The study of appropriate blood pressure in the elderly population with hypertension and orthostatic hypotension
Abstract：Objective To determine appropriate blood pressure in the elderly population with hypertension and orthostatic hypotension. Methods A total of 849 elderly and retired hypertensives who underwent health screening physical examination in Guangzhou Military Region were included. Orthostatic blood pressure and heart rate were measured in THE supine position after resting for more than 5 minutes and at 0 and 2 min after standing. A Comparative analysis was conducted on the prevalence of OH. Results Significant differences of the prevalence of OH were observed in patients with different blood pressures. Patients with orthostatic hypotension more commonly had left ventricular hypertrophy (54.4% vs 44.6% ,P = 0.01)and a high rate of microalbuminuria (46.4% vs 36.9%,P = 0.01)than did those with orthostatic normotension. By analyzing current blood pressure control,the following results were obtained:individuals with a systolic blood pressure ranging from 130-139 mmHg and/or a diastolic blood pressure ranging from 70-79 mmHg had a significantly lower prevalence of OH (21.4% vs 23.8%;P < 0.05). Conclusion Elderly patients with essential hypertension with orthostatic hypotension have evident target organ damage. A systolic blood pressure ranging from 130 to 139 mmHg and/or a diastolic blood pressure ranging from 70 to 79 mmHg might be an appropriate blood pressure goal for patients with hypertension and orthostatic hypotension.
Keywords：HypertensionOrthostatic hypotensionBlood pressure range
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 100-103 )