Gopinath N, Chadha S L, Shekhawat S, Tandon R
Sitaram Bhartia Institute of Science and Research, New Delhi, India.
Bull World Health Organ. 1994;72(5):715-20.
A follow-up study of hypertension was carried out among adults in Delhi 3 years after an initial community-based epidemiological survey of the same population. The treatment and the severity status of 1115 out of 1749 individuals with hypertension detected in the initial survey were compared with those observed in the follow-up. The proportion of treated cases with controlled blood pressure rose from 10.8% to 60.8%. Among the cohort of 3611 subjects aged 25-64 years who were normotensive in the initial survey, 132 new cases of hypertension, were detected. The annual incidence of hypertension was the same in men and women (12.2 per 1000). Diabetes and regular alcohol consumption were significant risk factors for hypertension, being present in 13 and 7 cases, respectively. Electrocardiograms (ECGs) were recorded for 871 of the 1115 cases of hypertension. Abnormal ECGs were exhibited by 307 cases (35.2%), of which 24 (2.7%) had had myocardial infarction, 133 (15.3%) had ischaemic ST-T changes, 54 (6.2%) had left ventricular hypertrophy, and 96 (11.0%) had conduction defects and arrhythmias.
在对同一人群进行首次基于社区的流行病学调查3年后，对德里的成年人开展了一项高血压随访研究。将首次调查中检测出的1749例高血压患者中的1115例的治疗情况和严重程度状态与随访中观察到的情况进行了比较。血压得到控制的治疗病例比例从10.8%升至60.8%。在首次调查中血压正常的3611名年龄在25至64岁的受试者队列中，检测出132例新的高血压病例。高血压的年发病率在男性和女性中相同（每1000人中有12.2例）。糖尿病和经常饮酒是高血压的重要危险因素，分别有13例和7例存在这些情况。对1115例高血压病例中的871例进行了心电图记录。307例（35.2%）出现异常心电图，其中24例（2.7%）曾发生心肌梗死，133例（15.3%）有缺血性ST-T改变，54例（6.2%）有左心室肥厚，96例（11.0%）有传导缺陷和心律失常。
