Compared to other antihypertensives b-blockers as class have higher rate of stroke when used for primary HTN. Atenolol has a higher risk of stroke and death in comparison to other antihypertensives.
Tools For Practice https://www.acfp.ca/wp-content/uploads/tools-for-practice/1397747552_20131029_094143.pdf
FMEBM - Family Medicine Evidence Based Medicine 