Episodes of hypotension and degree of HBP control in the elderly with antihypertensive drug treatment
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Otros documentos de la autoría: Piera Carbonell, Ana M.; Rodríguez Antón, Pilar; Orellana Carrasco, Rodrigo; Campomanes Suárez, M. Jesús; Gavaldá Robert, M. Ángeles; Forcada Lozano, Juan Eugenio; PRIETO-DIAZ, MIGUEL ANGEL; Martin Sanchez, Vicente; Díaz Rodríguez, Ángel; DIVISÓN GARROTE, JUAN ANTONIO; Niembre Valdés, Ana Patricia; Pallarés-Carratalá, Vicente
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Título
Episodes of hypotension and degree of HBP control in the elderly with antihypertensive drug treatmentAutoría
Fecha de publicación
2022Editor
European Society of HypertensionISSN
0263-6352; 1473-5598Tipo de documento
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info:eu-repo/semantics/publishedVersionResumen
Objective:
To determine the prevalence of episodes of hypotension in the elderly receiving antihypertensive treatment and its relationship with the number of drugs and associated symptoms, during 24-hour blood ... [+]
Objective:
To determine the prevalence of episodes of hypotension in the elderly receiving antihypertensive treatment and its relationship with the number of drugs and associated symptoms, during 24-hour blood pressure monitoring.
Design and method:
Multicenter cross-sectional descriptive study in hypertensive patients aged 75 or over. It was designed for a sample of 117 people, calculated for 8% hypotensive episodes, with a 95% confidence interval, 5% precision, and 25% losses.
Non-proportional stratified random sampling was performed, excluding patients with modified antihypertensive treatment in the last month and/or arrhythmias.
Through 24-hour ambulatory blood pressure monitoring, the incidence of hypotensive episodes was observed.
Associated comorbidities, antihypertensive treatment, and sleep quality during ABPM were recorded from the interview and clinical history.
Percentages, means, confidence intervals were obtained and the chi square test was performed in the bivariate analysis.
Results:
Of 117 monitored patients, 100 completed the study, with a mean age of 79.2 years (SD 3.9 years) and 59% women. 91.5% of women and 58.6% of men were overweight or obese. Some type of heart disease was associated with 31% of patients, and 33% had DM2, 38% anxiety-depressive disorder, and vertigo, 16%. 50.8% of the women and 61% of the men did not have good control of the mean TAS figures in the 24-h ABPM. However, DBP was controlled in 84.7% and 80.5% of women and men, respectively. 34% of the patients presented a dipper pattern.
76% of the patients presented at least one episode of hypotension, which was accompanied by symptoms in 11.8% of the cases, with headache and dizziness being the most frequent. No significant association has been observed between the number of antihypertensive drugs and the occurrence of hypotensive episodes.
Conclusions:
Most of the patients presented at least 1 episode of hypotension, rarely being symptomatic and not related to the number of antihypertensives. the low frequency of the dipper pattern, the high prevalence of obesity, and the poor control of systolic blood pressure require greater control of cardiovascular risk in the study population. [-]
Descripción
Ponencia presentada en el Congreso Europeo de Hipertensión 2022 (ESH Conference 2022 Abstracts, 17-20 June)
Publicado en
Journal of Hypertension: June 2022 - Volume 40 - Issue Suppl 1 - p e67Derechos de acceso
© 2022 Wolters Kluwer Health, Inc. All rights reserved.
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