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Ambulatory diastolic blood pressure:a marker of comorbidity in elderly fit hypertensive individuals?

Journal of Geriatric Cardiology 2022年第4期19卷 254-264页

作者： Alfredo De Giorgi Rosaria Cappadona Caterina Savriè Benedetta Boari Ruana Tiseo Giulia Marta Viglione Christian Molino Elisa Misurati mauro pasin Roberto Manfredini Fabio Fabbian Clinica Medica Unit Azienda Ospedaliero-Universitaria S.AnnaFerraraItaly Department of Medical Sciences University of FerraraFerraraItaly

BACKGROUND Masked diastolic hypotension is a new blood pressure(BP)pattern detected by ambulatory blood pressure monitoring(ABPM)in elderly hypertensives.The aim of this study was to relate ABPM and comorbidity in a cohort of fit elderly subjects attending an outpatient hypertension clinic.METHODS Comorbidity was assessed by Charlson comorbidity index(CCI)and CHA_(2)DS_(2)VASc score.All subjects evaluated with ABPM were aged≥65 years.CCI and CHA_(2)DS_(2)VASc score were calculated.Diastolic hypotension was defined as mean am-bulatory diastolic BP<65 mmHg and logistic regression analysis was carried out in order to detect and independent relationship between comorbidity burden and night-time diastolic BP<65 mmHg.RESULTS We studied 174 hypertensive elderly patients aged 72.1±5.2 years,men were 93(53.4%).Mean CCI was 0.91±1.14 and mean CHA_(2)DS_(2)VASc score of 2.68±1.22.Subjects with night-time mean diastolic values<65 mmHg were higher in females[54.7%vs.45.3%,P=0.048;odds ratio(OR)=1.914,95%CI:1.047−3.500].Logistic regression analysis showed that only CHA_(2)DS_(2)-VASc score was independently associated with night-time mean diastolic values<65 mmHg(OR=1.518,95%CI:1.161−1.985;P=0.002),but CCI was not.CONCLUSIONS ABPM and comorbidity evaluation appear associated in elderly fit subjects with masked ***-orbid women appear to have higher risk for low ambulatory BP.

关键词： hypertensive morbidity diastolic

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Hypertension,abnormal blood pressure circadian pattern,and frailty:data from the literature

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Journal of Geriatric Cardiology 2018年第12期15卷 747-750页

作者： Fabio Fabbian Alfredo De Giorgi Rosaria Cappadona Dario Gozzi mauro pasin Roberto De Giorgio Roberto Manfredini Faculty of Medicine Pharmacy and PreventionUniversity of FerraraFerraraItaly Department of Internal Medicine General Hospital of FerraraFerraraItaly

According to the National Health and Nutrition Examination Survey(NHANES)data,more than 65%of people aged≥60 years are hypertensive.[1]Diabetes mellitus,dyslipidemia,obesity and renal failure are frequently associate... 详细信息

关键词： Blood pressure Frailty The elderly

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