Hachinski V
Stroke. 1984 Mar-Apr;15(2):376-8. doi: 10.1161/01.str.15.2.376.
Dr. Whisnant argues persuasively that control of hypertension has played a major role in the decline of stroke. He offers a cohesive and logical overview on this decline and does so with data from his own vast experience and with the advantages of the Mayo Clinic system which includes a centralized population-based diagnostic index, neurological expertise and a high autopsy rate. However, neither Dr. Whisnant's arguments nor the Mayo Clinic data justify the conclusion that "treatment of hypertension is the only significant contributor to the decline of stroke."
维斯纳特博士颇具说服力地指出,高血压控制在中风发病率下降中发挥了主要作用。他就这种下降情况提供了一个连贯且合乎逻辑的概述,其依据既有他自身丰富经验的数据,也有梅奥诊所系统的优势,该系统包括一个基于人群的集中诊断索引、神经学专业知识以及较高的尸检率。然而,无论是维斯纳特博士的观点,还是梅奥诊所的数据,都无法证明“高血压治疗是中风发病率下降的唯一重要因素”这一结论的合理性。