Abstract
Several important new issues have arisen in the management of patients with hypertension. A working party of the British Hypertension Society has therefore reviewed available intervention studies on anti-hypertensive treatment and made recommendations on blood pressure thresholds for intervention, on non-pharmacological and pharmacological treatments, and on treatment goals. This report also provides guidelines on blood pressure measurement, essential investigations, referrals for specialist advice, follow up, and stopping treatment.
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- Cruickshank J. M. Coronary flow reserve and the J curve relation between diastolic blood pressure and myocardial infarction. BMJ. 1988 Nov 12;297(6658):1227–1230. doi: 10.1136/bmj.297.6658.1227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cruickshank J. M., Thorp J. M., Zacharias F. J. Benefits and potential harm of lowering high blood pressure. Lancet. 1987 Mar 14;1(8533):581–584. doi: 10.1016/s0140-6736(87)90231-5. [DOI] [PubMed] [Google Scholar]
- Dahlöf B., Lindholm L. H., Hansson L., Scherstén B., Ekbom T., Wester P. O. Morbidity and mortality in the Swedish Trial in Old Patients with Hypertension (STOP-Hypertension) Lancet. 1991 Nov 23;338(8778):1281–1285. doi: 10.1016/0140-6736(91)92589-t. [DOI] [PubMed] [Google Scholar]
- Fletcher A. E., Bulpitt C. J., Chase D. M., Collins W. C., Furberg C. D., Goggin T. K., Hewett A. J., Neiss A. M. Quality of life with three antihypertensive treatments. Cilazapril, atenolol, nifedipine. Hypertension. 1992 Jun;19(6 Pt 1):499–507. doi: 10.1161/01.hyp.19.6.499. [DOI] [PubMed] [Google Scholar]
- Fletcher A. E., Bulpitt C. J. How far should blood pressure be lowered? N Engl J Med. 1992 Jan 23;326(4):251–254. doi: 10.1056/NEJM199201233260407. [DOI] [PubMed] [Google Scholar]
- HAMILTON M., THOMPSON E. M., WISNIEWSKI T. K. THE ROLE OF BLOOD-PRESSURE CONTROL IN PREVENTING COMPLICATIONS OF HYPERTENSION. Lancet. 1964 Feb 1;1(7327):235–238. doi: 10.1016/s0140-6736(64)92344-x. [DOI] [PubMed] [Google Scholar]
- Hjemdahl P., Wiklund I. K. Quality of life on antihypertensive drug therapy: scientific end-point or marketing exercise? J Hypertens. 1992 Dec;10(12):1437–1446. doi: 10.1097/00004872-199210120-00001. [DOI] [PubMed] [Google Scholar]
- MacMahon S., Peto R., Cutler J., Collins R., Sorlie P., Neaton J., Abbott R., Godwin J., Dyer A., Stamler J. Blood pressure, stroke, and coronary heart disease. Part 1, Prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias. Lancet. 1990 Mar 31;335(8692):765–774. doi: 10.1016/0140-6736(90)90878-9. [DOI] [PubMed] [Google Scholar]
- Petrie J. C., O'Brien E. T., Littler W. A., de Swiet M. Recommendations on blood pressure measurement. Br Med J (Clin Res Ed) 1986 Sep 6;293(6547):611–615. doi: 10.1136/bmj.293.6547.611. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pickering T. G. Can ambulatory blood pressure monitoring improve the diagnosis of mild hypertension? J Hypertens Suppl. 1990 Dec;8(6):S43–S47. [PubMed] [Google Scholar]
- Stamler J., Neaton J. D., Wentworth D. N. Blood pressure (systolic and diastolic) and risk of fatal coronary heart disease. Hypertension. 1989 May;13(5 Suppl):I2–12. doi: 10.1161/01.hyp.13.5_suppl.i2. [DOI] [PubMed] [Google Scholar]
- Treating mild hypertension. Report of the British Hypertension Society working party. BMJ. 1989 Mar 18;298(6675):694–698. doi: 10.1136/bmj.298.6675.694. [DOI] [PMC free article] [PubMed] [Google Scholar]