Clinical analysis of blood pressure variability in aged patients with hypertension
10.3969/j.issn.1008-0074.2014.05.12
- VernacularTitle:老年高血压病人血压变异性临床分析
- Author:
Lin JIN
- Publication Type:Journal Article
- Keywords:
Aged;
Hypertension;
Blood pressure
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2014;23(5):516-518
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between hypertension stage and blood pressure variability (BPV) in aged patients with hypertension ,and the relationship among target organ damage (TOD) ,age and BPV .Methods :A total of 180 aged inpatients with hypertension in our hospital received ambulatory blood pressure monitoring .Ac-cording to results of blood pressure monitoring ,patients were divided into hypertension stage 1 group (n=65) ,stage 2 group (n=61) and stage 3 group (n=54);according to their age ,they were divided into 60~70 years group (n=65) ,71~80 years group (n=68) and ≥81 years group (n=47) .BPV index was the measured standard deviation (SD) of blood pressure .Results:Along with hypertension stage rose (stage I~stage III) ,there was significant in-crease in BPV [24h mean BPV :(11.0 ± 2.5) mmHg vs .(12.2 ± 3.3) mmHg vs .(14.3 ± 3.6) mmHg , P<0.01 all] in aged patients with hypertension .For 24h systolic blood pressure (SBP) BPV /24h systolic blood pressure (DBP) BPV ,compared with those without TOD [(10.7 ± 2.3) / (8.0 ± 1.4) mmHg] ,there was significant rise in patients with heart damage [ (12.2 ± 2.4) / (9.8 ± 2.2) mmHg] ,brain damage [ (12.9 ± 3.1) / (9.6 ± 2.0) mm-Hg] and renal damage [ (15.7 ± 2.4) / (12.4 ± 1.5) mmHg]] , P< 0.05 or < 0.01. There was no significant difference in BPV among different age groups .Conclusion:Along with blood pressure rises ,blood pressure variabili-ty significantly increases in aged patients with hypertension ,and it's more significant in those with target organ dam-age .Relationship between blood pressure variability and age is not significant in these patients .
