This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

S.K. Robinson, MD
Michigan City, Ind

JAMA. 1970;211(6):1014.

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

To the Editor.—

In response to the query on how to manage a 36-year-old man who since age 18 had had a blood pressure of 140/90 to 150/100 mm/Hg (210:142, 1969), Dr. A.P. Shapiro replied, his hypertension has been nonprogressive "and needs a minimum of therapy. Most authorities would agree that evidence is lacking to indicate clearly that trying to bring his blood pressure to lower levels by hypertensive drugs would improve his prognosis for longevity or for prevention of atherosclerotic cardiovascular complications." He mentions the adverse side effects of long-term therapy with the thiazides.

There is evidence that early treatment is advisable. According to figures by the Metropolitan Life Insurance Co., 140 systolic and 95 diastolic mm/Hg increases mortality 2.5 times over standard risk in a person of this age; for 150 systolic and 100 diastolic mm Hg, it increases 5 times (Med World News 4:50, 1963). . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?