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November 24, 2004

Systolic Hypertension in Elderly Persons

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2004;292(20):2465-2466. doi:10.1001/jama.292.20.2465-a

To the Editor: The Clinical Review on systolic hypertension in older persons by Dr Chaudhry and colleagues1 concluded that the evidence for treating patients with systolic blood pressure (SBP) in the range of 140 to 159 mm Hg is “less strong” than that for patients with SBP of 160 mm Hg and higher. In part, this conclusion was based on the entry criteria and baseline blood pressures of patients in the Systolic Hypertension in Elderly Persons (SHEP) trial.2 However, a close look at the data from this trial suggests a very different interpretation.

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