Q J Med 1999; 92: 63-66
© 1999 Association of Physicians
Editorial |
What should we do about blood pressure and stroke?
Department of Medicine Division of Medicine for the Elderly Glenfield Hospital Leicester
As we draw towards the end of this millennium, it will become clear whether the aspirations raised by the Health of the Nation document will be realized with regard to the reduction in mortality from stroke. The target of a 40% decrease in stroke deaths by the year 2000 in those aged 6574 years may initially have appeared optimistic without any specific new interventions, but mortality rates have been consistently falling in both the UK and most, but not all, Westernized countries over the past 23 decades.1 This decrease in mortality is probably due to a combination of decreased stroke incidence and stroke severity, as well as a reduction in death rate following the acute event. However, in the UK there are still over 120 000 strokes per annum, about 20% being due to a recurrence. Overall, 20% will die within the first few months of the event, and up
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