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Mascioli, S.R. et al.

Characteristics of participants at baseline in the Treatment of Mild Hypertension Study (TOMHS).

The Treatment of Mild Hypertension Study (TOMHS) is a randomized, double-blind clinical trial currently being conducted to compare the effects of nonpharmacologic therapy alone with those of 1 of 5 active drug regimens combined with nonpharmacologic therapy, for long-term management of patients with mild hypertension. Six classes of drugs were studied: (1) acebutolol (beta blocker), (2) amlodipine (calcium antagonist), (3) chlorthalidone (diuretic), (4) doxazosin ( alpha 1 antagonist), (5) enalapril (angiotensin-converting enzyme inhibitor) and (6) placebo. All participants received nutritional-hygienic advice to reduce weight and sodium and alcohol intakes and to increase physical activity. End points include blood pressure change, side effects and quality-of-life indices; incidence of electrocardiographic and echocardiographic abnormalities; and incidence of cardiovascular clinical events, including death, among participants receiving drugs as first-step treatment as well as nonpharmacologic treatment compared with incidence among those participants randomized to nonpharmacologic treatment only as the initial step.[1]

References

Characteristics of participants at baseline in the Treatment of Mild Hypertension Study (TOMHS). Mascioli, S.R., Grimm, R.H., Neaton, J.D., Stamler, J., Prineas, R.J., Cutler, J.A., Elmer, P.J., McDonald, R., Schnaper, H., Schoenberger, J. Am. J. Cardiol. (1990) [Pubmed]

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