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Published on: September 26, 2018
[From the prehypertensive adolescent to the hypertensive adult. Is possible to predict the conversion?]
Guillermo Alberto Pérez-Fernández1, Ricardo Grau-Abalo
1Cardiólogo. Departamento de Cardiología Clínica. Hospital Universitario "Celestino Hernández Robau". Santa Clara, Cuba.
Introduction:
There are many risk factors for developing hypertension. In the XXI century, smarter ways to investigate are needed, so preventing the turning of an adolescent into a hypertensive adult must be a priority.
Objective:
The aim of this paper is to predict the risk of hypertension onset in adulthood, from cardiovascular tension and risk stratification since adolescence.
Methods:
A representative sample of 125 adolescents from the project "Pesquisaje Escolar en la Adolescencia de Hipertensión Arterial" (PESESCAD-HTA) was studied. They were diagnosed with prehypertension in 2001, and were followed for eight years (96 months) until January 2009.
Results:
Two predictive indexes were obtained. The first, based on the total cardiovascular risk and the second from the multiplication of these risks with an accuracy index for each of 61.6% and 70.4%, respectively.
Conclusions:
The index based on the multiplication of cardiovascular risk can predict, with adequate accuracy, the turning of a prehypertensive adolescent into hypertensive once he/she reaches adulthood.
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