Diurnal variation of blood pressure in elderly patients with essential hypertension

Kobrin, I., Oigman, W., Kumar, A., Ventura, H. O., Messerli, F. H., Dunn, F. G. and Frohlich, E. D. (1984) Diurnal variation of blood pressure in elderly patients with essential hypertension. Journal of the American Geriatrics Society, 32 12: 896-899.

Author Kobrin, I.
Oigman, W.
Kumar, A.
Ventura, H. O.
Messerli, F. H.
Dunn, F. G.
Frohlich, E. D.
Title Diurnal variation of blood pressure in elderly patients with essential hypertension
Journal name Journal of the American Geriatrics Society   Check publisher's open access policy
ISSN 0002-8614
Publication date 1984
Sub-type Article (original research)
Volume 32
Issue 12
Start page 896
End page 899
Total pages 4
Place of publication Hoboken, NJ, United States
Publisher Wiley-Blackwell
Language eng
Abstract Twenty-one elderly patients with essential hypertension, all over 65 years of age, were subjected to automated noninvasive 24-hour blood pressure measurement. Readings were obtained every 7.5 minutes throughout the day. The data were analyzed with respect to: correlation between office and ambulatory pressure measurements; possible differences in the circadian blood pressure pattern; and the existence of hypertensive or atherosclerotic cardiovascular complications. In all patients, the office systolic pressures ere significantly highwer than the ambulatory daytime pressures; diastolic pressures were similar. At night, two patterns of blood pressure emerged. In one there was a further fall in both systolic and diastolic pressures and normotensive levels, whereas the other pattern revealed no change in diastolic pressure, although systolic pressure increased significantly to similar levels as measured in the office. The prevalence of hypertensive or atherosclerotic cardiovascular complications in the patients with the first pattern was significantly less than in the group of patients with the second pattern (chi square, P<0.025). The data reported herein indicate that ambulatory blood pressure monitoring may help in the overall clinical evaluation of elderly patients with hypertension.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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