New research in the US has found that young adults with high blood pressure before the age of 40 have an increased risk of cardiovascular events such as heart failure, stroke, and arterial blockage as they get older.
Led by researchers at Duke Health, this study used a new US blood pressure guideline issued in 2017, which lowered the clinical definition of high blood pressure from previous levels, to investigate the relationship between blood pressure (BP) levels in young adulthood and risk of disease cardiovascular (CVD) in middle age.
Participants included 4,851 young adults aged 18 to 30 who had blood pressure measurements taken before age 40 as part of the Development of Coronary Artery Risk in the Young Adult study, which began in 1985.
Participants were then categorized into four groups based on their blood pressure level: Normal (120 or lower systolic blood pressure more than 80 diastolic or less); elevated (120-129 more than less than 80); stage 1 hypertension (130-139 over 80-89); or stage 2 hypertension (140 or more than 90 or greater).
The researchers looked at participant data for a median of 18.8 years.
The findings, published in JAMA, showed that participants with high blood pressure, stage 1 hypertension, and stage 2 hypertension before the age of 40, as defined by the 2017 guideline, had a significantly higher risk of cardiovascular disease compared to those who had pressure normal blood. before age 40 years.
"This is the first step in assessing whether high blood pressure, as defined by new criteria, is something young people should consider as a potential precursor to serious problems," commented lead author Dr. Yuichiro Yano. "Although this is an observational study, it shows that new blood pressure guidelines are very helpful in identifying those who may be at risk for cardiovascular events."