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ACP Journal Club |19 July 2016

Adding candesartan-HCTZ to rosuvastatin increased adverse events but not benefits in patients at intermediate CV risk

Charles B. Eaton MD, MS

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Yusuf S, Lonn E, Pais P, et al. Blood-pressure and cholesterol lowering in persons without cardiovascular disease. N Engl J Med. 2016;374:2032-43. 27039945

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Cardiology:

In patients at intermediate cardiovascular (CV) risk, does rosuvastatin plus combination candesartan–hydrochlorothiazide (HCTZ) reduce major CV events?
Randomized, placebo-controlled, 2 x 2 factorial trial (Heart Outcomes Prevention Evaluation [HOPE]-3 trial). ClinicalTrials.gov NCT00468923.
Concealed.*
Blinded* (patients, clinicians, outcome assessors, and steering committee).
Median 5.6 years.
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Eaton MD CB. Adding candesartan-HCTZ to rosuvastatin increased adverse events but not benefits in patients at intermediate CV risk. Ann Intern Med. 2016;165:JC8. doi: 10.7326/ACPJC-2016-165-2-008

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Published: Ann Intern Med. 2016;165(2):JC8.

DOI: 10.7326/ACPJC-2016-165-2-008

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2016 American College of Physicians
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