Losartan is first line?

uuh .. no … not yet.  Annals of Internal Medicine: Article Benefits of Losartan in Patients with Hypertension and Left Ventricular Hypertrophy but No Vascular Disease.

Fewer patients in the losartan group had strokes and developed diabetes. Similar numbers of patients in both groups had heart attacks. More patients in the atenolol group (10%) had drug-related side effects than did patients in the losartan group (6%).

So .. fewer strokes .. same # of MI ..less diabetes.