Panja M, Kumar S, Sarkar C N, Sinha D P, Ray S, Chatterjee A, Panja S, Mitra D, Kar A K, Pahari D K
Department of Cardiology, Institute of Post-graduate Medical Education & Research, Calcutta.
Indian Heart J. 1996 Nov-Dec;48(6):663-6.
Three hundred and forty-one young hypertensives in the age group of 18-30 years were evaluated over a 7-year period. Essential hypertension constituted the single largest group (35.8%). Renal pathology was the most common cause of secondary hypertension (26.4%). Congenital coarctation of the aorta and endocrine causes accounted for 14.1 percent and 3.2 percent cases of secondary hypertension, respectively. A strikingly high incidence of nonspecific aortoarteritis (20.1%) was a distinguishing feature amongst secondary causes. Aortoarteritis was the commonest cause of renal artery stenosis. Renal angioplasty was performed in 11 patients with refractory hypertension. Forty percent of the patients achieved post-angioplasty control of blood pressure without drugs; in 25 percent, the blood pressure became easier to control. Restenosis was detected in 4 cases over 18-24 months of follow-up.
在7年时间里，对341名年龄在18至30岁之间的年轻高血压患者进行了评估。原发性高血压是最大的单一群体（35.8%）。肾脏病变是继发性高血压最常见的原因（26.4%）。先天性主动脉缩窄和内分泌原因分别占继发性高血压病例的14.1%和3.2%。非特异性主动脉动脉炎的发病率极高（20.1%）是继发性病因中的一个显著特征。主动脉动脉炎是肾动脉狭窄最常见的原因。对11例顽固性高血压患者进行了肾血管成形术。40%的患者在血管成形术后无需药物即可控制血压；25%的患者血压变得更容易控制。在18至24个月的随访中，发现4例再狭窄。
