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BLOOD PRESSURE. A CONSIDERATION OF TERMINOLOGY.

C MCIVER

    Canadian Medical Association Journal
    |September 12, 1964
    PubMed
    Summary
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    Lower blood pressure is linked to better survival rates, challenging traditional views. New terminology is proposed, suggesting "optimal," "acceptable," and "hypertensive" blood pressure ranges instead of "normal" or "essential."

    Area of Science:

    • Cardiovascular Medicine
    • Medical Terminology
    • Public Health

    Background:

    • Evolving understanding of hypertension necessitates updated terminology.
    • Traditional terms like "normal," "benign," and "essential" hypertension may no longer accurately reflect current knowledge.
    • The relationship between blood pressure levels and mortality requires re-evaluation.

    Purpose of the Study:

    • To propose revised terminology for blood pressure classification.
    • To redefine blood pressure ranges based on mortality data.
    • To shift the conceptualization of hypertension from a disease to a symptom.

    Main Methods:

    • Statistical analysis of mortality data across different blood pressure levels.
    • Review and critique of existing hypertension terminology.
    Keywords:
    BLOOD PRESSUREDIAGNOSIS, DIFFERENTIALHYPERTENSIONHYPOTENSIONNOMENCLATURE

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  • Proposal of new classification ranges and diagnostic phrasing.

    • Main Results:

    • The lowest mortality rates are observed at blood pressure levels often considered subnormal.
    • Increasing blood pressure above this optimal level correlates with progressively higher mortality.
    • Existing terms are statistically unsupported and should be replaced.

    Conclusions:

    • The terms "normal," "benign," and "essential" hypertension should be discontinued.
    • Suggested new ranges are "optimal," "acceptable," and "hypertensive" blood pressure.
    • Hypertension should be classified as a symptom, qualified by its cause.