Randomised controlled trial

Heterogeneity in Blood Pressure Response to 4 Antihypertensive Drugs

JAMAPublished

  • Randomised controlled trial
  • double-blind
  • repeated crossover
  • single outpatient research clinic in Sweden
  • 1468 completed treatment periods (median length, 56 days)

Authors' conclusion

These data reveal substantial heterogeneity in blood pressure response to drug therapy for hypertension

Study context

Population
Men and women with grade 1 hypertension at low risk for CV events270 with completed periods
Participants
280 men
Comparison
Lisinopril vs candesartan vs hydrochlorothiazide vs amlodipine
Primary endpoint
Ambulatory daytime SBP
Follow-up
End of each treatment period

Primary result

As reported in the abstract

Heterogeneity in SBP response between individuals

BP response to different treatments varied considerably between individuals

P < .001

Average additional SBP lowering potentially achievable by personalized treatment

4.4 mm Hg

Original publication

Heterogeneity in Blood Pressure Response to 4 Antihypertensive Drugs. JAMA. Published 11 April 2023. doi:10.1001/jama.2023.3322

Summarised from the published abstract; every number is checked against it