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 |

Another Possible Cause of Increased Blood Pressure in Men Older Than 60 Years Who Are Taking Medications to Control Musculoskeletal Pain

Elliot Udell, DPM
Arch Intern Med. 2007;167(21):2371. doi:10.1001/archinte.167.21.2371-a.
Text Size: A A A
Published online

Extract

In the article titled “Frequency of Analgesic Use and Risk of Hypertension Among Men,” the authors state in the “Comment” section that “ . . . we are unaware of common medical conditions that are simultaneously indications of analgesic use and independently associated with hypertension.”1(p398)

There may be one association in the age group studied that could account for the findings in this study. Men in their early 60s who are taking pain killers with great frequency for chronic pain, in particular musculoskeletal pain, might be more sedentary. Men in the age group studied tend to gain weight rapidly without exercise. Lack of exercise and weight gain could lead to small increases in average blood pressure in men in his age group. Hence, while mechanistically plausible, increased analgesic use may not be the cause of elevated blood pressure but simply a marker of increased musculoskeletal pain, which results in reduced exercise, weight gain, and consequently, a rise in blood pressure.

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

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: 1

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.

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();