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The researchers found that adults under 40 years old with high blood pressure are at increased risk for cardiovascular disease later in life.
A prospective study published in JAMA was conducted among 4,851 American adults whose average age was 36 years. They had their blood pressure measured twice in the beginning and were followed for an average of 19 years. During the reporting period, there were 228 cases of coronary heart disease, stroke, heart failure or peripheral arterial disease.
About half of the group had a normal blood pressure of 120/80 or less. Compared to them, those with high pressure – 120-129 / 80 or higher – were 67% more likely to have had cardiovascular problems. People with readings between 130 and 139/80 and 89 years of age had an increased risk of 75%, while those with readings greater than 140/90 were 3.5 times more likely to have some type of cardiovascular disease. .
Lead author Dr. Yuichiro Yano, an assistant professor of family and community medicine in Duke, said a young person with high blood pressure should take heart-healthy measures, including weight control.
"There is no evidence that pharmacological treatment in people under 40 with high blood pressure is really beneficial," he said. "So it's hard to say that you should do it based on this observational study. We need a randomized trial. Then we can decide. "
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