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Evidence-Based Medicine 2008;13:136; doi:10.1136/ebm.13.5.136
Copyright © 2008 by the BMJ Publishing Group Ltd.

THERAPEUTICS

Antihypertensive therapy with indapamide and perindopril reduced mortality in patients >=80 years

The first 150 words of the full text of this article appear below.

N S Beckett

Dr N S Beckett, Imperial College, London, UK; n.beckett@imperial.ac.uk


STUDY DESIGN

Design:

randomised placebo controlled trial (Hypertension in the Very Elderly Trial [HYVET]).

Allocation concealment:

{concealed}*.{dagger}

Blinding:

blinded (patients, clinicians, and outcome adjudication committee).{dagger}


STUDY QUESTION

Setting:

195 centres in Europe, China, Australasia, and Tunisia.

Patients:

3845 patients >=80 years of age (mean age 84 y, 60% women) with persistent hypertension (mean sitting blood pressure [BP] 173/91 mm Hg). Exclusion criteria included accelerated or secondary hypertension, haemorrhagic stroke in the past 6 months, heart failure, gout, and dementia.

Intervention:

sustained-release indapamide, 1.5 mg/day, with perindopril, 2 or 4 mg/day, added if needed to reach targets of systolic BP <150 mm Hg and diastolic BP <80 mm Hg (n = 1933) or placebo (n = 1912).

Outcomes:

stroke, heart failure, any cardiovascular event, and death from any cause, cardiovascular cause, cardiac cause, or stroke.

Follow-up period:

median 1.8 years.

Patient follow-up:

99.6% (intention-to-treat analysis).


MAIN RESULTS

Antihypertensive treatment reduced risks of heart failure, any cardiovascular event, . . . [Full text of this article]

William W Hung, Rosanne M Leipzig

Mount Sinai Medical Center, New York, New York, USA


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