Monday, November 9, 2015

Revisiting blood pressure guidelines

As a followup to a September piece in the Times on a blood pressure study halted prematurely, the Times reports on a NEJM paper out today. The study showed costs of systolic BP maintained at 120 or below compared to 140 or below;  not injurious falls, but hypotension, syncope (fainting), electrolyte abnormalities, and acute kidney injury or failure. But it also showed a hazard ratio of 0.73 (i.e., mortality was 27 percent lower) for the treatment group with a target of 120.