Soteriades Elpidoforos S, Kales Stefanos N, Liarokapis Dimitrios, Christiani David C
The Cambridge Hospital Department of Medicine, Occupational and Environmental Health, Cambridge, MA 02139, USA.
J Clin Hypertens (Greenwich). 2003 Sep-Oct;5(5):315-20. doi: 10.1111/j.1524-6175.2003.02058.x.
The authors evaluated blood pressure and antihypertensive medication use in 334 firefighters in an occupational medical surveillance program. Firefighters received written summaries of their examination results, including blood pressures, and were encouraged to see their personal physicians for any abnormal results. The mean age of the participants was 39 years, and the vast majority were men (n=330). The prevalence of hypertension was 20% at baseline (1996), 23% in 1998, and 23% in 2000. Among firefighters with high blood pressure readings, only 17%, 25%, and 22% were taking antihypertensive medications at the baseline, 1998, and 2000 examinations, respectively. Medical surveillance was effective in detecting hypertension in firefighters; however, after 4 years of follow-up, only 42% of hypertensives were receiving treatment with medications, including only 22% of firefighters with hypertensive readings. Overall, 74% of hypertensives were not adequately controlled. Possible reasons for low treatment rates may be the inadequate recognition among primary care physicians that mild hypertension is a significant risk factor for cardiovascular disease.
作者在一项职业医学监测项目中对334名消防员的血压和抗高血压药物使用情况进行了评估。消防员收到了包括血压在内的检查结果书面总结，并被鼓励就任何异常结果咨询自己的私人医生。参与者的平均年龄为39岁，绝大多数为男性（n = 330）。高血压患病率在基线时（1996年）为20%，1998年为23%，2000年为23%。在血压读数高的消防员中，分别只有17%、25%和22%在基线、1998年和2000年检查时服用抗高血压药物。医学监测在检测消防员高血压方面是有效的；然而，经过4年的随访，只有42%的高血压患者接受药物治疗，其中血压读数高的消防员中只有22%接受治疗。总体而言，74%的高血压患者未得到充分控制。治疗率低的可能原因可能是初级保健医生对轻度高血压是心血管疾病的重要危险因素认识不足。
