0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Undertreatment of Hypertension: A Dozen Reasons—Reply

Jerome D. Cohen, MD
Arch Intern Med. 2002;162(19):2246-2248. doi:.
Text Size: A A A
Published online

Extract

In reply

The thoughtful letter from the Guptas is appreciated and highlights important reasons why hypertension is undertreated. Since the publication of my editorial,1 several reports have shed more light on this issue.

A study from France showed that the problems that we encounter in the United States are not unique.2 The BP, primarily the systolic BP, in 85% of 4714 men with hypertension was not controlled by drug treatment. The importance of undertreatment is shown by the linear relationship between systolic BP levels of patients undergoing treatment and risk of cardiovascular disease. For those with a systolic BP of 140 to 159 mm Hg or 160 mm Hg or higher, the risks were 70% or 250% higher, respectively, than those with systolic BP lower than 140 mm Hg (after adjustment for age and associated risk factors). The level of diastolic BP was not significantly related to risk of cardiovascular disease after adjustment for systolic BP.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

October 28, 2002
Jerome D. Cohen, MD
Arch Intern Med. 2002;162(19):2246-2248. doi:.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 8

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Scenario

Users' Guides to the Medical Literature
Example 1: Diabetes and Target Blood Pressure

brightcove.createExperiences();