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Editorial
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Volume 358:1615-1616 April 10, 2008 Number 15
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ACE Inhibitors in Cardiovascular Disease — Unbeatable?
John J.V. McMurray, M.D.

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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]


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This article (10.1056/NEJMe0801925) was published at www.nejm.org on March 31, 2008.

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


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