Prevalence and long-term prognosis of mild hypertensives and hypertensives in a Japanese community, Hisayama

• Published in: Journal of hypertension Vol. 6; no. 12; p. 981
• Main Authors: Ueda, K, Omae, T, Hasuo, Y, Kiyohara, Y, Toshiro, Y, Kato, I, Wada, J, Kawano, H, Kajiwara, E, Fujishima, M
• Format: Journal Article
• Language: English
• Published: England 01.12.1988
• Subjects: Adult; Aged; Antihypertensive Agents - therapeutic use; Cardiovascular Diseases - epidemiology; Cohort Studies; Cross-Sectional Studies; Female; Follow-Up Studies; Humans; Hypertension - epidemiology; Hypertension - mortality; Japan; Male; Middle Aged; Prognosis; Risk Factors; Time Factors; Japan
• ISSN: 0263-6352
• DOI: 10.1097/00004872-198812000-00005

The prognosis and outcome for mild hypertensives (90 mmHg less than or equal to diastolic pressure less than or equal to 104 mmHg) and hypertensives (diastolic pressure greater than or equal to 105 mmHg) was prospectively studied in Hisayama, Japan, and compared between 1621 subjects aged 40 years or over, recruited in 1961, and 2053 subjects recruited in 1974. Each cohort was studied in a follow-up which lasted 10 years. The pharmacological treatment of hypertension proved effective among residents recruited in 1974: the survival rate had favorably improved, and the rates of mortality from cerebral stroke and morbidity from intracerebral stroke and morbidity from intracerebral hemorrhage declined significantly in mild hypertensives and hypertensives in the more recently recruited population. The management of mild hypertension was considered more likely to be effective in reducing stroke than in reducing coronary heart disease in the Japanese general population.