Letters Overtreating mild hypertension

Historical footnote on the treatment of mild hypertension

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e6297 (Published 24 September 2012) Cite this as: BMJ 2012;345:e6297
  1. Julian Tudor Hart, retired general practitioner and honorary research fellow1
  1. 1University of Wales Swansea Medical School, Swansea SA3 2HH, UK
  1. juliantudorhart{at}yahoo.co.uk

The Cochrane review of randomised trials of treatment for “mild” hypertension, which found no benefit in drug treatment, prompts two important questions.1 Why has it taken more than 30 years to reach a conclusion that was evident from critical reading of the original trials that claimed to justify interventions in the diastolic range 90-100 mm Hg? And how can we get practice on to a more rational footing?

In 1983 I was invited to a symposium …

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