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A longitudinal analysis of the progression from normal blood pressure to stage 2 hypertension: A 12-year Korean cohort.


ABSTRACT:

Background

The study aimed to estimate the incidence of and period of progression to stage 2 hypertension from normal blood pressure.

Methods

We selected a total of 21,172 normotensive individuals between 2003 and 2004 from the National Health Insurance Service-Health Screening and followed them up until 2015. The criteria for blood pressure were based on the American College of Cardiology/American Heart Association 2017 guideline (normal BP: SBP ResultsDuring the median 12.23?years of follow-up period, 52.8% (n= 11,168) and 23.6% (n=5004) of the participants had stage 1 and stage 2 hypertension, respectively. In particular, over 60?years old had a 2.8-fold higher incidence of stage 2 hypertension than 40-49?years old. After the follow-up period, 77.5% (n=3879) of participants with stage 2 hypertension were found to be course C (n= 2378) and D (n=1501). After the follow-up period, 77.5% (n=3879) of participants with stage 2 hypertension were found to be course C (n= 2378) and D (n=1501). The mean years of progression from normal blood pressure to stage 2 hypertension were 8.7±2.6?years (course A), 6.1±2.9?years (course B), 7.5±2.8?years (course C) and 3.2±2.0?years, respectively.

Conclusions

This study found that the incidence of hypertension is associated with the progression at each stage. We suggest that the strategies necessary to prevent progression to stage 2 hypertension need to be set differently for each target course.

SUBMITTER: Yu ES 

PROVIDER: S-EPMC7788775 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

A longitudinal analysis of the progression from normal blood pressure to stage 2 hypertension: A 12-year Korean cohort.

Yu Eun Sun ES   Hong Kwan K   Chun Byung Chul BC  

BMC public health 20210106 1


<h4>Background</h4>The study aimed to estimate the incidence of and period of progression to stage 2 hypertension from normal blood pressure.<h4>Methods</h4>We selected a total of 21,172 normotensive individuals between 2003 and 2004 from the National Health Insurance Service-Health Screening and followed them up until 2015. The criteria for blood pressure were based on the American College of Cardiology/American Heart Association 2017 guideline (normal BP: SBP < 120 and DBP < 80 mmHg, elevated  ...[more]

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