Guidelines for management of hypertensionBMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6932.855 (Published 26 March 1994) Cite this as: BMJ 1994;308:855
- Peter T Sawicki
- Department of Metabolic Diseases, University Clinic of Dusseldorf, D-40225 Dusseldorf, Germany.
Metabolic effects of drug treatment exaggerated
Editor,--Recently, the World Health Organisation and International Society of Hypertension published guidelines on the management of mild hypertension. Peter H Winocour is concerned that these guidelines place too little emphasis on the impact of metabolic control on the management of essential hypertension.1 He fears that treatment with diuretics and β blockers as the first among equal agents of choice in the guidelines could lead to an 11-fold increase …