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• W1971466442 abstract "Hypertension is defined as elevated arterial pressure, above the ranges encountered generally in the population. Although a variety of underlying pathological processes may give rise to a secondary elevation of blood pressure, the great majority of hypertensives have what is termed primary (or essential) hypertension which may be one disease or a group of diseases of unknown origin, but have no other evident condition to account for it. Current mortality statistics indicate that hypertension and hypertensive heart disease account for nearly 10 per cent of the deaths attributed to cardiovascularrenal diseases. There is agreement among clinicians and epidemiologists that hypertension is of even greater importance, although reliable statistics are lacking. One estimate is that hypertension is reported in fewer than 20 per cent of the deaths in which it is known to the attending physician. During the decade 1950–1960, there was a decline of 40 per cent in mortality reported in the United States in rubrics 440–447. Although some writers have attributed the decline to the widespread use of anti-hypertensive drugs, the poor quality of current mortality statistics makes this interpretation speculative. Primary hypertension is widespread in the adult American population. While exact statistics on its prevalence are not available, surveys among selected groups suggest that 5–25 per cent of the adult population are affected. It is more common among women, but more severe in men. Primary hypertension appears to be more prevalent in highly industrialized regions than in industrially underdeveloped ones. There is no clear indication of a secular trend in the occurrence of primary hypertension, but there is a suggestion that the number of cases is increasing in newly industrialized countries. Community studies and clinical observations have suggested association of primary hypertension with a number of factors including heredity, diet (particularly electrolyte intake), obesity, occupation and psychological and social characteristics. Although data are lacking to identify clearly the etiological importance of any of these variables, the most promising hypotheses are related to obesity, occupation, and especially to family concentration. Improvements are necessary in the reporting of mortality statistics. Changes in death certification and multiple cause coding could improve the usefulness of mortality statistics for epidemiological studies. Studies of blood pressure levels are not an efficient substitute for diagnostic examinations for the presence of primary hyptertension. Agreement on classification procedures would facilitate comparisons among studies. A major need in hypertension research is the conduct of long-term community and family studies." @default.
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• W1971466442 date "1965-08-01" @default.
• W1971466442 modified "2023-09-24" @default.
• W1971466442 title "The epidemiology of primary hypertension present status" @default.
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• W1971466442 doi "https://doi.org/10.1016/0021-9681(65)90021-4" @default.
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