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September 15, 1969

Elevated Blood Pressure Levels in Adolescents, Evans County, GeorgiaSeven-Year Follow-Up of 30 Patients and 30 Controls

Author Affiliations

From the Department of Community Health Sciences, Duke University Medical Center, Durham, NC (Dr. Heyden); the Heart Disease Stroke Control Program, Public Health Service, Claxton, Ga (Dr. Bartel), Department of Medicine, Medical College of Georgia, Augusta (Dr. Hames); and the University of Washington School of Medicine, Seattle (Dr. McDonough).

JAMA. 1969;209(11):1683-1689. doi:10.1001/jama.1969.03160240039008

Hypertension in adolescents is still a debatable subject in regard to prognosis. Conclusions on the significance of "prehypertension" have been divided and no long-term follow-up has been reported in a representative population. In a group of 435 adolescents of the Evans County Epidemiologic Study, 11% had hypertension (≥140 and/ or ≥90 mm Hg) in 1961. After seven years, 30 of this group were reevaluated. Two deaths from cerebral hemorrhage occurred. One patient has hypertensive heart disease; sustained hypertension with cardiovascular and cerebrovascular symptoms developed in three more. Five were found to have asymptomatic sustained hypertension. Seven more had hypertension not reaching levels of sustained hypertension (≥160 and/or ≥95 mm Hg). Twelve have become normotensive. The most impressive associated finding was overweight and subsequent weight gain in eventual sustained hypertensives.