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Another Disincentive to Treatment Is Removed

Barry J. Materson, MD, MBA

Arch Intern Med. 1994;154(19):2128-2129.

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

UNTIL RECENTLY, whenever I lectured on hypertension I could expect to be frustrated by my inability to answer questions about isolated systolic hypertension (ISH) with authority derived from a scientific database. Indeed, it is not that many years ago that systolic blood pressure was considered to be normal if it were less than the patient's age plus 100 and there was considerable disincentive to attempt to treat it.

In 1976, Jackson et al¹ described six patients aged 64 to 84 years who had been harmed by treatment of their hypertension. Pretreatment blood pressure readings ranged from 160 to 220 mm Hg systolic and from 80 to 120 mm Hg diastolic. They cited articles implying that systolic levels of up to 220 mm Hg can be found in healthy old people, that diastolic pressures of up to 120 mm Hg in symptomless elderly hypertensive subjects are not an indication for . . . [Full Text PDF of this Article]

Author Affiliations
Veterans Affairs Medical Center (141) 1201 NW 16th St Miami, FL 33125-1693

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