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Correspondence
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Volume 340:1593-1595 May 20, 1999 Number 20
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Inadequate Management of Blood Pressure in a Hypertensive Population

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 by Berlowitz, D. R.
To the Editor: Berlowitz et al. (Dec. 31 issue)1 reported inadequate control of blood pressure in a selected population of older men followed in outpatient clinics at five hospitals and concluded that physicians must accept some responsibility for the problem. We think that there are some flaws in the choice of the factors that are likely to influence decisions to change therapy and in the way the response to treatment was evaluated. In our experience, the most common reasons for requiring a change in antihypertensive treatment are side effects of the antihypertensive drugs prescribed and inadequate control of blood pressure. . . . [Full Text of this Article]

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