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Reader Remarks on:

BP-Lowering Drugs and Prevention of Cardiovascular Disease

• Who should be treated
• Blood Pressure Meds
• Arguedas study
• Post=Polio Syndrome.
• Drug best for pulmonary hypertension
• B blockers back in business
• pulmonary hypetension and treating heart disease.
• Anti Hypertensives

Who should be treated

Margery G. Myers, Walter Reed (retired), 26 Jun 2009 10:03 AM EST

Competing interests: None declared

This sounds as if we should treat anyone with any strong family history of vascular disease and/or personal evidence of ASCVD regardless of their B/P.

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Blood Pressure Meds

Joanne Partain, 3 Jul 2009 4:32 PM EST

Competing interests: None declared

Can anyone with heart problems benefit from blood pressure medication?

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Arguedas study

Paul Deane, 9 Jul 2009 9:17 AM EST

Competing interests: None declared

How do these findings compare with recent Jose Agustin Arquedas Cocharin study?

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Post=Polio Syndrome.

Thomas P. McGraw, 14 Jul 2009 2:23 PM EST

Competing interests: None declared

Appreciated comments. I wondered if what BP meds may be best in a pt. with Post-polio and possible side effects? Thank you,T.McG.

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Drug best for pulmonary hypertension

Kat H. Cahill, 16 Jul 2009 8:15 AM EST

Competing interests: None declared

Which of the five classes may work best for pulmonary hypertension?

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B blockers back in business

alaa hasan daban, 16 Jul 2009 12:44 PM EST

Competing interests: None declared

I always believed that Bp lowering is more important than agent selection in the the absence of compelling indication. despite superiority of ACEI , feel free to use any single or combination BP lowering meds that can get you to target

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pulmonary hypetension and treating heart disease.

Alaa Hasan Daban, 18 Jul 2009 4:43 AM EST

Competing interests: None declared

for primary PHT a calcium channel blocker would work best because it induces pulmonary vess relaxation. Regarding heart disease the list is as follows 1-IHD use BB & ACI , CCB where BB contraindicated 2-CHF ACI OR ARB,THIAZIDE ,highly selective BB(eg bisoprolo)3-HOCM CCB would be best 4-LVH ACI or ARB.

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Anti Hypertensives

Baikuntha nath Panda, Eastern India, 19 Jul 2009 10:25 AM EST

Competing interests: None declared

This is a good analysis throwing light on the use of different classes of anti hypertensives.

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