The influence of antihypertensive treatment over the incidence of cerebral vascular disease

Beevers, D. G.; Hamilton, M.; Fairman, M. J.; Harpur, J. E.

doi:10.1136/pgmj.49.578.905

Cited by 21 publications

(8 citation statements)

References 8 publications

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“…Indeed, it has recently been shown that good BP control is only achieved in a minority of all patients attending the Glasgow Blood Pressure Clinic (Johnston et al, 1980) and similar findings have been reported from other hospital clinics both in the United Kingdom (Beevers et al, 1973a;Beilin et al, 1980) and in the United States (Alderman and Ochs, 1977).…”

Section: Discussionsupporting

confidence: 69%

“…It has now been firmly established that lowering the blood pressure of hypertensive subjects greatly reduces the incidence of subsequent strokes (Hamilton, Thompson, Wisniewski, 1964;Veterans, 1967Veterans, , 1970Beevers et al, 1973aBeevers et al, , 1978 and it would seem logical to assume that antihypertensive therapy given to patients with high BP who had already had a stroke might prevent stroke recurrence. There are 2 reports (Marshall, 1964;Beevers et al, 1973b) that effective antihypertensive therapy does prevent recurrence in stroke survivors but another study (Hypertension Stroke Cooperative Study Group, 1974) did not show any benefit from lowering the BP in terms of stroke recurrence.…”

Section: Introductionmentioning

confidence: 99%

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The importance of good blood pressure control in the prevention of stroke recurrence in hypertensive patients

Johnston

Beevers

et al. 1981

Postgraduate Medical Journal

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SummaryOne hundred and twenty-four patients (70 men and 54 women) who were treated for hypertension after a stroke, between 1968 and 1976, were studied. Twentyone (11 men and 10 women) developed a second stroke after a mean period of just over 2 years. The women who had a stroke recurrence had higher initial systolic and diastolic blood pressure (BP) as well as higher achieved BP. The men with recurrence had no significant difference in initial BP but had higher BP on treatment. Patients who achieved BP of < 160 mmHg systolic or 90 mmHg diastolic had a low incidence of recurrent stroke. Good BP control in hypertensive patients prevents stroke recurrence but may be difficult to achieve.

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

The importance of good blood pressure control in the prevention of stroke recurrence in hypertensive patients

Johnston

Beevers

et al. 1981

Postgraduate Medical Journal

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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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“…Furthermore, the side effect of stress incontinence limits the use of α-blockers in women [53]. In resistant hypertension, however, the overall prognosis is more closely associated with the level of achieved blood pressure control rather than the initial severity [54,55].…”

Section: The Birmingham Hypertension Squarementioning

confidence: 98%

Resistant hypertension and the birmingham hypertension square

Felmeden

Lip

2001

Current Science Inc

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Recent guidelines for the treatment of hypertension place great emphasis on tighter blood pressure control, especially in the presence of hypertensive target organ damage and diabetes. In order to achieve these treatment targets, more patients will require a combination of antihypertensive medications. However, resistant hypertension may have many possible underlying causes, and clinicians should appreciate how to detect and tackle these potential problems. Effective and synergistic combinations are therefore of vital importance, especially in patients with resistant hypertension. The choice of rational first- and second-line drugs that act in synergy could lead to better blood pressure management as well as significant financial savings for health care resources. The use of the Birmingham Hypertension Square for the optimum choice of add-in drugs for the treatment of resistant hypertension may aid management.

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The influence of antihypertensive treatment over the incidence of cerebral vascular disease

Cited by 21 publications

References 8 publications

The importance of good blood pressure control in the prevention of stroke recurrence in hypertensive patients

The importance of good blood pressure control in the prevention of stroke recurrence in hypertensive patients

Blood pressure measurement at screening and in general practice.

Resistant hypertension and the birmingham hypertension square

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