Letters NICE on hypertension

Ethnicity and hypertension: not as black and white as NICE makes out

BMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d6501 (Published 12 October 2011) Cite this as: BMJ 2011;343:d6501
  1. Anas El Turabi, NIHR academic clinical fellow1,
  2. Rupert Payne, lecturer in general practice1
  1. 1GP and Primary Care Research Unit, Institute of Public Health, University of Cambridge, Forvie Site, Cambridge CB2 0SR, UK
  1. ae300{at}cam.ac.uk

The updated guidance on the management of hypertension from the National Institute for Health and Clinical Evidence (NICE) suggests that initial monotherapy for all black patients should be calcium channel blockers, with thiazide diuretics as an alternative.1 This is broadly in keeping with previous UK recommendations. However, the evidence to support this in the 18% of young …

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