Blood pressure as a cardiovascular risk factor: prevention and treatment

Article Abstract:

Weight reduction, an exercise program and a low-salt diet could reduce the number of Americans who have high blood pressure by 20% to 50%. Hypertension is a major risk factor for cardiovascular diseases such as atherosclerosis, heart attack and stroke. Surveys indicate that one out of four Americans has high blood pressure. Hypertension is described as a blood pressure greater than 140/90. The Framingham Study has found that blood pressure increases with age, probably because the blood vessels become less elastic. Two-thirds of the people participating in the Framingham Study developed hypertension over the 30-year follow-up. In the past, many doctors focused on diastolic blood pressure, but in the Framingham Study, systolic blood pressure was a more important predictor of cardiovascular disease. Despite treatment successes, 2 million people develop hypertension every year. Efforts should focus on prevention, supported by studies that weight loss can lower blood pressure.

Health aspects, Hypertension, Cardiovascular diseases, Complications and side effects, Risk factors, Blood pressure

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Prognosis after first myocardial infarction: comparison of Q-wave and non-Q-wave myocardial infarction in the Framingham Heart Study

Article Abstract:

Patients who suffer a non-Q-wave heart attack may have a higher risk of a second heart attack than those who suffer a Q-wave heart attack. A Q-wave heart attack exhibits Q waves on a electrocardiogram, while a non-Q-wave heart attack does not. Among 363 patients who suffered a first heart attack, 278 suffered a Q-wave heart attack and 85 suffered a non-Q-wave heart attack. Ten years after their first heart attack, 44.8% of the patients who had a non-Q-wave heart attack had suffered a second heart attack, compared with 27.4% of those who had a Q-wave heart attack. Men and individuals under 65 years old who suffered a non-Q-wave heart attack were more likely to have a second heart attack than women or older individuals who suffered a non-Q-wave heart attack. The number of deaths among patients who suffered a non-Q-wave heart attack was similar to that among patients who suffered a Q-wave heart attack. High blood pressure was another risk factor for a second heart attack.

Statistics, Prognosis, Heart attack, Framingham Heart Study

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