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

  • Stephen R. Mascioli
  • , Richard H. Grimm
  • , James D. Neaton
  • , Jeremiah Stamler
  • , Ronald J. Prineas
  • , Jeffrey A. Cutler
  • , Patricia J. Elmer
  • , Robert McDonald
  • , Harold Schnaper
  • , James Schoenberger

Research output: Contribution to journalArticlepeer-review

Abstract

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 (β blocker), (2) amlodipine (calcium antagonist), (3) chlorthalidone (diuretic), (4) dpxazosin (α1 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.

Original languageEnglish (US)
Pages (from-to)C32-C35
JournalThe American Journal of Cardiology
Volume66
Issue number9
DOIs
StatePublished - Sep 25 1990

Bibliographical note

Funding Information:
From the Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, Minnesota. This study is being supported in part by a grant from the National Heart, Lung, and Blood Institute, Beth&a, Maryland, and grants from Boehringer Ingelheim Pharmaceuticals, Inc., Merck Sharp and Dohme, Pfizer Pharmaceuticals. and Wyeth-Aycrst Laboratories.

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