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Volume 355:1934 November 2, 2006 Number 18
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Resistant or Difficult-to-Control Hypertension

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 by Moser, M.
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To the Editor: In the article by Moser and Setaro (July 27 issue),1 the description of the Osler maneuver (to assess "pseudohypertension") should be clarified. A positive result is reflected by the continued palpability of the radial artery (not of the radial pulse) while the brachial artery is occluded with a blood-pressure cuff.

In recommending against the use of thiazide diuretics, the authors appear to equate a serum creatinine level of more than 1.5 mg per deciliter with a glomerular filtration rate (GFR) of less than 30 to 50 ml per minute. In a recent review in the Journal of . . . [Full Text of this Article]




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