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September 1, 2004American Journal of Hypertension

Calcium channel blockade to prevent stroke in hypertensionA meta-analysis of 13 studies with 103,793 subjects

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Key result

Calcium channel blockers significantly reduced the risk of stroke compared with other antihypertensive drugs in patients with hypertension (OR 0.90; 95% CI 0.84-0.96; P=0.002).

Why the study?

Do calcium channel blockers reduce the risk of stroke compared to other antihypertensive drugs in patients with hypertension?

Population

13 studies pooling 103,793 subjects with essential hypertension

Comparison

Calcium channel blockers as a class vs Different antihypertensive drugs

Design

Meta-analysis

Authors

FAFabio AngeliPreventive CardiologyPVPaolo VerdecchiaPreventive CardiologyGRGianpaolo ReboldiPreventive Cardiology

Discussion

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Implication

Supports prioritizing calcium channel blockers for stroke prevention in hypertension; confirms class-specific benefit independent of systolic blood pressure reduction.

Study Design

Type

Meta-Analysis (n=103,793)

Structured PICO

Do calcium channel blockers reduce the risk of stroke compared to other antihypertensive drugs in patients with hypertension?

P
Population
103,793 hypertensive subjects from 13 randomized trials comparing calcium channel blockers to other antihypertensive drugs.
I
Intervention
Calcium channel blockers (CCBs) as a class (including dihydropyridine and non-dihydropyridine)
C
Comparator
Different antihypertensive drugs
O
Outcome
Incident cases of strokehard clinical

Main Result

Odds Ratio: 0.9 (95% CI 0.84–0.96)

Absolute Event Rate: 4.16% vs 3.71%

p-value: p=0.002

Calcium channel blockers significantly reduce the risk of stroke compared to other antihypertensive drugs in patients with hypertension, an effect that appears independent of the degree of systolic blood pressure reduction.

Cite This Study

Angeli et al. (2004) conducted a meta-analysis in hypertension (n=103,793). Calcium channel blockers vs. other antihypertensive drugs was evaluated on stroke (OR 0.90, 95% CI 0.84-0.96, p=0.002). Calcium channel blockers significantly reduced the risk of stroke compared with other antihypertensive drugs in patients with hypertension (OR 0.90; 95% CI 0.84-0.96; P=0.002).

synapsesocial.com/papers/6a99474a19c7e0464f274d96https://doi.org/10.1016/s0895-7061(04)00863-5
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Also Consider

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

  1. 1Untitled2004 · 89 citations
  2. 2The Effects of Calcium Channel Blockers in the Prevention of Stroke in Adults with Hypertension: A Meta-Analysis of Data from 273,543 Participants in 31 Randomized Controlled Trials2013 · 47 citations
  3. 3Efficacy of Calcium Channel Blockers Versus Other Classes of Antihypertensive Medication in the Treatment of Hypertensive Patients With Previous Stroke and/or Coronary Artery Disease: A Systematic Review and Meta-Analysis2015 · 11 citations
  4. 4Aggressive blood pressure control and stroke prevention: role of calcium channel blockers2008 · 22 citations
  5. 5A systematic review and meta-analysis of early diagnosis and treatment of hypertensive stroke under calcium channel blockers2021 · 5 citations