Clinical Characteristics and Antihypertensive Therapy in Elderly Hypertensive Inpatients

Yang Lifeng; Ren Jie; Li Xuewen

doi:10.3969/j.issn.1672-1349.2016.22.030

Abstract：Objective To investigate the clinical characteristics and antihypertensive therapy in elderly inpatients with hypertension. Methods By retrospective analysis elderly inpatients with hypertension in the Department of Cardiology,Shanxi Dayi Hospital from July 2013 to January 2015,according to age divided into very elderly group and young elderly group,analysis the general situation of the two groups of patients with hypertension,admission and discharge blood pressure levels and incidence of clinical events taking antihypertensive drugs;according to the admission systolic blood pressure (≥150 mmHg or <150 mmHg)of the two groups of pa-tients were divided into group A and group B,to analyze the blood pressure level and the use of antihypertensive drugs in patients with hypertension. Results Compared with the baseline data of the young elderly group,the history of hypertension in the very eld-erly group was longer,lower hemoglobin,lower body mass index (BMI),more patients with cerebral vascular disease,peripheral ar-tery disease,renal insufficiency,atrial flutter and atrial fibril ation. The systolic blood pressure (SBP)on admission were 140.38 mmHg± 19.51 mmHg vs 139.22 mmHg±17.71 mmHg,diastolic blood pressure (DBP)were 74.36 mmHg±10.15 mmHg vs 76.40 mmHg±11.13 mmHg in group A and group B.The discharge SBP were 129.79 mmHg± 14.31 mmHg vs 128.55 mmHg± 10.79 mmHg,DBP were 72.27 mmHg± 8.16 mmHg vs 72.86 mmHg± 7.76 mmHg.There was no difference in SBP and DBP levels between two groups(P>0.05). Similar to the use of antihypertensive drugs in two groups of species,the very elderly and young elderly group were 2.14±1.06 vs 2.13±1.03 (P<0.05), there was no significant difference in clinical events during hospitalization (P>0.05). The proportion of patients with more than 150 mmHg SBP on admission was 34.97% and 31.01% in two groups,respectively.The changes of hospitalization BP was significant compared with admission BP (P<0.01),there was no difference between the very elderly and young elderly group (P<0.05). The proportion of pa-tients with more than 150 mmHg SBP on discharge was 13.19% and 3.58% in two groups,respectively. The proportion of patients with less than 130 mmHg SBP accounted for 41.21% and 45.58% in the very elderly and young elderly group,respectively. The pro-portion of patients with less than 60 mmHg DBP accounted for 13.19% and 11.73% in the very elderly and young elderly group,re-spectively. Conclusion In clinical work,the treatment of hypertension in the very elderly is more positive,the control rate of blood pressure is good,but the treatment is not based on age and general situation of specialization.It should be paid attention to.