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November 26, 2009New England Journal of Medicine

Use of Diuretics in Patients with Hypertension

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Key result

Thiazide diuretics effectively reduce blood pressure as monotherapy, enhance other antihypertensive agents, and lower hypertension-related morbidity and mortality.

Why the study?

Do thiazide diuretics reduce blood pressure and hypertension-related morbidity and mortality in patients with hypertension?

Population

Patients with hypertension

Design

Review

Authors

MEMichael E. ErnstPreventive CardiologyMMMarvin MoserUniversity of London

Discussion

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Implication

Supports thiazide use as foundational therapy; leaves open optimal combinations with newer agents in contemporary populations.

Structured PICO

Do thiazide diuretics reduce blood pressure and hypertension-related morbidity and mortality in patients with hypertension?

P
Population
Patients with hypertension
I
Intervention
Thiazide diuretics
O
Outcome
Blood pressure reduction and hypertension-related morbidity and mortality

Thiazide diuretics are effective for long-term therapy in hypertension, reducing blood pressure and associated morbidity and mortality.

Cite This Study

Ernst et al. (2009) studied this question. Thiazide diuretics effectively reduce blood pressure as monotherapy, enhance other antihypertensive agents, and lower hypertension-related morbidity and mortality.

synapsesocial.com/papers/6a20f55834bef10fdaeb2d47https://doi.org/10.1056/nejmra0907219

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Treatment of hypertension in the elderly1995 · 177 citations
  2. 2Single-Drug Therapy for Hypertension in Men -- A Comparison of Six Antihypertensive Agents with Placebo1993 · 1,202 citations
  3. 3Influence of Long-term, Low-Dose, Diuretic-Based, Antihypertensive Therapy on Glucose, Lipid, Uric Acid, and Potassium Levels in Older Men and Women With Isolated Systolic Hypertension The Systolic Hypertension in the Elderly Program1998 · 295 citations
  4. 4Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies2009 · 2,816 citations
  5. 5Relationships of Quality-of-Life Measures to Long-term Lifestyle and Drug Treatment in the Treatment of Mild Hypertension Study1997 · 209 citations