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Previous Volume 330:1392 May 12, 1994 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Sagie, A.

To the Editor: The article by Sagie et al. (Dec. 23 issue)¹ states that "borderline systolic hypertension and the risk of cardiovascular disease are causally related." I wonder whether the cart and horse have been reversed with regard to causality.

It is generally accepted that systolic hypertension is the consequence of decreased compliance in the major arteries. The usual cause of this problem is atherosclerosis. Is it not possible, therefore, that the discovery of borderline systolic hypertension merely sorted the study population into two groups: those with atherosclerotic vascular disease and those without it? The contribution of preexisting vascular disease . . . [Full Text of this Article]

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