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