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April 14, 1978

Therapy for Hypertension

JAMA. 1978;239(15):1493-1494. doi:10.1001/jama.1978.03280420029012

To the Editor.—  Ingelfinger and Goldman in a recent COMMENTARY (238:1369, 1977) are critical of certain conclusions reached by the Joint National Committee Report on Detection, Evaluation, and Treatment of High Blood Pressure, especially as they relate to the Veterans Administration Cooperative Study on the treatment of hypertension.1 Certainly Ingelfinger and Goldman do not believe that the committee's conclusions were based solely on these data. Quite the contrary; there have been numerous reports that clearly establish the beneficial effects of lowering blood pressure (Perry,2 Breslin et al,3 Moser,4 and others). They clearly establish that it is the lowering of blood pressure by any one of several drugs or methods, and not some unknown effect or factor inherent in a specific medication, that decreases morbidity and increases survival. These studies included men and women of all ages and hospitalized as well as ambulatory patients.In discussing the