Investigation of the relationship between antihypertensive medication and orthostatic blood pressure changes in the elderly hypertensive inpatients / 中国医师杂志
Journal of Chinese Physician
;
(12): 461-464, 2013.
Artigo
em Chinês
| WPRIM
| ID: wpr-434710
ABSTRACT
Objective To observe the incidence of orthostatic hypotension and hypertension in the elderly hypertensive inpatients and investigate the effect of antihypertensive medication on the orthostatic blood pressure changes in the elderly hypertensive inpatients.Methods A total of 185 aged hypertensive inpatients was divided into elderly group(n =126,60~79 years old) and very elderly group(n =59,≥80 years old) according to the age.The orthostatic blood pressure was measured in supine position and after standing.Subjects were divided into 3 subgroupsorthostatic hypotension (OH),orthostatic hypertension (OHT),and orthostatic normotension (ONT) groups according to the standing blood pressure levels.Clinical characteristics of each subgroup were evaluated and analyzed according to the antihypertensive medication.Results Among 185 patients,the OH incidence was 31 (16.76%) cases,the OHT incidence was 23 (12.43 %) cases,and the ONT incidence was 131 (70.81%) cases.There were 16 (12.70%) patients with OH and 10(7.90%) patients with OHT in elderly group,but 15 (25.42%) patients with OH and 13 (22.03%) patients with ONT in very elderly group.The prevalence of OH and OHT in each elderly group was both higher than elderly group (P < 0.05).Antihypertensive medications such as Calcium channel blockers,angiotensin Ⅱ receptor-blockers,Beta-blockers,diuretics,and angiotensin converting enzyme inhibitors were not significantly different among three subgroups.Conclusions OH and OHT were common in the elderly hypertensive inpatients,especially in the very elderly people.The five-class antihypertensive medication that doctors commonly used at present might be not related to the orthostatic hypotension and hypertension.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Chinês
Revista:
Journal of Chinese Physician
Ano de publicação:
2013
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS