{"title":"Hypertension in middle-aged men. The effect of repeated screening and referral to community physicians on hypertension control.","authors":"N Sigfússon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to find the prevalence and incidence of hypertension in middle-aged Icelandic men, their awareness of this condition and treatment status and to what extent the control of hypertension was changed by regular follow-up and referral to community physicians. The study was a part of the Health Survey in the Reykjavik area, a prospective cardiovascular health survey. Participants in the study were 10,741 men aged 34-61 at the onset, that were allotted to a study group of 2,955 men (Group B) examined by standardized methods in 1967-'68 (Stage I), 1970-'71 (Stage II), 1974-'76 (Stage III) and 1979-'81 (Stage IV) and three control groups, Group C (2,744 men), Group A (2,755 men) and Group D (2,287 men) examined in Stage II, III and IV respectively. Hypertension was defined as blood pressure greater than or equal to 160 systolic and/or greater than or equal to 95 diastolic on two occasions and/or current treatment for hypertension. All hypertensives were referred to community physicians for control and/or treatment. The main findings and conclusions were as follows: The prevalence of hypertension was age dependent, increasing from about 5% in men in the mid-thirties to about 35% in the mid-seventies. In comparable age groups there was no significant change in prevalence during the 12-year study period. The annual incidence was age-dependent, lowest in the youngest around 2% and highest in the oldest, around 5%. Awareness of hypertension was low at the start of the study only 24% of hypertensives knowing about their condition but increased in the study group to 68% at the end of the study. In the control groups there was also an increase from 20% in Stage II to 63% in Stage IV. In the study group 16% of hypertensives were under treatment in 1967-'68 but 64% in 1980-'81 or 94% of known hypertensives.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":75385,"journal":{"name":"Acta medica Scandinavica. Supplementum","volume":"710 ","pages":"1-131"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14587868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Proceedings of the Xth Scandinavian Congress of Cardiology. Göteborg, Sweden, September 5-6, 1985.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75385,"journal":{"name":"Acta medica Scandinavica. Supplementum","volume":"712 ","pages":"1-131"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14592465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physical fitness and coronary heart disease morbidity and mortality. A prospective study in apparently healthy, middle aged men.","authors":"J Erikssen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75385,"journal":{"name":"Acta medica Scandinavica. Supplementum","volume":"711 ","pages":"189-92"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14589624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alcohol and disease. Proceedings of the first Acta Medica Scandinavica International Symposium. Stockholm, Sweden, November 22-23, 1984.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75385,"journal":{"name":"Acta medica Scandinavica. Supplementum","volume":"703 ","pages":"1-290"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14984910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypertension in pregnancy. Analysis of 261 consecutive cases.","authors":"A Svensson, B Andersch, L Hansson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the years 1969 - 1973, 0.3% of 17000 unselected non-diabetic pregnancies were complicated by severe pre-eclampsia, 0.6% by mild pre-eclampsia and 0.6% by hypertension in pregnancy. Records from affiliated maternity centers and the hospital were studied for these 261 women and for 260 women with matched normotensive pregnancies. The women with pre-eclampsia/hypertension in pregnancy had higher blood pressure than the control group very early in pregnancy. The hypertensive women were more often primiparous and they had a slightly higher body weight. The patients with severe pre-eclampsia were older than the other women (30.4 vs 25.4 years for controls, p less than 0.001). Immigrants were not more commonly found in the hypertensive groups, but unmarried mothers were more often seen in the mild pre-eclampsia and pregnancy hypertension groups, 19.1% and 20.6% respectively compared to 7.7% in the control group (p less than 0.01). A family history of hypertension was frequently reported in all groups. The most striking characteristic of women with pre-eclampsia/hypertension in pregnancy was their elevated blood pressure before or very early in pregnancy.</p>","PeriodicalId":75385,"journal":{"name":"Acta medica Scandinavica. Supplementum","volume":"693 ","pages":"33-9"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14973318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}