Abstract
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?
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References
Fry, J. (1974). Natural history of hypertension: a case of selective non-treatment. Lancet, 2, 431–433
Page, I. H. (1979). Two cheers for hypertension. J. Am. Med. _Assoc., 242, 2559 2561
Relman, A. S. (1980). Mild hypertension: no more benign neglect. N. Engl. J. Med., 302, 293–294
Coope, J. (1982). Article in Tutorials in Postgraduate Medicine - General Practice. E. Gambrill, (ed.). ( London: Heinemann )
Hypertension Detection and Follow-Up Program Cooperation Group (1979).
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)
Reader, R. (Chairman) Management Committee (1980). The Australian therapeutic trial in mild hypertension. Lancet, 1, 1261
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 )
Teeling-Smith, G. (1980). Office of Health Economics Briefing, JVo. 1Z, London, November
Tudor-Hart, J. (1980). Hypertension. ( London: Churchill Livingstone )
Bannan, L. T., Beevers, D. G. and Jackson, S. H. D. (1981). Detecting hypertensive patients. Br. Med. J., 1, 1211
Fry, J. (1979). Common Diseases. 2nd edn. ( Lancaster: MTP Press )
Fry, J. (1974). Natural history of hypertension, a case for selective non-treatment. Lancet, 2, 431
Fry, J. (1975). Long surviving hypertension - a 15 year follow up. 3. R. Coll. Gen. Practit., 25, 481
Fry, J. (1981). Self-check: high blood pressure. Update, 22, 1681.
Aagaard G.N. (1981). Hypertension Detection and Follow-up Program: An alternative interpretation. Am. Heart J., 102, 300
Hames, O.G. (1974). Natural history of essential hypertension in Evans County, Georgia. Postgrad. Med., 56 (6), 119
Helgeland, A. (1980). Treatment of mild hypertension: a five-year controlled drug trial: the Oslo Study. Am. y. Med., 69, 725
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), 2562
Kaplan, N.M. (1981). Whom to treat: the dilemma of mild hypertension. Am. Heart j., 101, 867
The Management Committee. (1980). The Australian therapeutic trial in mild hypertension. Lancet. 1, 1261
O’Malley, K., O’Brien, E. (1980). Management of hypertension in the elderly. N. Engl. y. Med., 302 (25), 1397
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), 98
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, 1143
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Barr, D.M., Gambrill, E., Fry, J., Geyman, J.P. (1983). Mild-to-moderate hypertension — to treat or not to treat?. In: Fry, J. (eds) Common Dilemmas in Family Medicine. Springer, Dordrecht. https://doi.org/10.1007/978-94-010-9192-3_1
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DOI: https://doi.org/10.1007/978-94-010-9192-3_1
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-9194-7
Online ISBN: 978-94-010-9192-3
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