Finnish Institute for Health and Welfare, Turku, Finland.
Department of Geriatrics, University of Turku, Turku, Finland.
J Hum Hypertens. 2021 May;35(5):479-482. doi: 10.1038/s41371-020-00428-w. Epub 2020 Oct 19.
Objectively defined early-onset hypertension, based on repeated blood pressure measurements, is associated with greater odds of organ damage and cardiovascular mortality than late-onset hypertension. In this study we examined the association between two factors that are easily available in primary care, self-reported hypertension onset age and electrocardiographic left ventricular hypertrophy (ECG-LVH), in a nationwide population sample of 2864 Finns aged ≥50 years. We observed that, in contrast to prior findings, the odds of ECG-LVH were similar between self-reported hypertension onset age groups, and thus self-reported early-onset hypertension does not seem to associate with ECG-LVH more strongly than simple presence of hypertension.
客观定义的早发性高血压,基于重复的血压测量,与器官损伤和心血管死亡率的更高几率相关,而不是晚发性高血压。在这项研究中,我们在一个全国性的 2864 名年龄≥50 岁的芬兰人群样本中,检查了在初级保健中易于获得的两个因素(自我报告的高血压发病年龄和心电图左心室肥厚(ECG-LVH))之间的关联。我们观察到,与先前的发现相反,自我报告的高血压发病年龄组之间的 ECG-LVH 几率相似,因此自我报告的早发性高血压似乎与 ECG-LVH 的关联并不比单纯存在高血压更强。