Investigation and Treatment of High Blood Pressure in Young People
Too Much Medicine or Appropriate Risk Reduction?
Hypertension among young people is common, affecting 1 in 8 adults aged between 20 and 40 years. This number is likely to increase with lifestyle behaviors and lowering of hypertension diagnostic thresholds. Early-life factors influence blood pressure (BP) although the mechanisms are unclear; BP tracks strongly within individuals from adolescence through to later life. Higher BP at a young age is associated with abnormalities on heart and brain imaging and increases the likelihood of cardiovascular events by middle age. However, diagnosis rates are lower, and treatment is often delayed in young people. This reflects the lack of high-quality evidence that lowering BP in young adults improves cardiovascular outcomes later in life.
Challenges
Definition
the definition of HIGH BP is complicated from diagnosing to acceptance. This usually leads to discussion that the methodology could be wrong. Although that is possible and hence BP recording must be done multiple times with multiple machines. These are some of the international definitions of high BP in the young people
APPROACHES TO YOUNG HYPERTENSION
REFERENCE:
Volume 75, Issue 1, January 2020; Pages 16-22
DR ARUN KAUSHIK P, MD,DNB(MED),DNB(CARDIO),FIC,FESC,FSCAI,DIP(IBLM)
Senior Consultant interventional cardiologist, Cardio Diabetologist, Lifestyle medicine consultant, PSG hospitals and Shadow clinics