PMID: 9180663Jun 1, 1997Paper

Clinical correlates of low blood pressure in very old people: the importance of cognitive impairment

Journal of the American Geriatrics Society
Z GuoBengt Winblad

Abstract

To identify the medical conditions associated with low blood pressure in very old people. A population-based, cross-sectional study. Two neighboring communities in Stockholm, Sweden. Participants were 319 male and 1070 female participants, with the mean age of 85.0 years (SD = 5.8). Blood pressure recording, pulse rate counting, and Mini-Mental State Examination (MMSE) were conducted by trained nurses. Information on illness condition and activities of daily living (ADL) status was self-reported or gathered from proxy respondents. The computerized inpatient register system was also used for collecting the data of illness condition. Systolic pressure less than 130 mm Hg and diastolic pressure less than 70 mm Hg were defined as low systolic and diastolic pressure, respectively. MMSE score less than 24 was considered to indicate cognitive impairment. In multiple logistic regression analyses, low systolic pressure was related to slower pulse rate (< or = 60 per minute), heart failure, ADL limitation, and cognitive impairment, and low diastolic pressure was related to increasing age, slower pulse rate, cardiac dysrhythmia, ADL limitation, and cognitive impairment. People with diabetes mellitus were less likely to be in the low systo...Continue Reading

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Citations

Feb 24, 2007·Archives of Gerontology and Geriatrics·C BendiniM Neri
Mar 20, 2013·Geriatrics & Gerontology International·Giorgio BasileAntonino Lasco
Sep 2, 2008·Archives of Physical Medicine and Rehabilitation·Guruprasad MadhavanKenneth J McLeod
Oct 3, 2002·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Rie Hakamada-TaguchiTeruhiko Toyo-oka
Jul 27, 2015·Journal of the American Society of Hypertension : JASH·Ewa Warchol-CelinskaMaria Barcikowska
Jun 12, 1999·Journal of the American Geriatrics Society·Z GuoL Fratiglioni
Aug 31, 2004·Palliative Medicine·Hazel PearseMike Bennett
Jan 11, 2013·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Corrine Y JurgensChristopher S Lee
Nov 6, 1998·Stroke; a Journal of Cerebral Circulation·G E SwanA Larue
Jul 3, 2004·Stroke; a Journal of Cerebral Circulation·Chengxuan QiuLaura Fratiglioni
Jul 31, 2002·Congestive Heart Failure·Sumadeep S SanghaMandeep R Mehra
Aug 24, 1999·Current Opinion in Nephrology and Hypertension·J M Starr
Jun 27, 2020·Alzheimer's & Dementia : Diagnosis, Assessment & Disease Monitoring·Cassidy M FifordJosephine Barnes

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