Table 4:
Clinical Trial and Guideline Basis for Compelling Indications for Individual Drug Classes
Compelling
Indication*
Recommended Drugs
Clinical
Trial Basis
Heart failure
X
X
X
X
  
X
ACC/AHA Heart Failure Guideline, MERIT-HF, COPERNICUS, CIBIS, SOLVD, AIRE, TRACE, ValHEFT, RALES
Postmyocardial
infarction
  
X
X
  
  
X
ACC/AHA Post-MI Guideline, BHAT, SAVE, Capricorn, EPHESUS
High coronary
disease risk
X
X
X
  
X
  
ALLHAT, HOPE, ANBP2, LIFE, CONVINCE
Diabetes
X
X
X
X
X
  
NKF-ADA Guideline, UKPDS, ALLHAT
Chronic
kidney disease
  
  
X
X
  
  
NKF Guideline, Captopril Trial, RENAAL, IDNT, REIN, AASK
Recurrent
stroke prevention
X
  
X
  
  
  
PROGRESS
* Compelling indications for antihypertensive drugs are based on benefits from outcome studies or existing clinical guidelines; the compelling indication is managed in parallel with the BP.
† Drug abbreviations: BB=beta-blocker; ACEI=angiotensin-converting enzyme inhibitor; ARB=angiotensin receptor blocker; CCB=calcium channel blocker; Aldo ANT=aldosterone antagonist
‡ Conditions for which clinical trials demonstrate benefit of specific classes of antihypertensive drugs.
Adapted from JNC VII
Copyright 2004 The Cleveland Clinic Foundation

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