Kawecka-Jaszcz K
I Kliniki Kardiologii, Akademii Medycznej w Krakowie.
Przegl Lek. 1990;47(3):317-22.
Of 1236 men, aged 40-59 years, working in the same industrial plant borderline arterial hypertension (BH) was found in 253 (20.5%) subjects. The hypertensives and matched control normotensives (n = 237) were followed up for many years. At 13 years 343 subjects i.e. 70% of the original population were reevaluated. Arterial hypertension developed in 79.1% of the subjects with initial BH, most frequently with systolic++-diastolic, less frequently with systolic and diastolic BH. In normotensives hypertension was diagnosed in 30% of the subjects (p less than 0.001). A negative correlation between blood pressure rise and its initial value was found in all subjects. Out of various risk factors such as overweight, family hypertension, smoking and tachycardia possibly contributing to the development of established hypertension genetic factors and overweight were shown to be predisposing. The results of the studies indicate the need of preventive measures in all men with borderline hypertension and normotensives with family hypertension and overweight.
在同一家工厂工作的1236名年龄在40至59岁之间的男性中，发现253名（20.5%）受试者患有临界动脉高血压（BH）。对高血压患者和匹配的正常血压对照者（n = 237）进行了多年随访。13年后，对343名受试者（即原人群的70%）进行了重新评估。初始患有BH的受试者中，79.1%发展为动脉高血压，最常见的是收缩期++ - 舒张期高血压，较少见的是单纯收缩期和舒张期BH。在正常血压者中，30%的受试者被诊断为高血压（p < 0.001）。在所有受试者中均发现血压升高与其初始值之间呈负相关。在各种可能导致确诊高血压的危险因素中，如超重、家族性高血压、吸烟和心动过速，遗传因素和超重被证明是易患因素。研究结果表明，所有患有临界高血压的男性以及有家族性高血压和超重的正常血压者都需要采取预防措施。
