Blood pressure and myocardial infarction Low blood pressure can be hazardous

BMJ 1994;308:1301-1302 (14 May)

Letters

Blood pressure and myocardial infarction Low blood pressure can be hazardous

EDITOR, - The study of Ulf Lindblad and colleagues highlightsa high risk group of hypertensive patients with evidence onelectrocardiography of ischaemia or left ventricular hypertrophy,or both, who experience a greater number of first myocardialinfarctions (than those with normal electrocardiograms) if theirdiastolic blood pressure is lowered to below 95 mm Hg.¹ Thesenew data supplement the findings of the Framingham study, whichshowed no J curve relation between diastolic blood pressureand deaths from coronary heart disease for those without coronaryheart disease or left ventricular hypertrophy. By contrast,those with either coronary heart disease or left ventricularhypertrophy showed a J point in the high 70s of diastolic bloodpressure and those with combined coronary heart disease andleft ventricular hypertrophy had a J point shifted to the rightat pressures of 85-89 mm Hg.

Lindblad and colleagues indicate that left ventricular hypertrophyis associated . . . [Full text of this article]

Add to CiteULike CiteULike Add to Complore Complore Add to Connotea Connotea Add to Del.icio.us Del.icio.us Add to Digg Digg Add to Reddit Reddit Add to StumbleUpon StumbleUpon Add to Technorati Technorati What's this?

Relevant Article

Control of blood pressure and risk of first acute myocardial infarction: Skaraborg hypertension project: U Lindblad, L Ramstam, L Ryden, J Ranstam, S-O Isacsson, and G Berglund
BMJ 1994 308: 681-685. [Abstract] [Full Text]