Effectiveness of first-line antihypertensive drugs for hypertension at up to 10 years*

ComparisonNumber of studiesOutcomesPooled RRR (95% CI)
*ACE = angiotensin-converting enzyme. Other abbreviations defined in glossary.
†Not pooled.
Thiazides v β-blockers5Withdrawals because of adverse effects31% (24 to 37)
Low-dose thiazides v no treatment5Death11% (1 to 19)
Stroke34% (21 to 44)
Coronary artery disease29% (16 to 40)
Cardiovascular events32% (25 to 38)
High-dose thiazides v no treatment11Stroke53% (39 to 63)
Cardiovascular events28% (18 to 37)
Calcium-channel blockers v no treatment1Stroke39% (13 to 57)†
Cardiovascular events39% (13 to 43)†
RRI (CI)
ACE inhibitors v calcium-channel blockers1Withdrawals because of adverse effects231% (119 to 400)†