Isolated systolic hypertension: data on a cohort of young subjects from a French working population (IHPAF)
Open Access
- 1 February 2003
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of Human Hypertension
- Vol. 17 (2), 93-100
- https://doi.org/10.1038/sj.jhh.1001506
Abstract
Elderly patients with isolated systolic hypertension (ISH)—systolic blood pressure (SBP) 140 mmHg and diastolic blood pressure (DBP) <90 mmHg—have increased mortality and morbidity. The aim was to study the incidence of ISH in a younger population of between 15 and 60 years of age, and to measure pulse pressure (PP), mean arterial pressure (MAP) and heart rate (HR) in these subjects. The study population consisted of 27 783 subjects, aged 15–60 years, untreated for hypertension (HT) from a cohort of employees formed to study the incidence of HT in the French working population (AIHFP). BP and HR were measured with a validated, automatic device after 5, 6 and 7 min at rest. The prevalence of ISH was 6.9% in men, 2.3% in women. This prevalence was over 5% in young men and increased at 40–44 years; it was negligible in young women, but increased at 50–54 years to about 10% (ie to the same level as in men of the same age): PP in subjects with ISH (46.9 mmHg) was significantly higher than in the normotensive group (NT—40.9 mmHg); it was comparable in both young men (65.5 mmHg) and older men (66 mmHg); it was higher in men (63.1 mmHg) than in women (61.5 mmHg). HR was higher in ISH than in NT and it was higher in women (≈5 bpm) in whom it decreased with age. The prevalence of ISH is not negligible in HT (30% men, 25% women), with a high prevalence in young subjects and elevated PP, MAP and HR values. These data should be taken into account as elevated ISH, PP and HR are considered as cardio-vascular risk factors.Keywords
This publication has 25 references indexed in Scilit:
- Excess mortality associated with increased pulse pressure among middle-aged men and women is explained by high systolic blood pressureJournal Of Hypertension, 2000
- Relationship of Blood Pressure to Cardiovascular Death: The Effects of Pulse Pressure in the ElderlyAnnals of Epidemiology, 1999
- 1999 World Health Organization-International Society of Hypertension Guidelines for the Management of HypertensionJournal Of Hypertension, 1999
- Comparison of active treatment and placebo in older Chinese patients with isolated systolic hypertensionJournal Of Hypertension, 1998
- Pulse PressureHypertension, 1997
- Isolated systolic hypertension in the elderlyJournal Of Hypertension, 1990
- Blood pressure, stroke, and coronary heart disease *1Part 1, prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution biasThe Lancet, 1990
- Twenty-Five Minutes Between Blood Pressure Readings: The Influence on Prevalence Rates of Isolated Systolic HypertensionJournal Of Hypertension, 1986
- Isolated systolic hypertension in Evans County—I. Prevalence and screening considerationsJournal of Chronic Diseases, 1982
- Systolic Hypertension in the ElderlyCirculation, 1970