Why the study?
What is the long-term prognosis and risk of cardiovascular events in adolescents with elevated blood pressure?
What is the long-term prognosis and risk of cardiovascular events in adolescents with elevated blood pressure?
Elevated blood pressure in adolescents carries a significant risk of progressing to sustained hypertension and severe cardiovascular events over a 7-year period, particularly in those with overweight and subsequent weight gain.
Answers are grounded in this paper and cite their sources.
Adolescent hypertension was associated with events; leaves open whether modern screening or weight control alters trajectories.
Hypertension in adolescents is still a debatable subject in regard to prognosis. Conclusions on the significance of "prehypertension" have been divided and no long-term follow-up has been reported in a representative population. In a group of 435 adolescents of the Evans County Epidemiologic Study, 11% had hypertension (≥140 and/ or ≥90 mm Hg) in 1961. After seven years, 30 of this group were reevaluated. Two deaths from cerebral hemorrhage occurred. One patient has hypertensive heart disease; sustained hypertension with cardiovascular and cerebrovascular symptoms developed in three more. Five were found to have asymptomatic sustained hypertension. Seven more had hypertension not reaching levels of sustained hypertension (≥160 and/or ≥95 mm Hg). Twelve have become normotensive. The most impressive associated finding was overweight and subsequent weight gain in eventual sustained hypertensives.
No takes yet. Share an insight, caveat, or question.
Siegfried Heyden (1969) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: