EBM apparently states that treating systolic hypertension of > 160 in the
elderly (? >65 or 70) significantly reduces the risk of stroke, etc.
Ok, so I have a whole string of mostly women over 80 who no matter what I
do, I cannot get their systolic below 180/190 without serious side-effects,
both perceived by the patient ie "I feel awful doctor" and physiological ie
urea and creat rising through the roof.
So what do I do? Leave them alone, or work my way through the BNF?
Have I misunderstood the studies?
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Dr David J Plews
email: [log in to unmask]
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