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Hypertension
May Be
Inflammatory Disease
A study of more than 20,000 women provides
evidence that high blood pressure in part may be an inflammatory
disease, a finding that could provide new avenues for treatment,
researchers said.
The report from Boston's Brigham
and Women's Hospital said the conclusion was based on a blood
protein that is a marker for inflammation and that appears to
be a predictor of high blood pressure.
"Besides some long-established
lifestyle and dietary risk factors, little else is known about
how to identify individuals at risk for developing high blood
pressure," said Dr. Howard Sesso, lead author of the study published
in this week's Journal of the American Medical Association.
"This has made primary prevention
efforts difficult. The data from this study are exciting as they
represent the first major demonstration that C-reactive protein
levels may help us predict the risk of developing hypertension,"
Sesso added.
Increased levels of the protein
are associated with chronic activation of the immune system, otherwise
known as an inflammatory response.
The researchers monitored 20,525
women aged 45 or older for high blood pressure over eight years.
Those who had high levels of the protein at the start had a 52
percent higher risk of developing hypertension, the study found.
"This significant increase in risk
was present even among those with very low levels of blood pressure
when they entered the study, and was also seen among healthier
women without many traditional coronary risk factors," Sesso said.
The article said that researchers
already have found that inflammation plays a crucial role in the
development of heart disease and that inflammation can be measured
easily with a simple and inexpensive blood test for the telltale
protein.
"We already know that (the protein)
is a stronger predictor of heart attack risk than cholesterol,"
said Paul Ridker, another author.
"The current data linking (it)
to the development of high blood pressure tells us that inflammation
may play a major role in the development of vascular disease throughout
the body. If we can predict and prevent the onset of high blood
pressure, then we will be well on our way toward the prevention
of stroke," he said."
The next step, Ridker added, was
"to find out whether therapies targeting inflammation itself can
be used to reduce the risk of these devastating events."
SOURCE: Journal of the American
Medical Association, December 10, 2003.
Reference
Source 89
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