Document Detail


Hyperkinetic borderline hypertension in Tecumseh, Michigan.
MedLine Citation:
PMID:  1848264     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of 691 healthy (untreated) villagers of Tecumseh, Michigan (average age 32.6 years), 99 had a clinical blood pressure exceeding 140/90 mmHg. Thirty-seven per cent of these borderline hypertensives had increased heart rate, cardiac index, forearm blood flow and plasma norepinephrine. These subjects had elevated self-determined home blood pressure (average of 14 measurements). The present hyperkinetic borderlines had elevated blood pressure at 5, 8, 21 and 23 years of age and their parents also had higher blood pressure. The prevalence of high blood pressure in Tecumseh, its long history, elevated blood pressure readings outside the physician's office and family background of hypertension, suggests that the hyperkinetic state is a significant clinical condition. Previous studies on hospital-based populations proved that the hyperkinetic state is caused by an excessive autonomic drive. The association of the hyperkinetic state with elevated norepinephrine in this study suggests that a sympathetic hyperactivity is present in a large proportion of unselected subjects with mild blood pressure elevation.
Authors:
S Julius; L Krause; N J Schork; A D Mejia; K A Jones; C van de Ven; E H Johnson; M A Sekkarie; S E Kjeldsen; J Petrin
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of hypertension     Volume:  9     ISSN:  0263-6352     ISO Abbreviation:  J. Hypertens.     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-04-15     Completed Date:  1991-04-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  77-84     Citation Subset:  IM    
Affiliation:
University of Michigan Medical Center, Division of Hypertension, Ann Arbor 48109-0356.
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MeSH Terms
Descriptor/Qualifier:
Adult
Echocardiography, Doppler
Female
Hemodynamics / physiology*
Humans
Hyperkinesis*
Hypertension / epidemiology*
Longitudinal Studies
Male
Michigan / epidemiology
Norepinephrine / blood
Population Surveillance
Prevalence
Risk Factors
Sympathetic Nervous System / physiopathology*
Grant Support
ID/Acronym/Agency:
HL37464/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
51-41-2/Norepinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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