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Letters
February 12, 2003

Losartan vs Atenolol in Prevention of Stroke and Cardiovascular Disease

Author Affiliations
 

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(6):700-701. doi:10.1001/jama.289.6.700-a

To the Editor: Dr Kjeldsen and colleagues1 reported that among elderly individuals with isolated systolic hypertension (ISH), those treated with losartan had a nearly 50% reduction in the risk of stroke compared with those treated with atenolol. In contrast to previous results,2 the effect appeared to be independent of degree of blood pressure control. There was no difference in the incidence of cardiac events, suggesting that this effect may have been mediated by the differing brain selectivities of the 2 drugs.

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