Factors associated with poor tensional control in the elderly

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
Z Bargaoui ◽  
K Mzoughi ◽  
S Labbene ◽  
I Zairi ◽  
S Kraiem ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Cardiovascular Risk ◽  
Blood Pressure Control ◽  
The Elderly ◽  
Pressure Control ◽  
Thiazide Diuretics ◽  
Factors Associated ◽  
Poor Blood Pressure Control ◽  
History Of

Abstract Funding Acknowledgements Type of funding sources: None. Background Hypertension is a major cardiovascular risk factor, responsible for significant morbidity and mortality. Despite therapeutic progress, blood pressure control remains insufficient. Purpose The aim of our study was to identify the factors associated with poor blood pressure control in the elderly. Methods This was a descriptive study with a prospective data collection including 101 hypertensive treated subjects, aged 65 years and over, followed on outpatient basis between November and December 2019 at the cardiology consultation either at the Habib Thameur hospital or at the Materi hospital. Results Median age was 73 and sex ratio 0.57. The major cardiovascular risk factor was diabetes in 60.4% of cases, followed by dyslipidaemia 48.5% and smoking 40.6%. A history of coronary syndrome was present in 36.6% of cases, followed by atrial fibrillation in 19.8% and 12.9% had a history of ischemic stroke. Thirty-three percent realized regular physical activity and 31% had a high-sodium diet. Four percent of our patients were completely dependent. Among our patients aged 80 and over, 68.2% were frail. The prevalence of poor blood pressure control was 59%. Adherence to treatment was satisfactory in 75.2% of cases. Twelve percent of patients had information about their condition and 89% knew the dosage and schedule for their medication. In multivariate analysis, the factors associated with poor blood pressure control were: non-compliance with treatment (adjusted OR = 0.19; p = 0.013), frailty (adjusted OR = 7.194; p = 0.004), the number of antihypertensive tablets (Adjusted OR = 0.382; p = 0.008), non-use of thiazide diuretics (adjusted OR = 25.903; p = 0.001) and the patient"s lack of knowledge of antihypertensive treatment (adjusted OR = 0.56; p = 0.008). Conclusion Detection of the risk of non-compliance, the use of thiazide diuretics, reducing the number of antihypertensive tablets, screening for frailty and informing the patient about his treatment are necessary to improve blood pressure control in the elderly.

Factors associated with multimorbidity and its link with poor blood pressure control among 223,286 hypertensive patients

2014 ◽  
Vol 177 (1) ◽  
pp. 202-208 ◽  
Author(s):  
Martin C.S. Wong ◽  
Harry H.X. Wang ◽  
Clement S.K. Cheung ◽  
Ellen L.H. Tong ◽  
Antonio C.H. Sek ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Poor Blood Pressure Control

scholarly journals The Impact of Cardiovascular Risk-Factor Profiles on Blood Pressure Control Rates in Adults From Canada and the United States

2013 ◽  
Vol 29 (5) ◽  
pp. 598-605 ◽  
Author(s):  
Finlay A. McAlister ◽  
Cynthia Robitaille ◽  
Cathleen Gillespie ◽  
Keming Yuan ◽  
Deepa P. Rao ◽  
...  
Keyword(s):  
United States ◽  
Blood Pressure ◽  
Risk Factor ◽  
Cardiovascular Risk ◽  
Blood Pressure Control ◽  
Cardiovascular Risk Factor ◽  
Pressure Control ◽  
The United States ◽  
The Impact

Abstract 426: Factors Associated With Multimorbidity And Its Link With Poor Blood Pressure Control Among 223,286 Hypertensive Patients

Hypertension ◽  
2014 ◽  
Vol 64 (suppl_1) ◽  
Author(s):  
Martin C Wong ◽  
Harry H Wang ◽  
Mandy W Kwan ◽  
Clement S Cheung ◽  
Ellen L Tong ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Clinical Care ◽  
Antihypertensive Agents ◽  
Pressure Control ◽  
Multinomial Regression ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Poor Blood Pressure Control ◽  
Male Patients

Background: Multimorbidity, defined as the presence of ≥ 2 chronic disorders, has become the norm in many countries as populations age. It remains, however, very infrequently researched. This study evaluated the factors associated with multimorbidity in a predominantly Chinese hypertensive population. Methods: We included all adult patients prescribed their first antihypertensive agents in the public sector of the entire Hong Kong population from a validated clinical database. Multinomial regression analyses were performed to explore factors independently associated with multimorbidity. Results: 223,286 hypertensive patients (average age of 59.9 years, SD 17.6) were included. The prevalence of having 0, 1 and ≥2 additional chronic conditions was 59.6% [133,176/223,286], 32.8% [73,313/223,286] and 7.5% [16,797/223,286], respectively. Older age (>50 years), male sex, lower household income, receipt of comprehensive social security allowance and suboptimal blood pressure control (>140mmHg or >90mmHg; >130mmHg or >80mmHg for diabetes patients; AOR=3.38 to 4.49) were significantly associated with the presence of ≥2 additional conditions. There exists a synergistic effect among these variables as older (≥70 years), male patients receiving security allowance had substantially higher prevalence of ≥2 multimorbidity (19.9% vs 7.5% among all patients). Conclusions: Multimorbidity is very common in hypertensive patients and its prevalence increased markedly with the presence of risk factors identified in this study. Hypertensive patients with multimorbidities should receive more meticulous clinical care as their blood pressure control tends to be poorer.

scholarly journals HUBUNGAN MINUM OBAT ANTI HIPERTENSI DENGAN MELAKUKAN KONTROL TEKANAN DARAH RUTIN PADA LANSIA

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
RADEN SITI MARYAM ◽  
TIEN HARTINI ◽  
ROSIDAWATI ROSIDAWATI
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Antihypertensive Medication ◽  
Peer Group ◽  
The Elderly ◽  
Pressure Control ◽  
Normal Blood Pressure ◽  
Cross Sectional ◽  
History Of

Hypertension is a disease characterized by above-normal blood pressure , usually does not cause symptom, it is often called the silent killer. An estimated 76 % cases of hypertension in people who have not been diagnosed, in this case a person does not know that he was suffering from hypertension. This study aimed to get an overview of the factors that affect blood pressure control in the elderly. Methods: The study was a non - experimental (observational) with cross-sectional approach. The population in this study were all elderly people who come on Posyandu Lansia in Puskesmas Pulogadung district, East Jakarta with sample of 46 respondents. Results and Discussion: There was a significant relationship between taking antihypertensive medication ; have a history of hypertension ; and long suffered from hypertension with blood pressure control routine (p = 0.004 ; p = 0.018 ; p = 0.026). The factors that most influence on the elderly to perform routine blood pressure control is taking antihypertensive medication (p = 0.014 and Exp (B) = 45.5). A controlled blood pressure can reduce the risk factors of cardiovascular disease. To keep improving and maintaining the quality of the elderly can be done through activities in Posyandu Lansia with health education, monitoring the elderly who suffer from hypertension, and peer group

A Randomised Trial of Intensive versus Standard Blood-Pressure Control in Patients with a History of Stroke: The RESPECT Study

2018 ◽  
Author(s):  
Kazuo Kitagawa ◽  
Yasumasa Yamamoto ◽  
Hisatomi Arima ◽  
Toshiki Maeda ◽  
Norio Sunami ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Randomised Trial ◽  
Pressure Control ◽  
History Of

scholarly journals Old hypertensive patient: a hard challenge

2013 ◽  
pp. 109-112
Author(s):  
Giuseppe Rossetti ◽  
Diana Solari ◽  
Maria Laura Rainoldi ◽  
Stefano Carugo
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Elderly People ◽  
Diastolic Pressure ◽  
Beta Blockers ◽  
The Elderly ◽  
Pressure Control ◽  
World Population ◽  
Continuous Increase ◽  
Hypertensive Therapy

BACKGROUND High blood pressure is one of the most important cardiovascular risk factor and its incidence is continuously increasing: on 2025 1/3 of adult world population will suffer of it. Moreover, the therapy of elderly hypertension sufferer patient is still growing up in importance for the continuous increase of world population average life. With ageing, the cardiovascular system suffers neurohormonal and haemodinamic modifications which determine the onset of isolate systolic hypertension, which is characteristic of the elderly. This pathology results linked to a higher cardiovascular risk. AIM OF THE STUDY This review aims to analyze and evaluate present and future therapeutic opportunities about anti-hypertensive therapy in elderly people. DISCUSSION AND CONCLUSIONS Also in elderly people systolic blood pressure values must be lower than 150 mmHg, but it’s also important to maintain diastolic pressure not under 70 mmHg, to avoid phenomenons of cerebral and coronary hypo-perfusion (J curve). The benefits of an effective anti-hypertensive therapy are achieved thanks to both blood pressure lowering “per se” and to the decrease of cardiovascular mortality and morbility. Blood pressure control in the elderly is a hard challenge for the low compliance to the therapy, for the importance of the comorbidity and for the supplementary risk factors. ESH-ESC 2007 guidelines recommend for elderly highblood pressure sufferer patient the use first of all of calcium-antagonists and thiazides diuretics, and for second line ACE-inhibitors, ARB and beta-blockers. In several patients combinations of two or more drugs are necessary to obtain pressure control.

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