Ambulatory blood pressure monitoring in the elderly hypertensive patient.

Details

Serval ID
serval:BIB_D6C6195D239B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Ambulatory blood pressure monitoring in the elderly hypertensive patient.
Journal
Journal of Hypertension. Supplement
Author(s)
Torriani S., Waeber B., Petrillo A., Di Stefano R., Mooser V., Scherrer U., Nussberger J., Hofstetter J.R., Brunner H.R.
ISSN
0952-1178
Publication state
Published
Issued date
1988
Volume
6
Number
1
Pages
S25-27
Language
english
Abstract
In this retrospective analysis, we assessed the usefulness of ambulatory blood pressure monitoring in the evaluation of elderly hypertensive patients. Thirty-eight untreated and 31 treated hypertensives aged 70 years or more had a systolic blood pressure greater than or equal to 160 mmHg and/or a diastolic blood pressure greater than or equal to 95 mmHg in the clinic. All 69 patients underwent blood pressure monitoring during their customary daily activities using a portable semi-automatic blood pressure recorder (Remier M2000). The mean of all blood pressures obtained with this device was taken as the ambulatory recorded blood pressure. Recorded blood pressures were greater than or equal to 160 mmHg systolic and greater than or equal to 90 mmHg diastolic in 17 untreated and 17 treated patients. In these patients, the introduction of antihypertensive therapy, or its modification, markedly reduced blood pressure during a 4-8 month follow-up. A further 21 untreated and 14 treated patients had recorded blood pressures of less than 160/90 mmHg. The treatment status of these patients was left unchanged for 4-8 months of follow-up. Nevertheless, office blood pressure in these groups, with no change in treatment, decreased significantly during the observation period. At the last visit to the outpatient clinic, there was no significant difference in blood pressure between the four subgroups of patients. Thus, ambulatory blood pressure monitoring appears to be useful in the elderly hypertensive patient in detecting those patients whose blood pressure is elevated only in the clinic. Blood pressure profiles obtained outside the clinic may therefore be useful in making therapeutic decisions in the aged hypertensive.
Keywords
Activities of Daily Living, Aged, Antihypertensive Agents, Blood Pressure, Blood Pressure Determination, Diastole, Evaluation Studies as Topic, Female, Follow-Up Studies, Humans, Hypertension, Male, Monitoring, Physiologic, Office Visits, Retrospective Studies, Systole
Pubmed
Web of science
Create date
25/01/2008 14:04
Last modification date
20/08/2019 15:56
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