The Charlottesville Blood-Pressure Survey. Value of repeated blood-pressure measurements.

The Charlottesville Blood-Pressure Survey. Value of repeated blood-pressure measurements.
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夏洛茨维尔血压调查。

DOI:
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发表时间:
1976
期刊:
Journal of the American Medical Association (JAMA)
影响因子:
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通讯作者:
E. Vaughan
E. Vaughan
中科院分区:
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文献类型:
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作者:
R. Carey;R. A. Reid;C. Ayers;S. Lynch;W. L. McLain;E. Vaughan

文献摘要

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对 29,608 名成年人组成的社区进行了挨家挨户的血压升高筛查。在接受筛查的 12,371 名成年人中,20% 被归类为高血压患者。然而,经过反复测量血压后,只有9%的人患有持续性高血压,而11%的人患有不稳定的高血压。百分之六十的持续性高血压病例要么未被诊断,要么未被治疗,或者治疗不充分。 82% 最初不知道患有高血压的人在反复测量血压后患有不稳定高血压,18% 的人不知道患有持续性高血压。不稳定高血压在年轻人中最为常见,并随着年龄的增长而下降。相比之下,持续性高血压在年轻人中最少见,并随着年龄的增长而增加。不稳定性高血压在白人中最为常见,而持续性高血压在黑人中比白人更为常见。不稳定高血压占家庭血压调查中最初确定患有高血压的人群的很大一部分(52%)。
The population of a community of 29,608 adults was screened door-to-door for elevated blood pressure. Of 12,371 adults screened, 20% were classified as hypertensive. After repeated blood-pressure measurement, however, there were only 9% with sustained hypertension, while 11% had labile hypertension. Sixty percent of the cases of sustained hypertension had been either undiagnosed, untreated, or inadequately treated. Eighty-two percent who initially were unaware of hypertension had labile hypertension after repeated blood-pressure measurement, and 18% were unaware of having, sustained hypertension. Labile hypertension was most prevalent in the young and decreased with age. In contrast, sustained hypertension was least prevalent in the young and increased with age. Labile hypertension was most prevalent in white men, and sustained hypertension was more prevalent in blacks than in whites. Labile hypertension represents a large segment (52%) of the population initially identified as having hypertension in a home blood-pressure survey.