Abstract
The objective of the study is to investigate ambulatory blood pressure monitoring (ABPM) in a sample of Spanish nonagenarians. We also analyzed the misdiagnosis of hypertension and investigated blood pressure (BP) control in treated hypertensive nonagenarians. Twenty-four-hour ABPM was undertaken in a group of 42 nonagenarians. The 24-h mean, daytime BP, nighttime BP and heart rate (HR) were extracted from the ABPM. Sociodemographic data, the ability to perform basic daily activities, measured by the Barthel index (BI) or instrumental activities revealed by the Lawton and Brody index (LI), cognition, and comorbidity were evaluated. Thirty-one subjects were receiving antihypertensive drug treatment. Twenty-four hour, daytime and sleeping pressures averaged 130/65, 131/68 and 128/63mmHg, respectively. Seventeen (40.5%) of the 42 patients had a daytime BP of 135/85 or higher. In terms of the BP pattern, 8 (19%) subjects were dippers, 19 (45%) non-dippers, and 15 (36%) were risers. Five (45.46%) out of 11 patients with no evidence of hypertension (normotensive patients) had a daytime BP of 135/85 or higher. The mean daytime BP was 135/85 or higher in 12 (38.7%) out of 31 nonagenarians who had previously received therapy for hyperte...Continue Reading
References
Sep 1, 1988·Age and Ageing·G J MacpheeC H McAlpine
Jan 1, 1987·Journal of Chronic Diseases·M E CharlsonC R MacKenzie
Jan 1, 1969·The Gerontologist·M P Lawton, E M Brody
Sep 1, 1982·The American Journal of Psychiatry·B ReisbergT Crook
Oct 1, 1995·Journal of Hypertension·M A JamesJ F Potter
Dec 1, 1995·Journal of Hypertension·M D Fotherby, J F Potter
Jan 13, 2001·Journal of Internal Medicine·K BjörklundH Lithell
May 12, 2001·Journal of the American Geriatrics Society·S SatishJ S Goodwin
May 10, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·Medet JumabayKatsuo Kanmatsuse
Jul 16, 2003·Hypertension·Cianán O'SullivanEoin O'Brien
Oct 20, 2004·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Paolo CicconettiMauro Cacciafesta
Apr 6, 2005·Circulation·Roberto SegaGiuseppe Mancia
Jun 9, 2005·Hypertension·Eamon DolanEoin O'Brien
Sep 27, 2005·Journal of the American Geriatrics Society·Francesc FormigaEduardo Henríquez
Oct 29, 2005·Neuroepidemiology·Raj C ShahDavid A Bennett
Jan 6, 2006·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Masanori NishinagaYoshinori Doi
Jan 25, 2006·Age and Ageing·Hugh SeniorJohn Gommans
Mar 2, 2006·Journal of Hypertension·David J Stott
Jun 17, 2006·Journal of the American Geriatrics Society·Sari RastasRaimo Sulkava
Citations
Mar 23, 2011·Medicina clínica·Teresa Badia FarréUNKNOWN Grupo Octabaix
Feb 23, 2011·Revista clínica española·J L LlisterriUNKNOWN FAPRES researchers
Dec 14, 2011·Blood Pressure·S CarugoG Mancia