Hypertension in youth – high risk of stroke in adulthood
For high blood pressure (BP) at a young age (before 40) significantly increases the risk of early cardiovascular disease and stroke, according to data from two new studies published in the Journal of American Medical Association.
Both studies were based on the new recommendations for blood gipertenzii (AG) of the American College of cardiology and American heart Association (American College of Cardiology and American Heart Association), according to which:
- normal blood pressure less than 120/80 mm Hg.St;.
- high blood pressure 120-129/ < 80 mm Hg.St;.
- The 1st degree of AH from 130/80 mm Hg.St;.
- Degree 2 hypertension from 140/90 mm Hg.St.
Recommendations caused some debate and not yet accepted everywhere. In particular, they are not yet used in Europe.
However, lead author of the first study, Dr. Yuichiro Yano (Yuichiro Yano) from Duke University (Duke University), examining the results of the study, says the new recommendations are reasonable, because they can help to identify young people with an increased risk of cardiovascular events and mortality from all causes.
In the first study involved nearly 5,000 young American adults, whose average age at the beginning of the study was 36 years. The distribution between whites and blacks was virtually uniform. During nearly 19 years of observations 228 diagnosed cases of cardiovascular diseases (myocardial infarction, stroke, or heart failure).
The researchers found that, compared with people with normal blood pressure, elevated blood pressure the risk of cardiovascular disease or stroke were higher by 67%; at the 1st degree of AH 75%, and when 2nd 3.5 times.
In the second study it was studied about 2.5 million young people from Korea, the average age of participants was 31 years. Over a 10-year period of observation there were about 45 000 cardiovascular events (heart failure or stroke).
The researchers found that when AG 1-th degree about 25% increased risk of cardiovascular disease or stroke, and in 2 nd degree of 76% in men and 85% in women.
Lowering high blood pressure reduces the risk of cardiovascular disease and stroke, said both research teams.
In accordance with the new recommendations high blood and high blood pressure have 46% of Americans, 50% Chinese, 43% of Indians. One of the reasons for so high performance is the frequent absence of symptoms.
For many patients high blood pressure is an abstract disease. Unlike a broken bone or headache, hypertension is virtually impossible to visualize or localize. In addition, it rarely causes symptoms, and the harm that he causes as myocardial infarction or stroke often occurs after many years, and it is easy to understand why the public may underestimate the importance of controlling high blood pressure, said Dr. Naomi Fisher (Naomi Fisher) from Harvard medical school (Harvard Medical School).
However, much can be done yourself to solve this problem. First, regularly monitor the HELL home. Secondly, maintain a healthy lifestyle and eat right, even in the case of drug therapy. This means a healthy diet with limited consumption of salt and alcohol, maintaining normal weight and regular exercise.