title: [Arterial hypertension in university students].
abstract: Experiences of a hypertension dispensary during student consulting hours are reported. The dispensary was built up with 106 students who were classified by a screening from a larger group at the beginning of an academic year. It comprised 2 groups which underwent different therapeutic measures, borderline value hypertensives (n = 53) of a general medical therapy, hypertensives in clinical degree of severity I (n = 53) of a medicamentous therapy, i.e. a propranolol medication. After 2 years, medical as well as pedagogical and political problems of higher education were analysed. For particular phases of stress, as there are during study, general measures alone are not estimated as effective therapy in borderline value hypertensives, though several risk factors could be influenced favourably. So the number of smokers decreased from 28 to 7%. The blood pressure values showed a normalisation only in 10.5%, in 55.5% a borderline value area and in 34% an increasing tendency. On the other hand, in all hypertensives under propranolol medication, a clear decrease in blood pressure could be achieved. It is to be recommended that antihypertensive drugs be used in borderline value hypertensives in particular stress situations.
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care; D005859:Germany, East; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000628:therapy; D006977:Hypertension, Renal / Q000175:diagnosis; D010817:Physician-Patient Relations; D011433:Propranolol / Q000627:therapeutic use; D011613:Psychotherapy; D013334:Students; D014495:Universities
chemical_list: D011433:Propranolol
vernacular_title: Arterielle Hypertonie im Studentenalter.