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dc.contributor.authorPiera Carbonell, Ana M.
dc.contributor.authorRodríguez Antón, Pilar
dc.contributor.authorOrellana Carrasco, Rodrigo
dc.contributor.authorCampomanes Suárez, M. Jesús
dc.contributor.authorGavaldá Robert, M. Ángeles
dc.contributor.authorForcada Lozano, Juan Eugenio
dc.contributor.authorPRIETO-DIAZ, MIGUEL ANGEL
dc.contributor.authorMartin Sanchez, Vicente
dc.contributor.authorDíaz Rodríguez, Ángel
dc.contributor.authorDIVISÓN GARROTE, JUAN ANTONIO
dc.contributor.authorNiembre Valdés, Ana Patricia
dc.contributor.authorPallarés-Carratalá, Vicente
dc.date.accessioned2022-06-17T17:10:23Z
dc.date.available2022-06-17T17:10:23Z
dc.date.issued2022
dc.identifier.issn0263-6352; 1473-5598
dc.identifier.urihttp://hdl.handle.net/10234/198078
dc.descriptionPonencia presentada en el Congreso Europeo de Hipertensión 2022 (ESH Conference 2022 Abstracts, 17-20 June)ca_CA
dc.description.abstractObjective: 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.ca_CA
dc.language.isoengca_CA
dc.publisherEuropean Society of Hypertensionca_CA
dc.relation.isPartOfJournal of Hypertension: June 2022 - Volume 40 - Issue Suppl 1 - p e67ca_CA
dc.rights© 2022 Wolters Kluwer Health, Inc. All rights reserved.ca_CA
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/ca_CA
dc.titleEpisodes of hypotension and degree of HBP control in the elderly with antihypertensive drug treatmentca_CA
dc.typeinfo:eu-repo/semantics/conferenceObjectca_CA
dc.identifier.doihttps://doi.org/10.1097/01.hjh.0000835828.69036.1e
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccessca_CA
dc.type.versioninfo:eu-repo/semantics/publishedVersionca_CA


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