Prevalence, awareness, treatment and control of hypertension were assessed in 1032 (90%) of 1147 elderly (> or = 65 years) inhabitants of three Italian villages. Blood pressure (BP) was measured at home on two separate occasions following a standardised protocol. Persons taking antihypertensive drugs or with BP values > or = 140/90 mm Hg were considered as affected by hypertension. Prevalence of hypertension was 64.8%, with higher rates in women than men, and in those aged 75-84 than in those aged 65-74. Diabetes, strokes and hypercholesterolaemia were more frequent in hypertensive than normotensive people, whereas cardiac diseases, overweight and smoking did not differ significantly between hypertensive and normotensive people. Of the 669 hypertensive patients, 439 (65.6%) were aware of their hypertension, 398 (59.5%) were being treated, and 70 (10.5%) had their hypertension controlled. Of the 230 unaware patients, 201 (87.4%) had had their BP measured in the previous year. Of these, 174 (86.6%) had stage 1 hypertension, while 27 had stage 2 hypertension with SBP values <170 mm Hg. Overall, the patients with stage 1 hypertension accounted for 68.3% of the untreated and 50.5% of the treated patients. The use of a single drug was more frequent in patients with controlled (97.1%) or stage 1 (97.0%) than with stages 2-3 (18.9%) hypertension. The drugs prescribed most were angiotensin-converting enzyme (ACE) inhibitors (45%), followed by diuretics (43%). As our findings suggest that BP values can be effectively reduced by treating or increasing drug treatment in stage 1 hypertensive patients, data on safety and effectiveness of this policy are urgently needed. Journal of Human Hypertension (2000) 14, 825-830

中文翻译：

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老年人高血压的患病率，意识，治疗和控制：人口调查的结果。

在三个意大利村庄的1147名老年人（≥65岁）中，有1032名（占90％）对高血压的患病率，意识，治疗和控制进行了评估。遵循标准化协议，分别在两次单独的情况下在家中测量血压（BP）。服用降压药或BP值≥140/90 mm Hg的人被认为患有高血压。高血压患病率为64.8％，女性患病率高于男性，而75-84岁年龄段的患病率高于65-74岁年龄段的患病率。与正常血压人群相比，高血压人群的糖尿病，中风和高胆固醇血症更为常见，而高血压人群和正常血压人群的心脏病，超重和吸烟无明显差异。在669名高血压患者中，有439名（65.6％）意识到自己的高血压，正在治疗398名（59.5％），70名（10.5％）的高血压得到控制。在230名无意识的患者中，有201名（87.4％）在上一年进行了血压测量。其中174例（86.6％）患有1期高血压，而27例具有SBP值<170 mm Hg的2期高血压。总体而言，患有1期高血压的患者占未治疗患者的68.3％，占治疗患者的50.5％。在控制性（97.1％）或1期（97.0％）的患者中，单药的使用频率比2-3级（​​18.9％）的高血压患者高。处方最多的药物是血管紧张素转换酶（ACE）抑制剂（45％），其次是利尿剂（43％）。由于我们的发现表明，通过治疗或增加1期高血压患者的药物治疗可以有效降低BP值，因此迫切需要该政策的安全性和有效性数据。