Exploration of Prevalence and Risk Factors for Orthostatic Hypotension in Elderly Hypertension Patients
10.3969/j.issn.1000-3614.2017.10.013
- VernacularTitle:老年人高血压患者合并体位性低血压的发生率及危险因素探讨
- Author:
jia Jia XU
1
;
qiu Zhong LIN
;
ying Feng DONG
;
fei Guo FENG
;
xing Yue DUAN
;
ning Ning SUN
;
xue Xin QUAN
;
quan Zhi XIE
Author Information
1. 广州军区广州总医院 干部病房四科
- Keywords:
Hypertension;
Hypotension;
orthostatic;
Elderly;
Morbidity
- From:
Chinese Circulation Journal
2017;32(10):989-993
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the prevalence and risk factors of orthostatic hypotension (OH) in elderly hypertension patients. Methods: A total of 532 retired hypertension patients elder than 65 years in Guangzhou military region were enrolled. The patients were divided into 2 groups: Hypertension group, n=414 and Hypertension combining OH (H+OH) group, n=118. The patient's age (65-79、≥ 80), hypertension grade (Grade 1-3) and complication status were studied. The risk factors for H+OH prevalence were analyzed by multivariate Logistic regression analysis. Results: The incidence rate of H+OH was 22.2％ (118/532). In H+OH group, the ratios of elderly and very elderly patients were 6.7％ and 23.1％, P<0.05 and the ratios of OH occurrence for hypertension grade 1, 2 and 3 were 12.6％, 23.3％ and 25.2％ respectively, P<0.05. Multivariate Logistic regression analysis presented that systolic blood pressure (BP) in supine position, BP at immediate standing, heart rate in supine position, heart rate after 2 minutes standing and chronic cardiac insufficiency were the impact factors for H+OH occurrence, P<0.05. Conclusion: In elderly hypertension patients, incidence of OH was increasing with age elevating; H+OH has been related to age, severity of hypertension and chronic cardiac insufficiency.
