In Reply: We agree that, in some conditions,
hypertension may exert a protective short-term effect on stroke risk. It has
already been suggested that a drastic lowering of BP in patients with carotid
artery occlusive disease should be avoided.1
Because of this possibility, we paid careful attention to the treatment of
hypertension and aimed for target values of systolic and diastolic pressure,
respectively, in the range of 130 to 145 mm Hg and 80 to 85 mm Hg. Because
of this narrow range of BP values, we are unable to investigate the J-shaped
relationship between BP level and stroke risk in this sample. On the other
hand, verifying the possible protective effect of hypertension using BP level
as a continuous variable would have required following up hypertensive patients
without treatment. This is obviously impossible for ethical reasons.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 3
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.