Juvenile hypertension – high risk of stroke in adulthood


With hypertension (BP) at a young age (up to age 40), the risk of early cardiovascular disease and stroke increases significantly, according to data from two new studies published in the Journal of the American Medical Association.

Both studies were based on new recommendations for the arterial hypertension (AH) of the American College of Cardiology and the American Heart Association (American College of the Cardiology and American Heart Association), according to which:

  • the normal arterial pressure is less than 120/80 mm Hg;

  • increase in blood pressure – 120-129 / less than 80 mm Hg;

  • 1st degree of hypertension – from 130/80 mm Hg;

  • 2nd degree of hypertension – from 140/90 mm Hg

The recommendations have sparked debate and have not yet been universally accepted. In particular, they have not yet been used in Europe.

However, the lead author of the first study, Dr. Yuichiro Yano of Duke University (Duke University), after examining the results of the study, believes that the new recommendations are reasonable because "they can help identify young people with a increased risk of cardiovascular events and mortality from all causes ".

The first study involved about 5,000 young American adults, whose average age at the start of the study was 36 years. The distribution between whites and blacks was almost uniform. During the follow-up period of almost 19 years, 228 cases of cardiovascular disease (myocardial infarction, stroke or heart failure) were diagnosed.

The researchers found that, compared to people with normal blood pressure, with increased blood pressure, the risk of cardiovascular disease or stroke was 67% higher; with 1st degree AH – 75% and 2nd degree – 3.5 times.

In the second study, about 2.5 million young people from Korea were studied, the average age of the participants was 31 years. During the 10-year observation period, approximately 45,000 cardiovascular events (heart failure or stroke) were recorded.

The researchers found that with hypertension of the 1st degree, the risk of cardiovascular disease or stroke increases by about 25% and by the 2nd degree – by 76% in men and by 85% in women .

Reducing hypertension will reduce the risk of cardiovascular disease and stroke, both research groups have noted.

According to the new recommendations, 46% of Americans, 50% of Chinese, 43% of Indians have high and high blood pressure. One of the reasons for such high rates is the frequent absence of symptoms.

"For many patients, hypertension is an abstract disease.Unlike broken bones or headaches, hypertension is almost impossible to visualize or localize.Also, it rarely causes symptoms and the damage it causes – as a myocardial infarction or stroke – often occurs many years later, and it is easy to understand why the public can underestimate the importance of controlling high blood pressure, "said Dr. Naomi Fisher of Harvard Medical Schools (Harvard Medical School).

However, you can do much by yourself to solve this problem. First, monitor your blood pressure at home regularly. Secondly, lead a healthy lifestyle and eat well, even in the case of drug therapy. This means a healthy diet with limited intake of salt and alcohol, maintaining normal weight and regular exercise.

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