Intended for healthcare professionals

Rapid response to:

Education And Debate

British Hypertension Society guidelines for hypertension management 1999: summary

BMJ 1999; 319 doi: (Published 04 September 1999) Cite this as: BMJ 1999;319:630

Rapid Response:

Target organ assessment in nurse run clinics

Bearing in mind that the majority of follow up care of hypertensive
patients in general practice is often now done in nurse run clinics, how
is taget organ damage best assessed?

Most nurses would not undertake fundoscopy. Should opticians be

Is dip stick urine testing and u & e measurement all that is
needed to monitor renal function. What degree of change is significant?

Echocardiography is not readily available. What ECG criteria can be
used and are these accurate enough?

Competing interests: No competing interests

02 November 1999
Pam Sim
Isle of Wight