poor prognostic indicators of hypertension

Poor prognostic indicators: 1) black race 2) young age 3) male sex 4) persistent diastolic pressure > 115 mm Hg 5) smoking 6) diabetes mellitus 7) hypercholesterolemia 8) obesity 9) excessive alcohol intake 10) evidence of end organ damage a) cardiac 1] cardiac enlargement 2] ECG changes of ischemic or left ventricular strain 3] myocardial infarction 4] congestive heart failure b) eyes 1] retinal exudates & hemorrhages 2] papilledema c) renal: impaired renal function d) nervous system: cerebrovascular accident

References

Harrison's Principles of Internal Medicine, 13th ed. Isselbacher et al (eds), McGraw-Hill Inc. NY, 1994, pg 1119