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  • Title: [Hypertension incidence and its reflection in vascular and organic lesions in 9014 autopsies of subjects over 14 years of age].
    Author: Stefanov G, Minkova V, Vretenarska M, Bŭnkova M.
    Journal: Vutr Boles; 1981; 20(1):54-60. PubMed ID: 7245726.
    Abstract:
    The authors found arterial hypertension in 1943 (21,55%) of the deceased (males 17,7% and females 26,62%) out of 9015 necropsies performed on subjects over the age of 15, for the time period January 1, 1967-February 28, 1979 at a general hospital. According to etiology 59,18 per cent of them were with essential hypertension (hypertonic disease--HD) and 40,18 percent--with renal hypertension. The average duration of hypertension in those that had died of hypertonic disease, according to anamnestic data was 15,8 years. Only 5,47 per cent of the hypertonics, died after the age of 50, whereas more than 40 per cent of them died after the age of 55, so that age type hypertension could be referred to in those cases. In 98,10 per cent of the deceased of HD, hypertrophy of left ventricle was found in 85,92 per cent, its wall being equal to or over 20 mm. Atheromatosis, stage II and higher (atherosclerotic plaques, plaques with calcium deposition and with complications--hemorrhage, thrombosis, etc) were found in 84,84 per cent of the deceased with HD, over the age of 50. The authors found an extremely high correlation relation-ship between the incidence and severity of atheromatosis of aorta, coronary and cerebral arteries and the age of the deceased of HD, but at the same time--a statistically significant difference between the incidence and severity of atheromatosis in those regions of the deceased with HD and the controls--normotonics (524 deceased). The relatively long duration of life-span of the deceased of HD--an average of 67,4 years, is attached, by the authors, to the favourable role of the present antihypertensive treatment and to a more frequent development of HD at an advanced age.
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