[What is the risk of future development of ischemic heart disease in juvenile hypertensives?].

The investigation was focused on the incidence of some amenable risk factors of ischaemic heart disease in 51 adolescent men aged 15-19 years. The author compares the incidence of these risk factors in normotonics and hypertonics. The investigation revealed that the group of juvenile hypertonic subjects is from the aspect of future development of ischaemic heart disease at greater risk, as compared with the group of normotonic subjects. In families of juvenile hypertonic subjects the disease is more frequent in parents and grandparents and there are more frequent early deaths from this disease in the family. Juvenile hypertonics are more frequently obese and have a more risky level of serum cholesterol, as compared with adolescent normotonic subjects. The task of the general practitioner for children and adolescents is to detect by early screening and to include in dispensary care all subjects at risk and to recommend appropriate provisions to reduce the risk of development of ischaemic heart disease in adult age.