RT Journal A1 Onuigbo MC T1 ALlhat findings revisited in the context of subsequent analyses, other trials, and meta-analyses JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2009 FD October 26 VO 169 IS 19 SP 1806 OP 1818 DO 10.1001/archinternmed.2009.371 UL http://dx.doi.org/10.1001/archinternmed.2009.371 AB I read with interest and curiosity the recent revisitation of the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) trial by Wright et al.1 They concluded that current evidence confirmed that neither α-blockers, angiotensin-converting enzyme inhibitors (ACEIs), nor calcium channel blockers (CCBs), surpass thiazide-type diuretics (at an appropriate dosage) as initial therapy for reduction of cardiovascular or renal risk.1 We cannot agree more, especially in light of recent trials including the ONTARGET trial2 and new insights into plausible benefits of cardioprotection and renoprotection using different antihypertensive classes.3- 4