open access

Vol 8, No 5 (2004)
Prace oryginalne
Published online: 2004-11-15
Get Citation

Prospective observation of arterial hypertension prevalence and treatment effectiveness in a cohort of Gdańsk Port workers

Jerzy Bellwon, Krzysztof Chlebus, Wojciech Sobiczewski, Janusz Siebert, Andrzej Rynkiewicz
Nadciśnienie tętnicze 2004;8(5):319-325.

open access

Vol 8, No 5 (2004)
Prace oryginalne
Published online: 2004-11-15

Abstract

Background Uncontrolled arterial hypertension leads to numerous cardiovascular and renal complications. Prevention and early detection of arterial hypertension as well as proper blood pressure control may significantly limit that problem.
Material and methods We have examined 511 consecutive Gdansk Port workers during their routine medical check up who did not have any symptoms of cardiovascular diseases. The group consisted of 403 men aged 44.9 ± 9 years, range 23-73 years, median 45 years and 108 women aged 44.1 ± 7 years, range 25-62 years, median 43 years. We obtained history, measured blood pressure twice in the sitting position after 10 minutes rest and registered EKG. The examination was repeated after 7 years.
Results Initially the mean SBP was 132.3 ± 20 mm Hg (133.8 ± 20 mm Hg in men and 126.9 ± 20 in women, p < 0.005), DBP 84.1 ± 12 mm Hg (84.5 ± 12 mm Hg in men and 82.7 ± 12 in women, NS). After 7 years in the control examination the mean SBP was 135.4 ± 19 mm Hg (136.3 ± 18 mm Hg in men and 132.4 ± 20 in women, NS), DBP 85.8 ± 11 mm Hg (86.5 ± 11 mm Hg in men and 83.2 ± 11 in women, p < 0.01). There was no significant difference in the distribution of blood pressure values into categories of normal blood pressure and hypertension. During the follow up period arterial hypertension was diagnosed and treated in 122 subjects (99 men and 22 women). The proper blood pressure control was achieved only in 28.7% treated patients (32.3% men and 13.0% women, NS). In the first examination blood pressure values allowing diagnosis of isolated systolic hypertension were observed in 37 (7.2%) subjects, 31 (7.7%) men and 6 (5.6%) women (NS). After 7 years in the follow up examination similar values were observed in 45 (8.8%) subjects, 32 (7.9%) men and 13 (12.0%) women (NS). In the initial examination in men and in both examinations in women there were no ECG signs of left ventricular hypertrophy. In the follow up examination in men the ECG signs of left ventricular hypertrophy were observed in 31 (7.6%) men, 20 (7.9%) in the younger group and 11 (4.7%) in the older group (NS).
Conclusion The prevalence of undiagnosed arterial hypertension is still high. The control of blood pressure during hypotensive treatment seems to improve in Poland.

Abstract

Background Uncontrolled arterial hypertension leads to numerous cardiovascular and renal complications. Prevention and early detection of arterial hypertension as well as proper blood pressure control may significantly limit that problem.
Material and methods We have examined 511 consecutive Gdansk Port workers during their routine medical check up who did not have any symptoms of cardiovascular diseases. The group consisted of 403 men aged 44.9 ± 9 years, range 23-73 years, median 45 years and 108 women aged 44.1 ± 7 years, range 25-62 years, median 43 years. We obtained history, measured blood pressure twice in the sitting position after 10 minutes rest and registered EKG. The examination was repeated after 7 years.
Results Initially the mean SBP was 132.3 ± 20 mm Hg (133.8 ± 20 mm Hg in men and 126.9 ± 20 in women, p < 0.005), DBP 84.1 ± 12 mm Hg (84.5 ± 12 mm Hg in men and 82.7 ± 12 in women, NS). After 7 years in the control examination the mean SBP was 135.4 ± 19 mm Hg (136.3 ± 18 mm Hg in men and 132.4 ± 20 in women, NS), DBP 85.8 ± 11 mm Hg (86.5 ± 11 mm Hg in men and 83.2 ± 11 in women, p < 0.01). There was no significant difference in the distribution of blood pressure values into categories of normal blood pressure and hypertension. During the follow up period arterial hypertension was diagnosed and treated in 122 subjects (99 men and 22 women). The proper blood pressure control was achieved only in 28.7% treated patients (32.3% men and 13.0% women, NS). In the first examination blood pressure values allowing diagnosis of isolated systolic hypertension were observed in 37 (7.2%) subjects, 31 (7.7%) men and 6 (5.6%) women (NS). After 7 years in the follow up examination similar values were observed in 45 (8.8%) subjects, 32 (7.9%) men and 13 (12.0%) women (NS). In the initial examination in men and in both examinations in women there were no ECG signs of left ventricular hypertrophy. In the follow up examination in men the ECG signs of left ventricular hypertrophy were observed in 31 (7.6%) men, 20 (7.9%) in the younger group and 11 (4.7%) in the older group (NS).
Conclusion The prevalence of undiagnosed arterial hypertension is still high. The control of blood pressure during hypotensive treatment seems to improve in Poland.
Get Citation

Keywords

arterial hypertension; prevalence; treatment effectiveness

About this article
Title

Prospective observation of arterial hypertension prevalence and treatment effectiveness in a cohort of Gdańsk Port workers

Journal

Arterial Hypertension

Issue

Vol 8, No 5 (2004)

Pages

319-325

Published online

2004-11-15

Bibliographic record

Nadciśnienie tętnicze 2004;8(5):319-325.

Keywords

arterial hypertension
prevalence
treatment effectiveness

Authors

Jerzy Bellwon
Krzysztof Chlebus
Wojciech Sobiczewski
Janusz Siebert
Andrzej Rynkiewicz

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl