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Editorial
Published at www.nejm.org March 31, 2008 (10.1056/NEJMe0801925)

ACE Inhibitors in Cardiovascular Disease — Unbeatable?
John J.V. McMurray, M.D.

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 by The ONTARGET Investigators
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The Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial (ONTARGET, NCT00153101 [ClinicalTrials.gov] ), reported by Yusuf et al.1 in this issue of the Journal, has important lessons for clinical practice and also illustrates the complexities of designing, conducting, analyzing, and interpreting trials comparing new treatments that act in a manner similar to that of established therapies. As the fourth and largest comparative trial, the ONTARGET study confirms, beyond doubt, that angiotensin-receptor blockers (ARBs) are not better than angiotensin-converting–enzyme (ACE) inhibitors at reducing fatal and nonfatal cardiovascular events. Of course, physicians and patients might still choose to use an . . . [Full Text of this Article]


Source Information

From the British Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, Scotland.

This article (10.1056/NEJMe0801925) was published at www.nejm.org on March 31, 2008. It will appear in the April 10 issue of the Journal.


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