کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2957001 1578041 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Home blood pressure profile in very elderly hypertensives: should we use the same thresholds as in younger patients?
ترجمه فارسی عنوان
فشار خون خانگی در افراد مبتلا به پرفشاری خون بسیار بالا: آیا باید از آستانه های مشابه در بیماران جوان استفاده کنیم؟
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی سیستم های درون ریز و اتونومیک
چکیده انگلیسی


• Data regarding home BP characteristics in very elderly patients are scarce
• In contrast with office BP levels, no special recommendations have been made
• The very elderly depict a particular home BP profile
• Benefit from using differential home BP thresholds should be determined

We aimed to determine the characteristics of home blood pressure (BP) in very elderly hypertensives. A total of 485 treated hypertensive patients ≥18 years (median age, 70.8 [interquartile range, 18]; 67.2% women) underwent home BP measurements. Characteristics of patients ≥80 and <80 years of age and prevalence of office and home uncontrolled hypertension, isolated morning (IMH), isolated evening, isolated office, and masked hypertension were compared. Very elderly subjects had higher levels of systolic and lower levels of diastolic BP at home, a higher prevalence of home uncontrolled hypertension (68.5% vs. 37.7%; P < .001), masked hypertension (30.6% vs. 14.9%; P = .02), and IMH (19.4% vs. 10.9%; P = .02), and a lower prevalence of isolated office hypertension (8.3% vs. 18.8%; P = .01). When using differential home BP thresholds in the very elderly, determined through the percentile method, statistical differences disappeared, except for IMH. The very elderly depict a particular home BP profile. Benefit from using differential home BP thresholds should be determined in prospective studies.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American Society of Hypertension - Volume 9, Issue 3, March 2015, Pages 184–190
نویسندگان
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