Source:http://linkedlifedata.com/resource/pubmed/id/19751458
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
2009-9-15
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pubmed:abstractText |
J Clin Hypertens (Greenwich). 2009;11:466-474. (c)2009 Wiley Periodicals, Inc.Lower heart failure (HF) rates in individuals taking chlorthalidone vs amlodipine, lisinopril, or doxazosin were unanticipated in the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). HF differences appeared early, leading to questions about the possible influence of pre-enrollment antihypertensive drugs. A post hoc study evaluated hospitalized HF events. During year 1479 individuals had HF, with pre-entry antihypertensive medication data obtained on 301 patients (63%). Case-only analysis examined interactive effects (interaction odds ratio [OR, ratio of ORs]) of previous medication and ALLHAT treatment on HF outcomes, eg, did treatment effect differ by pre-entry antihypertensive class? Among cases, 39%, 37%, 17%, and 47% were taking pre-entry diuretics, angiotensin-converting enzyme inhibitors, beta-blockers, and calcium channel blockers, respectively. Interaction OR for year 1 HF for amlodipine vs chlorthalidone for patients taking vs not taking diuretics pre-entry was 1.08 (95% confidence interval [CI], 0.53-2.21; P=.83); for lisinopril vs chlorthalidone, 1.33 (95% CI, 0.65-2.74; P=.44); and for doxazosin vs chlorthalidone, 1.13 (95% CI, 0.57-2.25; P=.73). Controlling for other pre-entry antihypertensives yielded similar results. There was no significant evidence that pre-entry drug type explained observed hospitalized HF differences by ALLHAT treatment.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1751-7176
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pubmed:author |
pubmed-author:ALLHAT Collaborative Research Group,
pubmed-author:BarzilayJoshuaJ,
pubmed-author:CutlerJeffrey AJA,
pubmed-author:DartRichard ARA,
pubmed-author:DavisBarry RBR,
pubmed-author:GraumlichJames FJF,
pubmed-author:GrimmRichard HRH,
pubmed-author:MargolisKaren LKL,
pubmed-author:MurdenRobert ARA,
pubmed-author:PillerLinda BLB,
pubmed-author:RandallOtelio SOS
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pubmed:issnType |
Electronic
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
466-74
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pubmed:meshHeading |
pubmed-meshheading:19751458-Adrenergic alpha-Antagonists,
pubmed-meshheading:19751458-Aged,
pubmed-meshheading:19751458-Antihypertensive Agents,
pubmed-meshheading:19751458-Confidence Intervals,
pubmed-meshheading:19751458-Double-Blind Method,
pubmed-meshheading:19751458-Doxazosin,
pubmed-meshheading:19751458-Female,
pubmed-meshheading:19751458-Heart Failure,
pubmed-meshheading:19751458-Humans,
pubmed-meshheading:19751458-Hypertension,
pubmed-meshheading:19751458-Male,
pubmed-meshheading:19751458-Multivariate Analysis,
pubmed-meshheading:19751458-Odds Ratio,
pubmed-meshheading:19751458-Risk,
pubmed-meshheading:19751458-Risk Factors,
pubmed-meshheading:19751458-Treatment Outcome
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pubmed:year |
2009
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pubmed:articleTitle |
Heart failure in ALLHAT: did blood pressure medication at study entry influence outcome?
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pubmed:affiliation |
Department of Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Research Support, N.I.H., Extramural
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