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Should we treat mild hypertension?

More from the BMJ, this time Minerva (BMJ 2018;l362:k821). The trend these days is to start treatment at ever lower blood pressure levels, but is that really beneficial? A survey of nearly 40,000 electronic records of people in the UK aged less than 75 with mild hypertension but no symptoms or evidence of cardiovascular disease suggests not. Over 6 years the mortality of those who were treated was no lower than that of those who were not, but they did have an increased incidence of unwanted effects, including fainting and acute kidney injury.

Guidelines that recommend treatment for anyone with a blood pressure above 140/90 mm Hg may not he in the best interests of people at low risk of cardiovascular disease.

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