The more recent ones have documented the equal overall effectiveness of therapy based on an angiotensin-converting enzyme inhibitor or a calcium antagonist. The comparative data do not clearly define a single superior drug for most hypertensive patients, so the initial choice should be individualized, on the basis of the concomitant conditions. For the rapidly increasing population of diabetic hypertensive patients, similar conclusions are obvious, with the caveat that an angiotensin-converting enzyme inhibitor should usually be the initial choice, with diuretics and calcium antagonists usually needed to accomplish adequate control. There are no concerns about the use of calcium antagonists in diabetic patients.

Original languageEnglish (US)
Pages (from-to)501-505
Number of pages5
JournalCurrent opinion in nephrology and hypertension
Volume10
Issue number4
DOIs
StatePublished - Jul 31 2001

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ASJC Scopus subject areas

  • Internal Medicine
  • Nephrology

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