Investigation of prevalence and clinical characteristics of orthostatic hypotension and orthostatic hypertension in elderly patients with hypertension

VernacularTitle:老年高血压患者体位性低血压与体位性高血压的临床研究与护理风险防范
Author: Qianhui LIU ; Xiaolan DIAO ; Xiping ZHOU
Publication Type:Journal Article
Keywords: Orthostatic hypotension; Orthostatic hypertension; Orthostatic; Nursing risk
From: Chinese Journal of Practical Nursing 2013;(6):26-28
CountryChina
Language:Chinese
Abstract: Objective To determine the prevalence and clinical characteristics of orthostatic hypotension (OH) and orthostatic hypertension (OHT) in the elderly patients with hypertension.Methods 489 elderly patients with hypertension were enrolled and divided into the OH group,the OHT group and the non-OH-OHT group,which represents no or symptom.The orthostatic blood pressure was measured in supine position after resting for more than 5 minutes and at 3 min standing.Results The prevalence of OH in the 60～79 years old group was lower than that in ≥ 80 years old group.The morbility of coronary heart disease,diabetes and ischemic stroke was significantly higher in the OH and OHT group than that in the non-OH-OHT group.Conclusions OH and OHT are common disease in the elderly patients with hypertension and associated with increased risk of cardiovascular disease and diabetes mellitus.To strengthen nursing and health education for elderly patients with hypertension could prevent the incidence of malignant cardiovascular events due to OH and OHT.