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. 2008 Oct 8;2008(4):CD003823. doi: 10.1002/14651858.CD003823.pub2

Comparison 22. ACE Inhibitors vs Placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Change in peak SBP [1/2 Max and Higher Doses Only] 11 1154 Mean Difference (IV, Fixed, 95% CI) ‐11.53 [‐13.27, ‐9.78]
1.1 1/2 Max Dose 11 783 Mean Difference (IV, Fixed, 95% CI) ‐11.06 [‐13.11, ‐9.02]
1.2 Max Dose 3 143 Mean Difference (IV, Fixed, 95% CI) ‐11.48 [‐17.37, ‐5.60]
1.3 2 Max Dose 3 228 Mean Difference (IV, Fixed, 95% CI) ‐13.36 [‐17.40, ‐9.31]
2 Change in peak DBP [1/2 Max and Higher Doses Only] 15 1485 Mean Difference (IV, Fixed, 95% CI) ‐6.37 [‐7.15, ‐5.58]
2.1 1/2 Max Dose 15 1103 Mean Difference (IV, Fixed, 95% CI) ‐6.02 [‐6.95, ‐5.08]
2.2 Max Dose 4 157 Mean Difference (IV, Fixed, 95% CI) ‐6.49 [‐8.81, ‐4.16]
2.3 2 Max Dose 3 225 Mean Difference (IV, Fixed, 95% CI) ‐7.69 [‐9.56, ‐5.82]
3 Change in peak SBP [All Doses] 11   Mean Difference (IV, Fixed, 95% CI) Subtotals only
3.1 1/8 Max Dose 1 11 Mean Difference (IV, Fixed, 95% CI) ‐11.3 [‐30.46, 7.86]
3.2 1/4 Max Dose 6 326 Mean Difference (IV, Fixed, 95% CI) ‐6.03 [‐9.93, ‐2.13]
3.3 1/2 Max Dose 11 724 Mean Difference (IV, Fixed, 95% CI) ‐10.97 [‐13.14, ‐8.80]
3.4 Max Dose 3 136 Mean Difference (IV, Fixed, 95% CI) ‐11.43 [‐17.69, ‐5.16]
3.5 2 Max Dose 3 211 Mean Difference (IV, Fixed, 95% CI) ‐13.58 [‐18.03, ‐9.13]
4 Change in peak DBP [All Doses] 15   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.1 1/8 Max Dose 3 154 Mean Difference (IV, Fixed, 95% CI) ‐9.51 [‐12.64, ‐6.38]
4.2 1/4 Max Dose 9 451 Mean Difference (IV, Fixed, 95% CI) ‐3.69 [‐5.24, ‐2.15]
4.3 1/2 Max Dose 15 981 Mean Difference (IV, Fixed, 95% CI) ‐5.98 [‐7.02, ‐4.94]
4.4 Max Dose 4 157 Mean Difference (IV, Fixed, 95% CI) ‐6.49 [‐8.81, ‐4.16]
4.5 2 Max Dose 3 212 Mean Difference (IV, Fixed, 95% CI) ‐7.78 [‐9.74, ‐5.83]
5 Change in trough heart rate 16   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.1 1/8 Max Dose 1 114 Mean Difference (IV, Fixed, 95% CI) ‐3.0 [‐6.62, 0.62]
5.2 1/4 Max Dose 10 587 Mean Difference (IV, Fixed, 95% CI) ‐0.47 [‐1.76, 0.81]
5.3 1/2 Max Dose 9 917 Mean Difference (IV, Fixed, 95% CI) ‐0.71 [‐1.99, 0.57]
5.4 Max Dose 2 89 Mean Difference (IV, Fixed, 95% CI) 1.31 [‐2.15, 4.76]
6 Total withdrawals due to adverse effects 56   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 1/16 Max Dose 4 282 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.39, 2.57]
6.2 1/8 Max Dose 9 842 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.42, 1.82]
6.3 1/4 Max Dose 32 3385 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.42, 1.00]
6.4 1/2 Max Dose 38 3568 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.55, 1.19]
6.5 Max Dose 8 840 Risk Ratio (M‐H, Fixed, 95% CI) 1.15 [0.56, 2.35]
6.6 2 Max Dose 5 567 Risk Ratio (M‐H, Fixed, 95% CI) 1.51 [0.68, 3.34]