The difference of Hood pressure levels between very elderly and young patients of hypertension
LIU Ao-ya
YU Zhen-qiu
WANG Lu-ya
WANG Wen-hua
Abstract：Objective To discuss the difference of ambulatory blood pressure levels between very elderly and young hypertensives. Methods Eighty inpatients in hypertension department at Anzhen Hospital were enrolled and divided into two groups by age;the young group(49 cases, with age≤30 years old)and very elderly group(31 cases, with age ≥80 years old). Both groups had clinical blood pressure tests and 24-hour ambulatory blood pressure tests, and the outcomes were compared. Results The diastolic blood pressure ( DBP) in the young group is significantly higher than the very elderly group[(102 ±14)mm Hg(l mm Hg =0.133 kPa)vs(80 ±14)mm Hg, P< 0.05]. People simply elevated systolic blood pressure of the very elderly group is significantly more than young group[19 cases(61.3% ) vs 0(0.0% ) , P <0. 01]. The 24 h mean DBP, 24 h mean heart rate, day mean DBP and night mean DBP in young group are higher than the very elderly group[(81 ±11) mm Hg vs(67 ±10) mm Hg, (73 ±ll)beats per minute vs(64 ±15)beats per minute,(75 ±28)mm Hg vs(59 ±25)mm Hg,(66 ±25)mm Hg vs(55 ±23)mm Hg, P<0.05 or P<0.01] , but mean pulse pressure is lower than the very elderly groupf (11 ± 2)mm Hg vs(24 ±5)mm Hg, P<0.01]. Conclusions The DBP and heart rate in the very elderly patients are lower than those in the young patients, while isolated systolic hypertension is significantly higher in the very elderly patients than that in the young patients. The very elderly patients with hypertension should have antihypersive treatment and calcium antagonist as well as diuretic should be the first choices.
Keywords：Very elderly hypertensionYoung hypertensionAmbulatory blood pressureAntihypersive treatment
Publication Date：2011-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)