The antihypertensive effect of lisinopril compared to atenolol in patients with mild to moderate hypertension

Academic Article


  • In a multicenter, parallel, double-blind study, lisinopril was compared with atenolol in the treatment of mild to moderate essential hypertension. Four hundred ninety patients were randomized to a once-a-day treatment with lisinopril 20 mg or atenolol 50 mg for 4 weeks, and the doses of lisinopril or atenolol were increased up to 80 mg or 200 mg, respectively, at 4-week intervals if sitting diastolic blood pressure (SDBP) was not well controlled. Hydrochlorothiazide (HCTZ) 12.5 or 25 mg was added after 12 weeks, if necessary, and titrated upward after 4 weeks to a maximum dose of 25 or 50 mg/day. Lisinopril and atenolol reduced SDBP to a similar extent. All reductions from baseline in sitting diastolic and systolic blood pressure were significant (<0.01). Lisinopril produced a significant (<0.01) greater reduction in sitting systolic blood pressure (SSBP) than atenolol. Addition of HCTZ caused further blood pressure reductions (p < 0.01). Five patients (1.7%) on lisinopril and four (2.0%) on atenolol developed skin rashes during weeks 1-12. Two patients (0.7%) on lisinopril 80 mg developed proteinuria (>1 g/day). Cough occurred more often with lisinopril (4.5%), and elevated triglycerides occurred more often with atenolol (2.0%). © 1987 Raven Press, New York.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Bolzano K; Arriaga J; Bernal R; Bernardes H; Calderon JL; Debruyn J; Dienstl F; Drayer J; Goodfriend TL; Gross W
  • Start Page

  • S43
  • End Page

  • S47
  • Volume

  • 9