Prevention of Stroke in Older Persons With Isolated Systolic Hypertension-Reply

  title={Prevention of Stroke in Older Persons With Isolated Systolic Hypertension-Reply},
  author={Jeremiah Stamler and Kenneth G. Berge and Barry R. Davis and Evan C. Hadley and Sara L. Pressel and Jeffrey L. Probstfield},
In Reply. —In response to the positive results of the Systolic Hypertension in the Elderly Program (SHEP) trial, both Drs Simon and Mann urge that only some people with isolated systolic hypertension be treated. Simon states that stroke incidence was low, hence the "public health impact of treating isolated systemic hypertension is expected to be modest." The public health implications of SHEP go well beyond reduction in the incidence of stroke; 17.5% of SHEP participants in the placebo group… CONTINUE READING

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