How safe are SSRIs in pregnancy? A large linked-register study from the Nordic countries has shown third-trimester use to be associated with a 1.8/1000 risk of persistent pulmonary hypertension of the newborn (a life-threatening condition).
Although a recent study, HYVET, has shown hypertension treatment to be of help in preventing stroke even in octogenarians, one medical professor has written in to advise caution – hypotension, he points out, is more of a risk to the elderly than hypertension, and the HYVET trial looked at a particularly healthy group of elderly. In the less healthy, treatment may carry more risk than benefit.
Patients who present with recent-onset seizures should see a specialist within two weeks. Meanwhile, do an ECG in adults and consider it in children.