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Review: atenolol may be ineffective for reducing cardiovascular morbidity or all cause mortality in hypertension
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 Q In patients with essential hypertension, does atenolol reduce cardiovascular morbidity or all cause mortality?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★★★ Cardiology ★★★★★☆☆

METHODS

Embedded ImageData sources:

Cochrane Library, Medline, relevant textbooks, and researchers in hypertension.

Embedded ImageStudy selection and assessment:

randomised controlled trials (RCTs) that assessed the effect of atenolol (as the sole first line drug in 1 of the treatment groups) on cardiovascular morbidity or mortality in patients with essential hypertension.

Embedded ImageOutcomes:

myocardial infarction (MI), stroke, cardiovascular mortality, and all cause mortality.

MAIN RESULTS

8 RCTs met the selection criteria. 2 major comparisons were made. Atenonol compared with placebo or with untreated controls (4 RCTs, n = 6825). Mean reduction in blood pressure (BP) …

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