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(Hypertension. 2001;38:1233.)
© 2001 American Heart Association, Inc.

Editorials

"Hale" and Farewell

An Epilogue After 8 Years

Edward D. Frohlich
My, how these 8 years have flown by! I have spent >40 years toiling in the hypertension vineyards, and I look forward to continued productivity in our area. Over these decades, I have been truly blessed with developing deep friendships, helping young scientists begin their academic careers in research and education, working in the experimental and clinical research arenas, and treating many patients with hypertensive disease. Clearly, working with our journal Hypertension these 8 years has been among these rewarding and satisfying pursuits.

To be sure, when I first entered into this field under the tutelage of Edward D. Freis, I was totally impressed by the ubiquity of hypertension in its severest forms. There was no "evidence base" to identify those patients whose elevated arterial pressure should be treated. There wasn’t even a firm concept on the need for treatment. We only knew that so very many of the hospitalized patients had hypertensive emergencies, stroke, cardiac failure, myocardial infarction, and end-stage renal disease, and there was a plethora of patients in the clinic with untreated and uncontrolled elevation of arterial pressure. Today, most institutions with hypertension programs find that hospital services dedicated to the treatment of hypertensive patients are unnecessary. Physicians admit their patients with stroke, cardiac failure, severe cardiac dysrhythmias, myocardial infarction, or end-stage renal disease to specific inpatient services, and those patients with other problems are usually admitted to general internal medicine services for their care. Yes, hypertension and its treatment has certainly come a very long and . . . [Full Text of this Article]

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