Table II.
Antihypertensive Therapy and Blood Pressure During Follow‐Up (SBP/DBP)
| Blood Pressure Goal Intervention | Drug Intervention | ||||
|---|---|---|---|---|---|
| Lower | Usual | Ramipril | Amlodipine | Metoprolol | |
| MAP, mean (SE), mm Hg† | 95(8) | 104 (7) | 100 (9) | 99 (8) | 100 (9) |
| SBP, mean (SE), mm Hg† | 128 (12) | 141 (12) | 135 (14) | 133 (12) | 135 (13) |
| DBP, mean (SE), mm Hg† | 78 (8) | 85 (7) | 82 (9) | 81 (8) | 81 (9) |
| Visits with MAP in goal, %† | 51.6 | 39.2 | 44.1 | 48.9 | 44.7 |
| Visits with MAP of <107 mm Hg† | 81.3 | 64.3 | 71.5 | 76.5 | 72.0 |
| Visits with SBP/DBP of <140/90, %† | 68.6 | 35.5 | 51.2 | 54.9 | 50.8 |
| Visits with SBP/DBP of <125/75, %† | 24.7 | 6.2 | 16.2 | 14.4 | 14.9 |
| Visits with assigned primary drug, %‡ | 81.7 | 80.1 | 76.8 | 83.4 | 83.6 |
| Visits with high dose, %‡ | 62.8 | 45.0 | 53.5 | 54.6 | 53.6 |
| Visits with crossover to one of other two classes, %‡ | 9.3 | 8.1 | 10.9 | 6.4 | 7.6 |
| Total no. of drug classes, mean (SE)‡ | 3.04 (1.14) | 2.39 (1.18) | 2.66 (1.23) | 2.65 (1.24) | 2.79 (1.15) |
| Visits with level 2 (furosemide), %‡ | 82.2 | 66.6 | 74.0 | 70.8 | 76.4 |
| Visits with level 3 (doxazosin), %‡ | 55.2 | 34.4 | 42.0 | 46.3 | 46.6 |
| Visits with level 4 (clonidine), %‡ | 40.5 | 27.3 | 34.4 | 34.4 | 33.1 |
| Visits with level 5 (minoxidil), %‡ | 34.9 | 22.7 | 27.5 | 24.1 | 32.3 |
| Protocol visits held, % | 90.3 | 87.5 | 88.0 | 88.7 | 89.8 |
| MAP=mean arterial pressure; SBP/DBP=systolic/diastolic blood pressure; †blood pressure summaries include visits after 3 months and exclude glomerular filtration rate visits; ‡Medication summaries include all visits starting at month 1 and are censored as of September 22, 2000, for the calcium channel blocker (amlodipine) group only. | |||||