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High blood pressure (BP) (with fats and smoking) is one of the
three roots of cardio-cerebro-renovascular disease affecting up to
25% of the adult population. Hence, high blood pressure should be
recognized and treated, to reduce any complications and prolong
life, as noted by Michael Weber of the Veterans Administration
Hospital in Long Beach, California. He further emphasizes the need
for monitoring before one starts the treatment of high blood
pressure. Indeed, he refers to the results of the Australian study
on mild hypertension with a large percentage of placebo responders
and rightly suggests that many people are treated who should not be
because of 'white-coat-associated high blood pressure'. He also
points to the lack of standardization of techniques for data
analysis and of methods of BP measurement. Ambulatory monitoring
under usual condi tions without concomitant recording of events
does not allow even a qualitative assessment of the impact of
varying stimuli, in weber's opinion."
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