Patient populationAmerican Society of Hypertension guideline42 European Society of Hypertension/European Society of Cardiology guideline43
Black patientsCCB or thiazide diureticCCB or thiazide diuretic
Nonblack patients younger than 60 yearsARB or ACE inhibitorCCB, thiazide diuretic, ARB, ACE inhibitor, or beta blocker
Nonblack patients 60 years and olderCCB, thiazide diuretic, ARB, or ACE inhibitorCCB or thiazide diuretic
Patients with chronic kidney diseaseARB or ACE inhibitorARB or ACE inhibitor
Patients with coronary artery diseaseBeta blocker and ARB or ACE inhibitorBeta blocker, ARB, or ACE inhibitor
Patients with diabetes mellitusARB or ACE inhibitor (CCB or thiazide diuretic in black patients)ARB or ACE inhibitor
Patients with heart failureARB or ACE inhibitor and beta blocker and spironolactone (Aldactone)Thiazide diuretic, beta blocker, ARB, ACE inhibitor, or spironolactone
Patients with history of strokeARB or ACE inhibitorCCB, thiazide diuretic, ARB, ACE inhibitor, or beta blocker