| 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 |
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Copyright
2004 The Cleveland Clinic Foundation
|
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