Bmj Usa: Journal Rack

Journal rack

BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E186

From BMJ USA 2003;Feb:111

This section calls attention to new studies and systematic reviews selected by the Editor from journals published just as this issue went into production (approximately 2 months before publication). Studies are noted that might directly influence clinical practice decisions in primary care. Journals hand-searched for the Journal rack are: American Journal of Medicine, American Journal of Preventive Medicine, Annals of Internal Medicine, Circulation, JAMA, Journal of Family Practice, Journal of General Internal Medicine, Journal of the American Board of Family Practice, JNCI, Lancet, New England Journal of Medicine, Obstetrics and Gynecology, Pediatrics

Cardiovascular—A meta-analysis of 61 prospective studies involving 12.7 million person-years confirms that the increased cardiovascular risk associated with elevated blood pressure begins with pressures as low as 115 mg Hg systolic and 75 mm Hg diastolic. The relative and absolute increase in risk resulting from a given rise in pressure varies depending on the baseline pressure, age, and other parameters. (Lewington and the Prospective Studies Collaboration. Lancet Dec 14, 2002;360:1903–1913.)

Cardiovascular—A randomized trial involving 33 357 patients with hypertension and at least one other risk factor for coronary heart disease found that chlorthalidone was as effective as amlodipine and lisinopril in preventing the 5-year incidence of fatal coronary heart disease and non-fatal myocardial infarction. The diuretic was more effective than the other agents with respect to selected cardiac outcomes. (The ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. JAMA Dec 18, 2002;288:2981–2987.)

Cardiovascular—A randomized trial involving 10 355 patients age 55 and older with hypertension …

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