Table 5. Unadjusted and Risk-Adjusted Change* in Blood Pressure (BP) and Goal Attainment Rates by Antihypertensive Therapeutic Classes Initiated as Monotherapy
OutcomesACEI (n = 3131)Thiazide (n = 1947)Cardioselective β-blocker (n = 1029)ARB (n = 533)CCB (n = 529)
Systolic BP (mm Hg)
    At index147.6 (15.0)149.3 (13.4)147.7 (15.4)147.8 (14.9)149.5 (15.7)
    At follow-up133.6 (16.2)136.6 (14.9)134.9 (16.9)135.1 (15.8)136.7 (17.1)
    Unadjusted change−14.0 (18.1)−12.7 (17.1)−12.8 (18.2)−12.7 (17.7)−12.8 (19.5)
    Risk-adjusted change−13.4 (10.3)−14.1 (9.3)−13.4 (10.8)−13.3 (10.4)−14.0 (10.9)
Diastolic BP (mm Hg)
    At index90.1 (10.7)91.5 (10.1)90.1 (10.9)89.7 (10.4)89.4 (11.4)
    At follow-up81.8 (10.1)84.6 (10.5)82.8 (10.8)82.5 (10.5)82.0 (11.1)
    Unadjusted change−8.3 (11.4)−6.8 (11.3)−7.4 (11.3)−7.1 (11.3)−7.3 (11.9)
    Risk-adjusted change−7.9 (6.6)−8.2 (6.3)−7.7 (6.8)−7.6 (6.4)−7.5 (7.0)
Goal attainment, n (%)
    Unadjusted at goal1465 (46.8)§826 (42.4)508 (49.4)229 (43.0)239 (45.2)
    Risk-adjusted at goal1495 (47.8)776 (39.9)472 (45.9)230 (43.1)234 (44.2)
  • Data are mean (standard deviation) unless otherwise indicated.

  • * Unadjusted P values were from analysis of variance or logistic regression, whereas risk-adjusted P values were from analysis of covariance or logistic regression.

  • ACEI vs thiazide, P < .001.

  • ACEI vs CCB, P = .04.

  • § ACEI vs thiazide, P = .02.

  • β-blocker vs thiazide, P = .003.

  • β-blocker vs thiazide, P = .01.

  • ACEI, angiotensin-converting enzyme inhibitor; ARB, angiotensin II receptor blocker; CCB, calcium channel blocker; thiazide, thiazide and thiazide-like diuretics.