Abstract
Objective: Identification of draft-age youth with hypertension (HTN) is crucial, since these individuals may experience an exacerbation of their illness during training with dire consequences for them. HTN may disqualify conscripts for military service. We aimed to evaluate characteristics of HTN in pre-conscripts. Design and method: Making office and ambulatory blood pressure measurements (BP and ABPM) we selected 150 men aged 17–27 years with normotension (group I, n = 19), masked HTN (II, n = 16); white coat HTN (III, n = 24) and sustained HTN (IV, n = 91). Then we evaluated height, BMI, echo and laboratory tests. Results: Characteristics of pre-conscripts are represented in the table. The pre-conscripts in groups I and III are of normal weight and in groups II and IV are overweight. According to generally accepted reference values, there are no signs of LV hypertrophy. However, participants in group IV are revealed to to be significantly (p < 0,05) different than those of group I. Conclusions: More than 45% of pre-conscripts with measured normotensive office BP are revealed to have a masked HTN. Young men with masked HTN and sustained HTN are overweight. In 20% of draft-age youth with office HTN increased BP is caused by white coat HTN. It seems HTN-mediated heart damage begins already in the very early stages of hypertension.
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