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Overenthusiastic stroke risk factor modification in the over-80s: Are we being disingenuous to ourselves, and to our oldest patients?
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  • Published on:
    Author's response
    • Kit Byatt, consultant general physician & geriatrician

    Dear Editor,

    I am very grateful to Ken Uchino for amplifying and clarifying the detail of some of the points I was trying to make within the word limits of a 'Perspectives' paper. I suggest there are four key elements:

    1. The epidemiology is indeed complex and I am neither an academic nor an epidemiologist. However, it would appear that we can agree that there is indeed a difference between 'younger old'...

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    Conflict of Interest:
    None declared.
  • Published on:
    Overreacting to possible over-treatment? Hypertension treatment in the very elderly.
    • Ken Uchino, Associate Professor of Medicine (Neurology)

    Dear Editor,

    While I agree with Dr Byatt that it is important to discuss with patients the choices of treating risk factors to prevent disease, the basis for the discussion needs to be clarified and fine-tuned.

    Epidemiology: The attributable risk of hypertension in stroke decreases in the elderly. This phenomenon may be partly because other factors such as atrial fibrillation become more dominant factor....

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    Conflict of Interest:
    None declared.