Objective: To assess the economic value of antihypertensive medication
s by comparing the;likelihood of coronary heart disease and stroke eve
nts and subsequent event treatment costs. Study Design: Duration of bl
ood pressure reduction was used to profile event risk reduction of thr
ee antihypertensive medications, Methods: We used clinical data to det
ermine the duration of blood pressure reduction achieved with use of t
wo angiotensin converting enzyme inhibitors and one angiotensin II rec
eptor antagonist. We then used trough-to-peak ratios to calculate the
reduction in risk of coronary heart disease and stroke events associat
ed with each medication, Results: Across a number of different event t
reatment cost and population size estimates, the economic value of dif
ferent medications can be assessed. Conclusion: Our method for assessi
ng the economic value of antihypertensive medications can be applied t
o other drug classes and can be further refined by integrating patient
population and other risk-related data.