Stress response characteristics of adolescents with high genetic risk for essential hypertension: a five year follow-up.

A group of 80 adolescents identified with blood pressure in the border-line range (90th to 95th percentile) have a follow-up of up to five years. Within this follow-up period 54 or 67% have progressed to a stage of sustained essential hypertension (BP greater than 95th percentile). Characteristics of this population with a very high progression rate to EH are: 1) Identification of borderline hypertension in adolescence. 2) Uniformly strong family history of EH and 3) A high cardiovascular response to mental stress.

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