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Systolic Hypertension Missed.
Many primary care physicians overlook systolic hypertension in their patients, based on a review of 21 U.S. physicians.
The review included 270 patient visits; in 93% of these visits, the patients had a systolic blood pressure of 140 mm Hg or greater.
But antihypertension medications were begun or changed at 38% of the patient visits, Susan A. Oliveria, D.P.H., reported in a poster presentation during the scientific sessions of the American Heart Association.
Last year, the National Heart, Lung, and Blood Institute issued guidelines that called for keeping systolic pressure below 140 mm Hg in patients without comorbidities.
The target pressure was set below 130 mm Hg for patients with diabetes, and reducing systolic pressure to the "lowest level tolerated" was recommended for patients with renal failure or heart failure.
The 21 physicians whose charts were studied said that, on average, a level of 150 mm Hg was the minimal systolic ...
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