#medtwitter, please help resolve a heated debate: Hypertension - disease or risk factor?
To be clear I'm not taking about 'malignant/crisis etc'. I'm talking about the bulk of hypertensive cases - systolics between 140-160. No retinopathy/nephropathy/IHD etc etc.
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Replying to @GidMK
True in that if we think of it as a disease, it's automatically a risk factor. But if an 80 yr old dude, HT@ 150 systolic, asymptomatic, heart/kidney/vasculature intact - does he have disease, or merely a risk factor? How bout his 80yo friend friend in same health with bp 139?
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Also - J curve phenomenon with BP and outcomes?
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Replying to @drvyom
I feel like this complexity is why you could probably consider it as both. Largely contextual?
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Replying to @GidMK
Gid, I came here to arm myself with more arguments to win a debate. Peace is not an option.
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Fair. Well then, I'd go with risk factor, disease is a problematic label that should only be used with care and if there's a fence to sit on we should err on the side of caution
I hope I helped your side of the argument 
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