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May 26, 1989

Lipids and Hypertension

Author Affiliations

Bowling Green, Ohio

Bowling Green, Ohio

JAMA. 1989;261(20):2954. doi:10.1001/jama.1989.03420200044022

To the Editor. —  The article by Williams et al1 entitled "Familial Dyslipidemic Hypertension" merits comment. In my experience, the lipid-blood pressure connection is pervasive within the hypertensive population. The clinical experience on which this letter is based is the Bowling Green Study (BGS), which is my own 14-year ongoing study of the primary and secondary prevention of atherosclerotic disease. The BGS involves 7399 patients, representing my private practice of family medicine in Bowling Green, Ohio.This substudy represents all patients since 1974 who were found to have hypertension (sitting blood pressure, 140/90 mm Hg). In my practice, blood pressure is measured on every office visit. A lipid evaluation is performed as part of the hypertensive workup. In this substudy, a patient must have hypertension and no other dominant reason for having lipid levels tested. Seventy-seven men and 82 women met this criterion. (Low-density lipoprotein cholesterol [LDL-cholesterol] and high-density