Article: Blood pressure: questioning a maxim.

Blood Pressure: Questioning a Maxim

In treating patients with high blood pressure, doctors routinely follow the maxim "the lower the better." Now some new research calls that practice into question. In a study of people with mild to moderate hypertension, epidemiologists found that when drug treatment caused a large drop in blood pressure, a person's risk of heart attack was nearly four times that of patients with more moderate decreases.

Patients with very small blood pressure reductions, indicating ineffective treatment, also suffered more heart attacks -- about three times more than those with moderate changes. The trend in stroke rates resembled ...

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