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The Role of Thiazide Diuretics in Preventing Ischemic Stroke
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The article by Klungel et al1 has
strengthened the growing evidence for the role of thiazide diuretics, which
are relatively cheaper and probably safer, as first-line antihypertensive
agents. Thiazide diuretics have been the standard treatment for hypertension
in Great Britain for a long time.2 It is
noteworthy that they also are useful in the treatment of osteoporosis,3 to which many hypertensive patients are predisposed
because of common risk factors such as age, sedentary lifestyle, and smoking.
Although Klungel and colleagues' study did consider many confounding
factors, we wish to discuss some relevant points. It is not clear as to what
the composition of the population in the 2 groups was in terms of racial background,
as it is known that ischemic stroke cases involving African American patients
have a worse prognosis than those involving whites at any level of BP.4
Also, it would have been helpful to know about the . . . [Full Text of this Article]
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RELATED ARTICLE
Antihypertensive Drug Therapies and the Risk of Ischemic Stroke
Olaf H. Klungel, Susan R. Heckbert, W. T. Longstreth, Jr, Curt D. Furberg, Robert C. Kaplan, Nicholas L. Smith, Rozenn N. Lemaitre, Hubert G. M. Leufkens, Anthonius de Boer, and Bruce M. Psaty
Arch Intern Med. 2001;161(1):37-43.
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