Table 5 Comparison of ARBs with ACEIs.

From: Onset and recurrence of psychiatric disorders associated with anti-hypertensive drug classes

  

ARB vs ACEI (prior psychiatric diagnosis)

ARB vs ACEI (no prior psychiatric diagnosis)

Baseline characteristics

 

ARB

ACEI

ARB

ACEI

Number

 

49,314

49,314

322,814

322,814

Age at index (years)

 

60.6 (12.8)

60.6 (12.8)

62.3 (12.4)

62.4 (12.6)

Sex (M:F %)

 

30:70

30:70

46:54

46:54

Race (% W, B, O)a

 

76, 15, 9

77, 15, 8

65, 16, 19

66, 16, 18

Blood pressure

 

135/78

135/78

137/78

137/78

Outcomes

ICD-10 codes

% in each cohort (ARB, ACEI)

Risk ratio (95% CI)

% in each cohort (ARB, ACEI)

Risk ratio (95% CI)

Psychotic disorder

F20-29

2.5, 4.0

0.61 (0.57–0.66)

0.4, 0.7

0.57 (0.54–0.61)

Schizophrenia

F20

0.9, 1.8

0.52 (0.46–0.58)

0.08, 0.2

0.39 (0.33–0.45)

Affective disorder

F30-39

45, 48

0.94 (0.93–0.95)

8.7, 9.4

0.92 (0.91–0.94)

Bipolar disorder

F30,31

4.0, 5.5

0.73 (0.69–0.77)

0.4, 0.6

0.68 (0.63–0.73)

Major depression

F32,33

40, 43

0.94 (0.93–0.96)

7.9, 8.4

0.93 (0.92–0.95)

Anxiety disorder

F40-48

44, 42

1.03 (1.02–1.05)

9.2, 8.7

1.05 (1.03–1.06)

Sleep disorder

F51, G47

32,29

1.13 (1.11–1.15)

16, 13

1.22 (1.21–1.24)

Substance use disorder

F10-19

14,21

0.66 (0.64–0.68)

5.7, 9.5

0.60 (0.59–0.61)

  1. Cohorts propensity score-matched for age, sex, race, and blood pressure (most recent recorded value).
  2. aW: white, B: black or African American, O: other or unknown.
  3. Bold values indicate statistical significance.