The Linguistics of Hypertension: Is “Essential” Really Primary, or Just Plain Complex?

IF 3.4 4区医学 Q2 PERIPHERAL VASCULAR DISEASE

Journal of Human Hypertension Pub Date : 2025-09-10 DOI:10.1038/s41371-025-01066-w

Victoria D. Dahmen

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引用次数: 0

Abstract

The Stanley Peart Essay Competition is an annual event run by the British and Irish Hypertension Society to encourage Early Career Researchers to continue the ethos of Sir Stanley Peart. Sir Stanley Peart was a clinician and clinical researcher who made a major contribution to our understanding of blood pressure regulation. He was the first to demonstrate the release of noradrenaline in response to sympathetic nerve stimulation. He was also the first to purify, and determine the structure of, angiotensin and he later isolated the enzyme, renin, and carried out many important investigations of the factors controlling its release in the body. This year, the essay topic was “Is Essential Hypertension really Primary or Essential?”. In her prize-winning essay, Victoria Dahmen questions the continued use of the term “essential hypertension” suggesting that it may obscure the complex and often modifiable factors contributing to elevated blood pressure. By exploring the roles of salt sensitivity, obesity, and their physiological interplay, her essay calls for a more nuanced, mechanism-based classification of hypertension. Such a shift, she argues, will facilitate clinicians to deliver personalised medicine by aligning medical language with modern scientific understanding.

查看原文本刊更多论文

高血压的语言学：“本质”是真正的主要，还是只是简单的复杂？

斯坦利·皮尔特征文比赛是由英国和爱尔兰高血压协会举办的年度活动，旨在鼓励早期职业研究人员延续斯坦利·皮尔特爵士的精神。斯坦利·皮尔特爵士是一名临床医生和临床研究员他对我们对血压调节的理解做出了重大贡献。他是第一个证明在交感神经刺激下释放去甲肾上腺素的人。他也是第一个纯化和确定血管紧张素结构的人，后来他分离了肾素酶，并对控制其在体内释放的因素进行了许多重要的研究。今年的作文题目是“原发性高血压到底是原发性的还是原发性的？”在她的获奖文章中，维多利亚·达曼对“原发性高血压”一词的持续使用提出了质疑，认为它可能会掩盖导致血压升高的复杂且经常可改变的因素。通过探索盐敏感性、肥胖及其生理相互作用的作用，她的文章呼吁对高血压进行更细致、基于机制的分类。她认为，这种转变将通过将医学语言与现代科学理解结合起来，促进临床医生提供个性化医疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Human Hypertension 医学-外周血管病

CiteScore

5.20

自引率

3.70%

发文量

126

审稿时长

6-12 weeks

期刊介绍： Journal of Human Hypertension is published monthly and is of interest to health care professionals who deal with hypertension (specialists, internists, primary care physicians) and public health workers. We believe that our patients benefit from robust scientific data that are based on well conducted clinical trials. We also believe that basic sciences are the foundations on which we build our knowledge of clinical conditions and their management. Towards this end, although we are primarily a clinical based journal, we also welcome suitable basic sciences studies that promote our understanding of human hypertension. The journal aims to perform the dual role of increasing knowledge in the field of high blood pressure as well as improving the standard of care of patients. The editors will consider for publication all suitable papers dealing directly or indirectly with clinical aspects of hypertension, including but not limited to epidemiology, pathophysiology, therapeutics and basic sciences involving human subjects or tissues. We also consider papers from all specialties such as ophthalmology, cardiology, nephrology, obstetrics and stroke medicine that deal with the various aspects of hypertension and its complications.