Mild-to-moderate hypertension — to treat or not to treat?

  • Daniel M. Barr
  • Eric Gambrill
  • John Fry
  • John P. Geyman


Hypertension is a sphygmomanometric diagnosis of uncertain causes and nature. Within the spectrum of hypertension there are likely to be different at-risk groups with differing prognoses and differing requirements for treatments. In asking who should be treated, how, where and why, three questions can be asked: Should the elderly, the middle-aged and the young be treated in the same ways? What are the most effective regimes of treatment? What are the objectives of treatment?


Diastolic Blood Pressure High Blood Pressure Antihypertensive Drug Family Physician Moderate Hypertension 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Fry, J. (1974). Natural history of hypertension: a case of selective non-treatment. Lancet, 2, 431–433PubMedCrossRefGoogle Scholar
  2. Page, I. H. (1979). Two cheers for hypertension. J. Am. Med. _Assoc., 242, 2559 2561Google Scholar
  3. Relman, A. S. (1980). Mild hypertension: no more benign neglect. N. Engl. J. Med., 302, 293–294Google Scholar
  4. Coope, J. (1982). Article in Tutorials in Postgraduate Medicine - General Practice. E. Gambrill, (ed.). ( London: Heinemann )Google Scholar
  5. Hypertension Detection and Follow-Up Program Cooperation Group (1979).Google Scholar
  6. Five year findings of the HDFUP. y. Am. Med. Assoc,242 23, 2562 Metropolitan Life Insurance Company (1961). Blood Pressure: Insurance Experi-ence and its Implications. (New York: Metropolitan Life)Google Scholar
  7. Reader, R. (Chairman) Management Committee (1980). The Australian therapeutic trial in mild hypertension. Lancet, 1, 1261Google Scholar
  8. Royal College of General Practitioners (1980). Hypertension in Primary Care, Occasional paper.No. 12. (London: Royal College of General Practitioners) Society of Actuaries (1959). Build and Blood Pressure Study, Volume 1. ( Chicago, Ill.: Society of Actuaries )Google Scholar
  9. Teeling-Smith, G. (1980). Office of Health Economics Briefing, JVo. 1Z, London, NovemberGoogle Scholar
  10. Tudor-Hart, J. (1980). Hypertension. ( London: Churchill Livingstone )Google Scholar
  11. Bannan, L. T., Beevers, D. G. and Jackson, S. H. D. (1981). Detecting hypertensive patients. Br. Med. J., 1, 1211CrossRefGoogle Scholar
  12. Fry, J. (1979). Common Diseases. 2nd edn. ( Lancaster: MTP Press )Google Scholar
  13. Fry, J. (1974). Natural history of hypertension, a case for selective non-treatment. Lancet, 2, 431PubMedCrossRefGoogle Scholar
  14. Fry, J. (1975). Long surviving hypertension - a 15 year follow up. 3. R. Coll. Gen. Practit., 25, 481Google Scholar
  15. Fry, J. (1981). Self-check: high blood pressure. Update, 22, 1681.Google Scholar
  16. Aagaard G.N. (1981). Hypertension Detection and Follow-up Program: An alternative interpretation. Am. Heart J., 102, 300CrossRefGoogle Scholar
  17. Hames, O.G. (1974). Natural history of essential hypertension in Evans County, Georgia. Postgrad. Med., 56 (6), 119PubMedGoogle Scholar
  18. Helgeland, A. (1980). Treatment of mild hypertension: a five-year controlled drug trial: the Oslo Study. Am. y. Med., 69, 725Google Scholar
  19. Hypertension Detection and Follow-up Program Cooperative Group (1979). Five-year findings of the Hypertension Detection and Follow-up Program: Reduction in mortality of persons with high blood pressure, including mild hypertension. y. Am. Med. Assoc., 242 (23), 2562Google Scholar
  20. Kaplan, N.M. (1981). Whom to treat: the dilemma of mild hypertension. Am. Heart j., 101, 867PubMedCrossRefGoogle Scholar
  21. The Management Committee. (1980). The Australian therapeutic trial in mild hypertension. Lancet. 1, 1261Google Scholar
  22. O’Malley, K., O’Brien, E. (1980). Management of hypertension in the elderly. N. Engl. y. Med., 302 (25), 1397Google Scholar
  23. US Public Health Service Hospitals Cooperative Study Group. (1977). Treatment of mild hypertension. Results of a ten-year intervention trial. Circ. Res., 40 (Suppl I), 98Google Scholar
  24. Veterans Administration Cooperative Study Group on Antihypertensive Agents. (1980). Effects of treatment on morbidity in hypertension. II: Results in patients with diastolic blood pressure averaging 90 through 114 mmHg. y. Am. Med. Assoc., 213, 1143Google Scholar

Copyright information

© MTP Press Limited 1983

Authors and Affiliations

  • Daniel M. Barr
  • Eric Gambrill
  • John Fry
  • John P. Geyman

There are no affiliations available

Personalised recommendations