TrialMean age (years)Median follow-up (years)Initial blood pressure (mm Hg)Blood pressure after treatment (mm Hg)RegimensOutcomes
STOP-214 (1999)765194/98∼158/80 in both groupsBeta blocker or thiazide (older drugs) vs. ACE inhibitor or calcium channel blocker (newer drugs)Regimens did not differ in rates of stroke, cardiovascular events, or mortality.
ACE inhibitor better than calcium channel blocker for myocardial infarction (NNT = 26) and congestive heart failure (NNT = 28).
LIFE15 (2002)704174/98∼145/81 in both groupsARB (losartan) vs. beta blocker (atenolol)ARB better than beta blocker for stroke (NNT = 50) and combined end point of cardiovascular mortality, stroke, and myocardial infarction (NNT = 50).
Regimens did not differ in rates of total mortality.
ALLHAT13 (2002)675146/84∼134/85 in all groupsThiazide (chlorthalidone) vs. ACE inhibitor (lisinopril) vs. calcium channel blocker (amlodipine)Regimens did not differ in combined end point of fatal coronary heart disease or nonfatal myocardial infarction.
Thiazide better than calcium channel blocker for congestive heart failure (NNT = 40) and angina (NNT = 67).
Thiazide better than ACE inhibitor for stroke (NNT = 111), cardiovascular disease (NNT = 77), congestive heart failure (NNT = 100), or revascularization (NNT = 100).
Regimens did not differ in rates of total mortality.
INVEST16 (2003)662150/87∼131/77 in both groupsCalcium channel blocker (verapamil) plus ACE inhibitor (trandolapril) vs. beta blocker (atenolol) plus thiazide (hydrochlorothiazide)Regimens did not differ in rates of cardiovascular outcomes or total mortality.
ANBP217 (2003)724168/91∼142/79 in both groupsACE inhibitor (enalapril) vs. thiazide (hydrochlorothiazide)ACE inhibitor better than thiazide for primary end point of all cardiovascular events or total mortality (NNT = 72) and for myocardial infarction (NNT = 125).
Regimens did not differ in rates of total mortality.