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ARTICLE |

Myocardial Infarction Associated With Antihypertensive Drug Therapy

W. E. Feeman Jr, MD
JAMA. 1996;275(7):515. doi:10.1001/jama.1996.03530310021013.
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To the Editor.  —The study by Dr Psaty and colleagues1 is simply a lesson in what happens when one does not learn from failures of the past. In brief, Psaty and colleagues reviewed charts of hypertensive patients in the Group Health Cooperative (GHC) of Puget Sound in Washington States, a plan that appears to be a health maintenance organization that controls the medications dispensed by its pharmaceutical outlets. As a result, long after immediate-release calcium channel blockers (CCBs) became irrelevant to mainstream medical practice, some patients continued to receive them in preference to sustained-release CCBs, which probably, at least in part, was due to cost-containment measures.As was the standard of practice during the study period, GHC physicians prescribed CCBs for patients with complicated hypertension, such as those with atherosclerotic heart disease (ASHD). This is borne out by the increased prevalence of ASHD in patients who have been prescribed

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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