Key result
Systolic hypertension is often neglected due to misconceptions regarding its hemodynamic significance, correlation with complications, and responsiveness to pharmacotherapy.
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The article challenges the common misconceptions that systolic hypertension is less important than diastolic hypertension and that it cannot be effectively treated.
WE usually consider the treatment of hypertension in terms of diastolic pressure and accord only benign neglect to elevated systolic pressure. This posture arises from three widely held misconceptions. Diastolic more than systolic hypertension is thought to reflect excessive peripheral vascular resistance, the major hemodynamic abnormality in chronic primary hypertension. Diastolic pressure supposedly correlates better than systolic with the complications of hypertension. Pharmacotherapeutics is judged ineffective for the reduction of systolic hypertension. None of these notions hold water.Increases in total peripheral resistance cannot elevate diastolic pressure preferentially, and the rise in systolic pressure is not a "secondary phenomenon." Cardiac . . .
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Jan Koch‐Weser (1973) conducted an editorial in Systolic Hypertension. Treatment of systolic hypertension was evaluated. Systolic hypertension is often neglected due to misconceptions regarding its hemodynamic significance, correlation with complications, and responsiveness to pharmacotherapy.
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