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舒张压少于100毫米汞柱人从治疗将不会有明显的好处

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发表于 2011-2-3 07:16 AM | 显示全部楼层 |阅读模式


本帖最后由 ranchgirl 于 2011-2-3 11:02 编辑

One interesting paper about the high blood pressure.

http://www.ncbi.nlm.nih.gov/pmc/ ... jcred00247-0031.pdf

Main result:

There will be no appreciable benefit (STROKE, CARDIAC MORBIDITY AND MORTALITY) to an individual patient from treating a diastolic pressure of less than 100 mg Hg.

In the paper:

DISADVANTAGES OF TREATING HIGH BLOOD PRESSURE

Some of the hypertension trials have shown that raised blood pressure often becomes normal with placebo treatment. In the Australian study 47% of the patients given placebo achieved a diastolic pressure of less than 95 mm Hg within three years, most within the first four months. In the MRC study, too, roughly 40% of the men and 45% of the women in the placebo group had a diastolic pressure of less than 90 mm Hg after one year. The modest benefits of active treatment shown in the MRC trial were bought at a considerable logistical price (695 000 invitations to attend for screening were sent out, 515 000 subjects screened, and 17 354 subjects entered into a five year study). A price was also paid in respect of drug side effects, and the prevention of strokes in a few patients entailed long term side effects ("mostly, but not all, minor") in many patients, such as gout, impotence, lethargy, and Raynaud's phenomenon.

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 楼主| 发表于 2011-2-3 07:23 AM | 显示全部楼层
本帖最后由 sni 于 2011-2-3 07:26 编辑

回复 1# sni


    What can you do if your diastolic pressure is in 90-99 mmHg? Have a look the picture.

lower_blood_pressure.jpg

From: http://www.vegsource.com/articles/goldhamer_high_pressure.htm
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发表于 2011-2-3 07:24 AM | 显示全部楼层
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发表于 2011-2-3 10:25 PM | 显示全部楼层
not clear to me?
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