Should Mild Hypertension Be Treated?
Authors: C. VENKATA S. RAM
Journal: Annals of Internal Medicine (1983)

Editorials1 September 1983Should Mild Hypertension Be Treated?C. VENKATA S. RAM, M.D.C. VENKATA S. RAM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-99-3-403 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe present controversy surrounding the treatment of mild hypertension has prompted the World Health Organization (WHO) and the International Society of Hypertension (ISH) to issue guidelines for the management of this common condition (1). Debate (2-6) over the significance and treatment of mild hypertension has been generated by the publication of the results of several therapeutic trials on mild hypertension (7-11). The results of these trials must be carefully evaluated because of their potential implications. First, let us briefly review the WHO guidelines in order to put the subject of mild hypertension in proper perspective.Mild hypertension in adults is...References1. BÜHLER F, DOYLE A, and EPSTEIN F. Guidelines for the treatment of mild hypertension: memorandum from a WHO/ISH meeting. Bull WHO. 1983;61:53-6. MedlineGoogle Scholar2. ALDERMAN M. Mild hypertension: new light on an old clinical controversy. Am J Med. 1980;69:653-5. CrossrefMedlineGoogle Scholar3. KAPLAN N. Therapy for mild hypertension: toward a more balanced view. JAMA. 1983;249:365-7. CrossrefMedlineGoogle Scholar4. MOSER M. "Less severe" hypertension: should it be treated? Am Heart J. 1982;101:465-72. CrossrefGoogle Scholar5. FREIS E. Should mild hypertension be treated? N Engl J Med. 1982;307:306-9. CrossrefMedlineGoogle Scholar6. PEART W. The problem of treatment in mild hypertension. Clin Sci. 1981;61(suppl 7):403-11s. CrossrefGoogle Scholar7. . Five-year findings of the Hypertension Detection and Follow-up Program: I. Reduction in mortality of persons with high blood pressure, including mild hypertension. JAMA. 1979;242:2562-71. CrossrefMedlineGoogle Scholar8. . Untreated mild hypertension. Lancet. 1982;1:185-91. MedlineGoogle Scholar9. . Initial results of the Australian Therapeutic Trial in mild hypertension. Clin Sci. 1979;57(suppl 5):449S-52S. MedlineGoogle Scholar10. SMITH W. Treatment of mild hypertension: results of a ten-year intervention trial. Circ Res. 1977;40(suppl 1):I-98-I-105. MedlineGoogle Scholar11. HELGELAND A. Treatment of mild hypertension: a five year controlled drug trial: the Oslo study. Am J Med. 1980;69:725-32. CrossrefMedlineGoogle Scholar12. . Multiple Risk Factor Intervention Trial: risk factor changes and mortality results. JAMA. 1982;248:1465-77. CrossrefMedlineGoogle Scholar13. . Effects of treatment on morbidity in hypertension: results in patients with diastolic blood pressure averaging 115 through 129 mm Hg. JAMA. 1967;202:1028-34. CrossrefMedlineGoogle Scholar14. . Effects of treatment on morbidity in hypertension II. Results in patients with diastolic blood pressure averaging 90 through 114 mm Hg. JAMA. 1970;213:1143-52. CrossrefMedlineGoogle Scholar15. BULPITT C. Prognosis of treated hypertension 1951-1981. Br J Clin Pharmacol. 1982;13:73-9. CrossrefMedlineGoogle Scholar16. PERLOFF D, SOKOLOW M, and COWAN R. The prognostic value of ambulatory blood pressures. JAMA. 1983;249:2792-8. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: C. VENKATA S. RAM, M.D.Affiliations: St. Paul Hospital University of Texas Health Science Center at Dallas Dallas, Texas PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe effects of omega-3 polyunsaturated fatty acids on blood pressure: a methodologic analysis of the evidence.Alternative Pharmacologic Approaches to the Initial Management of HypertensionMild hypertension: A therapeutic dilemmaNew lessons favoring physicians' support of clinical trialsTreating Mild HypertensionNEMAT O. BORHANI, M.D., HERBERT G. LANGFORD, M.D. 1 September 1983Volume 99, Issue 3Page: 403-405KeywordsGlobal healthHypertensionTreatment guidelines ePublished: 1 December 2008 Issue Published: 1 September 1983 PDF downloadLoading ...