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December 18, 1943


Author Affiliations

U. S. Marine Hospital, Staten Island, N. Y.

JAMA. 1943;123(16):1067. doi:10.1001/jama.1943.02840510061023

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To the Editor:—  In the editorial (The Journal, November 13, p. 702) titled "Hypertension in Military Service," excessive variability of the normal blood pressure was defined as a heralding sign of subsequent hypertension. It was emphasized that persons who show a transient rise in pressure when exposed to the emotional stress of a physical examination must be regarded as likely candidates for the disease.Although this assertion may be true for young adults, there is mounting evidence to indicate that "vascular hyperreactions" is a common finding among normal persons over the age of 40. In a recent report on the cold pressor response of 200 normal men between the ages of 40 and 69 years (Am. Heart J.26:398 [Sept.] 1943) I presented data which strongly suggest that the reactibility of the blood pressure normally increases appreciably with age. An increase in the response of the blood pressure with

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