Abstract

In ASCOT, an industry-sponsored randomized trial conducted at 650 general practices across northern Europe, researchers compared the effectiveness of two antihypertensive regimens in 19,257 patients (mean age, 63; 77% men) with hypertension and at least three other cardiovascular risk factors. Baseline hypertension was defined as untreated systolic BP ≥160 mm Hg or diastolic BP ≥100 mm Hg, or treated SBP ≥140 mm Hg or DBP ≥90 mm Hg. One regimen consisted of daily treatment with the calcium-channel blocker amlodipine (5–10 mg), with the ACE inhibitor perindopril …

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