Twenty-four-hour blood pressure profile in elderly patients with borderline arterial hypertension

Abstract

The aim of the study was to compare 24-hour blood pressure (BP) profile in elderly patients with borderline arterial hypertension (BAH) and in subjects with more advanced AH stages. Ninety-nine elderly pateints (mean age 72+4 years) were examined. Twenty-four-hour BP monitoring (24-hour BPM) was performed with a device «MDP-NS- 01» (Russia), by standard methodics. BAH in the elderly is charaterised by higher than in other AH stages, prevalence of white-coat hypertension, and its relative prevalence in the isolated systolic hypertension structure. In the elderly patients with BAH, «pressure load» was relatively high, like in advanced AH stages, due to high systolic BP for all time intervals. Such patients were charaterised with various 24-hour rhythm disturbancies of systolic and diastolic BP. In general, these disturbancies resembled such disorders in advanced AH stages. Elderly hypertensive patients with BAH had high BP variability, mostly due to systolic BP variations.

Keywords

• borderline arterial hypertension
• elderly age
• 24-hour blood pressure monitoring