Ambrosio G B, Zamboni S, Pilotto L, Dal Palù C
Clin Exp Hypertens A. 1982;4(7):1133-50. doi: 10.3109/10641968209060780.
In the Region Veneto, north-eastern Italy, a survey of three random samples of population aged 20-64 has been made during the initial phase of the international cooperative pilot project called "Community Control Programme of Hypertension", promoted by World Health Organization. 15,187 subjects were examined (47.2% males). The prevalence of "isolated" systolic hypertension (ISH: "casual" blood pressure at or above 160 for systolic readings and below 95 for diastolic) was 6.2%, that of "isolated" diastolic (IDH) 9% and that of "simultaneous" systolic diastolic hypertension (SDH) 15.5%. ISH had an awareness rate of 29.4% and a treatment rate of 10.6%, which is less than for SDH but more than IDH. Analysis of the Hypertension Register set up in one of the three areas showed no important differences in heart rate, Body Mass Index, serum sodium or potassium, B.U.N. and total cholesterol between the different forms of hypertension. The assessment of coronary risk by means of Multiple Logistic Function yielded similar figures for ISH and SDH in males, higher figure for SDH in females. Electrocardiographic changes of left ventricular hypertrophy and of ischaemia were more frequent among subjects with ISH than those with SDH and IDH. It is concluded that ISH is present in a substantial proportion of the population and carries with it no less risk of cardiovascular complications than the other forms of hypertension.
在意大利东北部的威尼托地区，于名为“高血压社区控制项目”的国际合作试点项目初始阶段，对20 - 64岁的三个随机抽样人群进行了调查。该项目由世界卫生组织推动。共检查了15187名受试者（男性占47.2%）。“单纯性”收缩期高血压（ISH：收缩压“偶测”血压为160及以上且舒张压低于95）的患病率为6.2%，“单纯性”舒张期高血压（IDH）为9%，“混合型”收缩期和舒张期高血压（SDH）为15.5%。ISH的知晓率为29.4%，治疗率为10.6%，低于SDH但高于IDH。对三个地区之一建立的高血压登记册分析显示，不同类型高血压患者在心率、体重指数、血清钠或钾、血尿素氮和总胆固醇方面无显著差异。通过多元逻辑函数评估冠心病风险，男性ISH和SDH得出相似数据，女性SDH数据更高。ISH患者中左心室肥厚和缺血的心电图改变比SDH和IDH患者更常见。得出的结论是，ISH在相当一部分人群中存在，且与其他类型高血压相比，其心血管并发症风险并不更低。
