Guidelines for management of hypertension

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6932.855 (Published 26 March 1994) Cite this as: BMJ 1994;308:855
  1. Peter T Sawicki
  1. 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 …

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