Partial Reduction of Blood Pressure and Prevention of Complications in Hypertension

Taguchi, James T.; Freis, Edward D.

doi:10.1056/nejm197408152910703

Cited by 95 publications

(16 citation statements)

References 6 publications

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“…In fact, it is clear that lesser reductions, particularly in moderate to severe hypertension, have a protective effect. 10 Nonetheless, the weight of evidence supports the position that the lower the BP achieved through treatment, the fewer the complications of hypertension.…”

Section: Relationship Of Bp Control To Morbidity and Mortalitymentioning

confidence: 99%

The Persistent Problem of Poor Blood Pressure Control

Winickoff¹

1987

Arch Intern Med

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Section: Relationship Of Bp Control To Morbidity and Mortalitymentioning

confidence: 99%

The Persistent Problem of Poor Blood Pressure Control

Winickoff¹

1987

Arch Intern Med

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“…While any reduction is worth while (Hamilton et al, 1964;Veterans Administration Co-Operative Study Group, 1967, prognosis is likely to be better if the diastolic blood pressure is maintained below 100 mmHg (Beevers et al, 1973;Taguchi and Freis, 1974).…”

Section: Discussionmentioning

confidence: 99%

Blood pressure measurement at screening and in general practice.

Barlow¹,

Beevers²,

Hawthorne³

et al. 1977

Heart

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As part of an epidemiological study of hypertension, an analysis was made of the general practitioner records of all attenders at a screening survey. A blood pressure recording, made before screening, was found in 37-9 per cent of cases. The pressures obtained correlated well with those obtained by the screening unit, though the practitioners' readings tended to be lower. Further cases of hypertension were found, not diagnosed by the screening unit; the estimate made of the prevalence of hypertension at the survey could be corrected by inclusion of these cases. Chest pain, headaches, lightheadedness, and dizziness were common reasons for blood pressure measurement in general practice, but these symptoms were not associated with a rise in the blood pressure; symptoms were not helpful in the diagnosis of hypertension. Some form of screening programme is necessary to detect cases of hypertension. This could be carried out by general practitioners.

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“…17 Subsequent trials comparing treatment versus placebo (or routine care) in patients with moderate, then mild, diastolic hypertension demonstrated incontrovertibly that reduction of elevated blood pressure reduced stroke incidence. 18,19 These trials focused on diastolic hypertension in persons Ͻ65 years old. In more recent trials, reduction of systolic pressure in elderly persons with isolated systolic hypertension consistently prevented stroke, and the benefit far exceeded the risk.…”

Section: Prevention Of Stroke By Risk Factor Modificationmentioning

confidence: 99%