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What's New in Hypertension?
Colin P. Kerr, MD, JD, MPH
The Hamburg Center Hamburg, Pa
Arch Fam Med. 1994;3(1):19.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The most important question about hypertension is: "Does the treatment of mild-to-moderate hypertension reduce cardiac mortality?" I was surprised to read in the ARCHIVES THE statement by Pearce, "The risk for MI over a 5-year period is reduced by an average of 10% with pharmacologic control of stage 1 hypertension...."' In my own recent review of this subject,2 I had arrived at a different conclusion. Wondering what I had missed, I tracked down the author's sources.
Pearce cited a 1990 article in Lancet, which reported: "In prospective observational studies, a long-term difference of 5-6 mm Hg in usual DPB [diastolic blood pressure] is associated with about 30-40% less stroke and 20-25% less coronary heart disease (CHD)."3
The article itself, however, did not support this assertion but referred to a preceding article by the same group.4 In that review of nine major, prospective, observational studies involving over 420 000
. . . [Full Text PDF of this Article]
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