Gopinath N, Chadha S L, Shekhawat S, Tandon R
Sitaram Bhartia Institute of Science & Research, New Delhi.
Indian Heart J. 1995 Mar-Apr;47(2):129-33.
A follow-up study of hypertension was carried out among adults, in the age group between 25 to 64 years, in a rural population of Gurgaon district, Haryana, five years after an initial community based epidemiological survey of the same population. The progress of 77 out of 98 hypertensives detected at the initial survey could be reassessed. The treatment and severity of hypertension found at the initial survey has been compared with that observed on follow-up. The percentage of cases with blood pressure (BP) controlled on treatment increased from 2.6 percent to 45.4 percent on follow-up. An electrocardiogram could be obtained in 66 out of 77 subjects reexamined and was abnormal in 21 cases (31.8%). The electrocardiographic abnormalities found were: myocardial infarction in one, left ventricular hypertrophy in 5, left ventricular hypertrophy with ischaemic ST-T changes in 6, isolated ST-T abnormalities in 5 and conduction defects or arrhythmias in 4 cases. In a cohort of 1,334 subjects who were normotensive at the initial survey, 19 new cases were detected to have hypertension. The overall annual incidence of hypertension was 2.8/1000 (male: 3.8/1000 and female: 2.4/1000). In these hypertensives, a family history of hypertension was present in 10.5 percent and obesity in 42.1 percent.
在对哈里亚纳邦古尔冈区农村人口进行的基于社区的首次流行病学调查五年后，对年龄在25至64岁之间的成年人开展了一项高血压随访研究。在首次调查中检测出的98例高血压患者中，有77例的病情进展得以重新评估。已将首次调查时发现的高血压治疗情况和严重程度与随访时观察到的情况进行了比较。接受治疗的患者中血压得到控制的比例从2.6%升至随访时的45.4%。在重新检查的77名受试者中，有66人进行了心电图检查，其中21例（31.8%）异常。发现的心电图异常情况为：1例心肌梗死，5例左心室肥厚，6例左心室肥厚伴缺血性ST-T改变，5例孤立性ST-T异常，4例传导缺陷或心律失常。在首次调查时血压正常的1334名受试者队列中，检测到19例新发高血压病例。高血压的总体年发病率为2.8/1000（男性：3.8/1000，女性：2.4/1000）。在这些高血压患者中，10.5%有高血压家族史，42.1%存在肥胖。
