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Hypertension (HTN) is the most important cardiovascular risk factor which is responsible for 50% of cardiovascular morbidity and mortality, and also a substantial public health problem affecting approximately 1/4 of the adult population in industrialized societies and over 1 billion people worldwide. Chronically elevated blood pressure without well control puts people at increased risk of target organ damages, including stroke, myocardial infarction, congestive heart failure, end-stage renal disease, blindness, and death. Especially, these damages are dramatically more severe in the early-onset hypertensive population.
In this study, the hypertensive individuals are consecutively recruited from multiple centers, with an early onset age (less than 40 when diagnosed). A complete clinical history (information on history of hypertension, demographic characteristics, personal and family medical history) are collected by a trained staff using a standardized questionnaire on the first day of baseline observation, and physical examination are also collected in a standard procedure. Blood samples are collected after 12-hour overnight fast and biological variables are determined. Genomic DNA is isolated from leukocytes according to a standard procedure. The individuals will receive follow-up in an ordinal system. The investigators will focus on the clinical and genetic features, genotype-phenotype correlations and influencing factors of prognosis in Chinese early-onset hypertension patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| early-onset hypertension | early-onset hypertension patients recruited in Chinese multiple centers |
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| Measure | Description | Time Frame |
|---|---|---|
| primary mortality of early-onset hypertension | the primary mortality of early-onset hypertension | through study completion, an average of 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| secondary outcomes of heart | The incidence rate of left ventricular hypertrophy, myocardial infarction, congestive heart failure, and arrhythmia. | through study completion, an average of 5 years |
| secondary outcomes of brain |
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Inclusion Criteria:
Exclusion Criteria:
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Between October 2012 and December 2020(anticipated) recruited from multiple centers in China, in accordance with the diagnosis of hypertension, and less than 40 years when diagnosed
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lei Song, MD.& PhD. | Contact | 86-13810532620 | clinicalfw@163.com | |
| Lei Song, MD.& PhD. | Contact | 86-18600197655 | lsongqd@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Lei Song, MD.& PhD. | Chinese Academy of Medical Sciences, Fuwai Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fuwai hospital | Recruiting | Beijing | Beijing Municipality | 100037 | China |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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Blood samples are collected after 12-hour overnight fast and biological variables are determined. Genomic DNA is isolated from leukocytes according to a standard procedure.
The incidence rate of stroke (include cerebral hemorrhage and cerebral ischemia)
| through study completion, an average of 5 years |
| secondary outcomes of kidney | The incidence rate of hypertensive renal injure and end-stage renal disease | through study completion, an average of 5 years |
| secondary outcomes of eyes | The incidence rate of hypertensive eye injure | through study completion, an average of 5 years |