BMJ  2006;332 (18 March), doi:10.1136/bmj.332.7542.0-b

Guidelines on blood pressure after stroke may not apply to primary care

Typical primary care patients with cerebrovascular disease have very different characteristics than those of participants in the PROGRESS trial, on which national guidelines for blood pressure lowering are based. In a cross sectional survey, Mant and colleagues (p 635) looked at characteristics of more than 500 representative primary care patients with confirmed stroke or transient ischaemic attack. They found important differences in age, sex, time since last cerebrovascular event, blood pressure, and use of antihypertensive drugs between their patient group and PROGRESS participants.


Figure 1
Credit: JUSTINE DESMOND/WELLCOME PHOTO LIBRARY

 


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Relevant Article

Applicability to primary care of national clinical guidelines on blood pressure lowering for people with stroke: cross sectional study
Jonathan Mant, Richard J McManus, and Rachel Hare
BMJ 2006 332: 635-637. [Abstract] [Full Text] [PDF]

Rapid Responses:

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Why don't physicians follow practice guidelines ?
Fernando Prattichizzo
bmj.com, 28 Mar 2006 [Full text]



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