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August 1, 1985Journal of Hypertension363 citations

Cardiovascular Risk and Risk Factors in a Randomized Trial of Treatment Based on the Beta-Blocker Oxprenolol: The International Prospective Primary Prevention Study in Hypertension (IPPPSH)

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Why the study?

Does oxprenolol-based treatment reduce myocardial infarction, sudden cardiac death, and cerebrovascular accidents in men and women aged 40-64 years with uncomplicated essential hypertension?

Population

6357 men and women aged 40-64 years with uncomplicated essential hypertension

Comparison

Treatment based on a beta-blocker, with… vs Placebo replacing oxprenolol, with supplementary…

Design

RCT, randomized, double-blind

Follow-up

3-5 years

Authors

TGThe IPPPSH Collaborative Group

Discussion

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Overview

Oxprenolol offers no cardiovascular event reduction in uncomplicated hypertension despite BP lowering; challenges beta-blocker outcome benefits beyond pressure control.

Structured PICO

Does oxprenolol-based treatment reduce myocardial infarction, sudden cardiac death, and cerebrovascular accidents in men and women aged 40-64 years with uncomplicated essential hypertension?

P
Population
6357 men and women aged 40-64 years with uncomplicated essential hypertension (diastolic blood pressures 100-125 mmHg)
I
Intervention
Treatment based on a beta-blocker (oxprenolol), with supplementary drugs (excluding beta-blockers) as necessary to reduce diastolic pressure to 95 mmHg or less
C
Comparator
Placebo replacing oxprenolol, with supplementary drugs (excluding beta-blockers) as necessary to reduce diastolic pressure to 95 mmHg or less
O
Outcome
Myocardial infarction, sudden cardiac death, cerebrovascular accidents, blood pressure control and treatment tolerabilityhard clinical

Oxprenolol-based therapy did not significantly reduce sudden death, myocardial infarction, or cerebrovascular accidents compared to placebo in patients with uncomplicated essential hypertension, despite improving blood pressure control.

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Cite This Study

The IPPPSH Collaborative Group (1985) studied this question.

synapsesocial.com/papers/6a0e971bf59e0974004c41cehttps://doi.org/10.1097/00004872-198508000-00011
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