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Jeremiah Stamler, MD

JAMA. 1998;279:878-879.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Of the 45 million Americans 60 years and older, a majority have high blood pressure (BP).¹ The consequence that confronts them and their physicians is markedly increased risk (relative and absolute) of major cardiovascular and renal diseases, morbidity and disability, and shortened life expectancy.^2-4 This epidemic problem prevails for both older women and older men of all ethnic and socioeconomic backgrounds throughout this large and growing population stratum.

A majority of older people with high BP report receiving antihypertensive drug treatment and prescriptions for lifestyle modification, particularly reduction of obesity and of high salt intake.¹ Nevertheless, no more than 25% have controlled systolic/diastolic BP (<140/<90 mm Hg).¹ Moreover, in recent years the decades-long declines in coronary and stroke mortality rates have slowed or ceased, and the incidence of end-stage renal disease has increased.⁵ High BP—uncontrolled and inadequately controlled—is an established major risk factor for these diseases.

In . . . [Full Text of this Article]

From the Department of Preventive Medicine, Northwestern University Medical School, Chicago, Ill.

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