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I'm Sorry Mrs Jones, but You Don't Have Hypertension
William J. Mroczek, MD
JAMA. 1978;240(18):1991.
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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 noble intentions and conclusions of the study reported by Glass et al in this issue of THE JOURNAL (p 1973) may be a source of annoyance to physicians who might be called on to evaluate increasing numbers of cases referred by emergency physicians for evaluation of hypertension. In many of these patients, subsequent blood pressure (BP) determinations will be normal. This view is based on a community screening program reported by other authors in which only 56% of persons originally determined to be hypertensive had verified BP elevations on a second determination.1 Although the study by Glass et al used more conservative criterions for labeling patients as hypertensive (diastolic BPs of 20 mm Hg or more above the norm), it is to be expected that at least some of these patients will not have sustained hypertension.
During the stressful circumstances surrounding a visit to the emergency department, certain
. . . [Full Text PDF of this Article]
Author Affiliations
Howard University Medical Service Washington, DC
Footnotes
Address editorial communications to the Editor, 535 N Dearborn St, Chicago, IL 60610.
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