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Does Increased Blood Pressure Cause Left Ventricular Hypertrophy or Vice Versa?

Richard B. Devereux
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Requests for Reprints: Richard B. Devereux, MD, Division of Cardiology, Box 222, New York Hospital-Cornell Medical Center, 525 East 68th Street, New York, NY 10021.

New York Hospital-Cornell Medical Center
New York, New York

Ann Intern Med. 1990;112(3):157-159. doi:10.7326/0003-4819-112-3-157
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This excerpt has been provided in the absence of an abstract.

Hypertension is a primary risk factor for cardiac and cerebrovascular disease, but the incidence of morbid events in patients with hypertension of average severity is relatively low and poorly predicted by blood pressure level (1). Furthermore, successful reduction of arterial pressure by standard antihypertensive drugs prevents less than half of the morbidity attributable to hypertension (2, 3). Perhaps attention has been disproportionately focused on identifying and controlling increased blood pressure rather than on recognizing and managing hypertensive heart disease.

It has long been known that among hypertensive patients no matter what their blood pressure, complications occur more frequently in those


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