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European Heart Journal 1983 4(6):424-433;
Copyright © 1983 by the European Society of Cardiology.
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© 1983, by the European Society of Cardiology

Prevalence of secondary hypertension in a population sample of Swedish women

J. A. SIGURDSSON, C. BENGTSSON, E. TIBBLIN and J. WOJCIECHOWSKI

Departments of Medicine II, Clinical Chemistry and Diagnostic Radiology, Sahlgrenska sjukhuset, University of Göteborg Göteborg, Sweden

Received 18 December 1981; revised 15 June 1982; .

Correspondence to: Dr Johann A. Sigurdsson. Med Klin II. Sahlgrenska sjukhuset, S-413 45 Göleborg, Sweden.

Abstract

In a comprehensive population study of 1462 women aged 38–60 in Goteborg, Sweden, the prevalence of secondary hypertension was estimated to be 0.8% of the total population sample and 4.6% of those who were hypertensive (defined as systolic blood pressure > 160 mmHg or diastolic blood pressure > 95 mmHg or both or antihypertensive treatment irrespective of blood pressure levels). These figures were based on thorough clinical and laboratory investigations and a follow-up period of 12 years. Women with arterial hypertension reported a history of toxaemia of pregnancy and a family history of hypertension more often than non-hypertensive women. In comparison with non-hypertensive women, in both untreated and treated hypertensive women, serum uric acid, urinary methoxycatecholamine excretion, body weight and the prevalence of albuminuria were increased and serum potassium decreased (statistically significant differences).

Key Words: Catecholamines • population study • renal function • secondary hypertension • toxaemia of pregnancy • women


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