Barlow D H, Beevers D G, Hawthorne V M, Watt H D, Young G A
Br Heart J. 1977 Jan;39(1):7-12. doi: 10.1136/hrt.39.1.7.
As part of an epidemiological study of hypertension, an analysis was made of the general practitioner records of all attenders at a screening survey. A blood pressure recording, made before screening, was found in 37-9 per cent of cases. The pressures obtained correlated well with those obtained by the screening unit, though the practitioners' readings tended to be lower. Further cases of hypertension were found, not diagnosed by the screening unit; the estimate made of the prevalence of hypertension at the survey could be corrected by inclusion of these cases. Chest pain, headaches, lightheadedness, and dizziness were common reasons for blood pressure measurement in general practice, but these symptoms were not associated with a rise in the blood pressure; symptoms were not helpful in the diagnosis of hypertension. Some form of screening programme is necessary to detect cases of hypertension. This could be carried out by general practitioners.
作为高血压流行病学研究的一部分，对一次筛查调查中所有就诊者的全科医生记录进行了分析。在37.9%的病例中发现了筛查前的血压记录。所获得的血压值与筛查单位测得的血压值相关性良好，不过全科医生测得的读数往往较低。发现了一些筛查单位未诊断出的高血压病例；将这些病例纳入后，可对调查中高血压患病率的估计值进行校正。胸痛、头痛、头晕和眩晕是全科医疗中测量血压的常见原因，但这些症状与血压升高无关；这些症状对高血压的诊断并无帮助。有必要开展某种形式的筛查项目来发现高血压病例。这可由全科医生来实施。
