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Titolo:
Old patients with hypertension. A 25-year observational study of a geographically defined population (Dalby), aged 67 years at entry
Autore:
Lidfeldt, J; Lanke, J; Sundquist, J; Lindholm, LH;
Indirizzi:
Univ Lund, Dept Community Hlth Sci Dalby Lund, S-22354 Lund, Sweden Univ Lund Lund Sweden S-22354 Hlth Sci Dalby Lund, S-22354 Lund, Sweden
Titolo Testata:
JOURNAL OF INTERNAL MEDICINE
fascicolo: 6, volume: 244, anno: 1998,
pagine: 469 - 478
SICI:
0954-6820(199812)244:6<469:OPWHA2>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY HEART-DISEASE; BLOOD-PRESSURE; CARDIOVASCULAR MORBIDITY; PRIMARY CARE; MORTALITY; TRIAL; RISK; MEN; HYPERINSULINEMIA; FRAMINGHAM;
Keywords:
blood pressure; cardiovascular disease; elderly; hypertension; mortality & observational study;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
39
Recensione:
Indirizzi per estratti:
Indirizzo: Lidfeldt, J Univund,d, Dept Community Hlth Sci Dalby Lund, Helgeandsgatan 16, S-22354 L Univ Lund Helgeandsgatan 16 Lund Sweden S-22354 16, S-22354 L
Citazione:
J. Lidfeldt et al., "Old patients with hypertension. A 25-year observational study of a geographically defined population (Dalby), aged 67 years at entry", J INTERN M, 244(6), 1998, pp. 469-478

Abstract

Objectives. To evaluate the impact of hypertension and other risk factors on mortality, in particular cardiovascular mortality, in a geographically defined population of elderly subjects,Design, An observational 25-year study of a total population. Setting. The local health centre in the village of Dalby in southern Sweden,Subjects, All men and women born in 1902 or 1903, living in Dalby, were, at the age of 67, invited for medical and psychological examinations. The population comprised 188 subjects (109 men and 79 women): 156 (83%) of them tool; part in the first medical examination. Blood pressure, heart rate, weight and height were measured and laboratory tests performed at entry, Bloodpressures were thereafter recorded six times, and this report is based on a 25-year follow-up period ending in October 1994. Main outcome measures. Survival analyses were performed, based on definition of underlying causes of death, divided into all-cause and cardiovascular. Results, At entry, females had higher blood pressure than males, both at baseline and during the first 16 pears of the study, regardless of whether they were hypertensives or not. Most men smelted but only a few women. At the end of the follow-up of the present study in 1994, 138 out of 156 (88%) subjects had died and only 18 (12%) remained alive; 78 (57%) had died of a cardiovascular disease, In men, a diagnosis of hypertension as well as increased blood pressure at entry was associated with increased mortality. In women this was the case for blood pressure and risk of cardiovascular mortality In men, both systolic and diastolic blood pressures during the study were significant risk factors for death, whereas in women this was not the case. Conclusions. Elderly male hypertensives ran an increased mortality risk even though they were treated according to the then current guidelines: female hypertensives seemed to run the same risk of dying as normotensive females.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 23:00:36