[PP.06.02] REGULAR HOME BLOOD PRESSURE MEASUREMENTS AND NORMAL WEIGHT LINKED WITH HYPERTENSION CONTROL IN VERY OLD HYPERTENSIVE SUBJECTS. (September 2017)

• Record Type: Journal Article
• Authors: Wizner, B.; Siga, O.; Gryglewska, B.; Wilkins, A.; Walczewska, J.; Grodzicki, T.
• Is Part Of: Journal of hypertension. Volume 35(2017)Supplement 2
• Publication Date: 2017-09
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000523338.14648.3a
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: The uncontrolled hypertension (HT) is more prevalent in elderly people, however aging process contributes but does not determine the development of resistance to therapy in advanced old age. The aim of the study was to compare HT management and cardiovascular profile in very old patients with uncontrolled and controlled HT in office settings. Design and method: The cross-sectional study has been conducted between May and June 2014 in Poland in cooperation with Servier Poland. Each of the physicians attending in the study enrolled consecutive six adult patients during a routine control visits who met the criteria: HT diagnosis had to be confirmed and documented in patient's medical record, antihypertensive treatment for at least 6 weeks and office blood pressure (OBP) = > 140 and/or 90 mmHg. Of 6565 patients aged 18 to 95 years, to the present analysis included 433 patients aged 80 years and more. Control of HT was defined as averaged OBP < 150/90 mmHg. OBP was measured at least twice with an interval 1 to 2 minutes, in a sitting position after a few minutes of rest using the appropriate cuff size and validated devices. Based on the information available for physician from medical records as well as standardized interview with the patients, history on comorbidities, pharmacotherapy regimen, presence of cardiovascular risk factors, availability of self BP measurement at home were established. Additionally the anthropometric measurement (weight, height, waist) were taken. Results: The selected comparison were presented in the Table. There were no significant difference between the groups in relation to the pharmacotherapy regimen, including number of antihypertensive drugs, time of last modification of the treatment, prevalence of smoking, hypercholesterolemia and comorbidities (coronary and cerebrovascular diseases, heart failure, chronic kidney diseases and diabetes). Data are presented as means ± standard deviations or median [Q1-Q3] and number (percentage). Figure. No caption available. Conclusions: In our study, regular BP control at home and lack of obesity were associated with better hypertension control in octogenarians. The results indicate on non-pharmacological management of HT and self BP control to be as important in the very elderly as in younger patients.