scholarly journals Erratum to: Systolic Blood Pressure and Cognition in the Elderly: The Northern Manhattan Study

2021 ◽  
pp. 1-1
Author(s):  
Xiaoyan Sun ◽  
Chuanhui Dong ◽  
Bonnie E. Levin ◽  
Michelle Caunca ◽  
Adina Zeki Al Hazzouri ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
The Elderly

P5728Association of systolic blood pressure and cardiovascular outcomes at different age groups in the healthy general population: a nationwide prospective cohort study

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
M H Jung ◽  
S H Ihm ◽  
S J An ◽  
S W Yi
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Age Groups ◽  
The Elderly ◽  
Cardiovascular Outcomes ◽  
Stroke Mortality ◽  
Linear Association ◽  
Hazard Ratios ◽  
Individualized Approach ◽  
Cvd Mortality

Abstract Background Uncertainties remain regarding the effect of blood pressure on various cardiovascular outcomes in different age groups. Purpose We aimed to identify 1) whether a systolic blood pressure (SBP) of 130–139 mm Hg elevates cardiovascular disease (CVD) mortality and 2) whether SBP shows a linear association with cause-specific CVD mortality in all age groups among individuals without known hypertension and CVD. Methods We used the Korean National Health Insurance sample data (n=429,220). Participants were categorized into three groups by age (40–59, 60–69, and 70–80 years). Results A positive and graded association was generally observed between SBP and overall and cause-specific CVD mortality regardless of age, except for ischemic heart disease (IHD) mortality in those aged 70–80 years. Among those aged 70–80, the hazard ratios (HRs) (95% CIs) for overall CVD mortality were 1.08 (0.92–1.28), 1.14 (0.97–1.34), and 1.34 (1.14–1.58) for SBP values of 120–129, 130–139, and 140–149 mm Hg, respectively, compared to SBP <120 mm Hg. For total stroke mortality, the corresponding HRs were 1.29 (1.02–1.64), 1.37 (1.09–1.72), and 1.52 (1.20–1.93), while for IHD mortality, the corresponding HRs were 0.90 (0.64–1.26), 0.86 (0.62–1.19), and 1.29 (0.93–1.78). Nonlinear associations were significant for IHD (Fig 1). Figure 1 Conclusion In the elderly Korean population, SBPs of 130–139 mm Hg elevated total stroke mortality, but not IHD mortality, compared to normal BP, and a linear association was not observed for IHD mortality in the range <140 mm Hg. Regarding an appropriate diagnostic cutoff for hypertension, an individualized approach considering each person's organ susceptibility is needed for the elderly population. Acknowledgement/Funding None

scholarly journals Controle da Pressão Arterial em Pacientes Idosos de um Ambulatório de Atenção Primária à Saúde

2006 ◽  
Vol 9 ◽  
Author(s):  
Paulo Renato Carvalho Alonso Rays ◽  
Honório Sampaio Menezes
Keyword(s):  
Blood Pressure ◽  
Elderly Patients ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Heart Diseases ◽  
The Elderly ◽  
Cross Sectional ◽  
Diabetes Type Ii ◽  
Hypertensive Therapy ◽  
Elderly Control

Resumo: Hipertensão Arterial é definida como elevação da pressão arterial sistólica e diastólica acima de 140/90mmHg, respectivamente. Estima-se que mais de 50% dos pacientes acima de 60 anos tenham hipertensão, o que deixa essa população sob risco aumentado de doenças em órgãos alvo como coração, rins e cérebro, aumentando também a morbimortalidade desta população. Diversos estudos comprovam que a terapia anti-hipertensiva reduz o risco e a morbimortalidade cardiovascular, cerebral e renal. No presente trabalho foi realizado um estudo transversal, observacional, prospectivo, onde foram avaliadas as medidas da pressão arterial de 24 pacientes idosos do grupo de 70 pacientes hipertensos do ambulatório do Programa Saúde da Família da cidade de Mata, interior do RS. Foi utilizada estatística descritiva e distribuição por freqüência, além do teste “t” de Student para comparação de médias, com nível de significância de 5% para análise dos dados. A pressão sistólica variou entre 120 e 180mmHg, a diastólica entre 60 e 100mmHg. Em 17 (70,83%) dos pacientes não houve associação da hipertensão com outra doença crônica, em quatro (16,22%) havia associado diabete melito tipo II e três (12,50%) tinham dislipidemia. Predominou o sexo feminino em 75% (18) dos pacientes estudados. A pressão sistólica estava acima de 140mmHg em 10 (41,67%) dos pacientes entre os quais havia quatro (16,67%) com a diastólica acima de 90mmHg. Dois quintos dos idosos, mesmo sob tratamento ambulatorial, não apresentava controle da hipertensão arterial adequado. Palavras-chave: Hipertensão. Idoso. Controle. Abstract: Hypertension is defined as an elevation of systolic and diastolic blood pressure above 140/90mmHg. More than 50% of patients over 60 years have hypertension, which increases the risk of cerebrovascular, kidney and heart diseases in this population. The anti-hypertensive therapy reduces risks according several studies. This cross sectional hypertension study of the elderly patients over 60 years old analyzed blood pressure in two opportunities separated by two days. Twenty-four patients had the blood pressure measured among 70 patients. Results: the systolic blood pressure were between 120-190mmHg, the diastolic blood pressure between 60-100mmHg. Eighteen (75%) were women, 17 (70.83%) does not have other chronic diseases, four (16.22%) had diabetes type II, three (12.50%) were dislipidemic. In ten (41.67%) patients the systolic blood pressure was over 140mmHg and four (16.67%) had the diastolic blood pressure over 90mmHg. The hypertension was uncontrolled in two fifty of elderly patients. Keywords: Hypertension. Elderly. Control.

Correlation between wrist circumference with blood pressure and creatinine level among elderly

2021 ◽  
Vol 9 (2) ◽  
pp. 123-127
Author(s):  
Etisa Adi Murbawani ◽  
Etika Ratna Noer ◽  
Enny Probosari
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Creatinine Level ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Anthropometric Measurement ◽  
Cross Sectional ◽  
High Systolic Blood Pressure ◽  
Wrist Circumference

Background: Hypertension is a highly prevalent health problem which incidence is greatest among the elderly. Hypertension may increase creatinine level and leads to other health problems like diabetes mellitus, kidney damage, and cardiovascular disease. Wrist circumference is a simple anthropometric measurement that can be used to identify hypertension and increasing level of serum creatinine.Objectives: To analyze the correlation of wrist circumference with blood pressure and creatinine level among the elderly.Materials and Methods: This was a cross-sectional study with a purposive sampling method. Subjects of this study were 84 women aged 60 years old or above at Unit Rehabilitasi Sosial Pucang Gading Semarang. The independent variable of this study was wrist circumference, and the dependent variables were systolic blood pressure, diastolic blood pressure, and creatinine level. The result was analyzed using the Spearman-rho test.Results: The participants of this research were 49% women aged 60-65 years old, with an average age was 65.5 years old. The prevalence of hypertension was 61.9%. Most hypertension incidence in this research was caused by high systolic blood pressure (50%), and the rest was caused by high diastolic blood pressure (3.9%) and both (46.1%). The level of creatinine was normal with an average level was 0.75 mg/dL. There was no correlation of wrist circumference with systolic blood pressure systolic (r=0.15; p=0.19), diastolic blood pressure (r=0.1; p=0.38), and creatinine serum (r=0.18; p=0.09) among elderly.Conclusions: There was no correlation of wrist circumference with blood pressure and creatinine level among the elderly.

Defining Hypotension in Moderate to Severely Injured Trauma Patients: Raising the Bar for the Elderly

2010 ◽  
Vol 76 (10) ◽  
pp. 1035-1038 ◽  
Author(s):  
Meghan Edwards ◽  
Eric Ley ◽  
James Mirocha ◽  
Anoushiravan Amini Hadjibashi ◽  
Daniel R. Margulies ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Los Angeles ◽  
Systolic Blood Pressure ◽  
Hemorrhagic Shock ◽  
Head Injuries ◽  
Age Groups ◽  
The Elderly ◽  
Trauma Patients ◽  
Severely Injured ◽  
Definition Of

Hypotension, defined as systolic blood pressure less than 90 mm Hg, is recognized as a sign of hemorrhagic shock and is a validated prognostic indicator. The definition of hypotension, particularly in the elderly population, deserves attention. We hypothesized that the systolic blood pressure associated with increased mortality resulting from hemorrhagic shock increases with increasing age. The Los Angeles County Trauma Database was queried for all moderate to severely injured patients without major head injuries admitted between 1998 and 2005. Several fit statistic analyses were performed for each systolic blood pressure from 50 to 180 mm Hg to identify the model that most accurately defined hypotension for three age groups. The optimal definition of hypotension for each group was determined from the best fit model. A total of 24,438 patients were analyzed. The optimal definition of hypotension was systolic blood pressure of 100 mm Hg for patients 20 to 49 years, 120 mm Hg for patients 50 to 69 years, and 140 mm Hg for patients 70 years and older. The optimal systolic blood pressure for improved mortality in hemorrhagic shock increases significantly with increasing age. Elderly trauma patients without major head injuries should be considered hypotensive for systolic blood pressure less than 140 mm Hg.

scholarly journals Age-specific associations between systolic blood pressure and cardiovascular mortality

Heart ◽  
2019 ◽  
Vol 105 (14) ◽  
pp. 1070-1077 ◽  
Author(s):  
Mi-Hyang Jung ◽  
Sang-Wook Yi ◽  
Sang Joon An ◽  
Jee-Jeon Yi
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Age Groups ◽  
The Elderly ◽  
Stroke Mortality ◽  
Linear Association ◽  
Sample Data ◽  
Korean National Health Insurance ◽  
Cvd Mortality

ObjectiveWe aimed to identify the following in all age groups among individuals without known hypertension and CVD: (1) Whether a systolic blood pressure (SBP) of 130–139 mm Hg elevates cardiovascular disease (CVD) mortality. (2) Whether SBP shows a linear association with cause-specific CVD mortality.MethodsWe used the Korean National Health Insurance sample data (n=429 220). Participants were categorised into three groups by age (40–59 years, 60–69 years and 70–80 years).ResultsDuring 10.4 years of follow-up, 4319 cardiovascular deaths occurred. A positive and graded association was generally observed between SBP and overall and cause-specific CVD mortality regardless of age, except for ischaemic heart disease (IHD) mortality in those aged 70–80 years. Among those aged 70–80 years, the HRs (95% CIs) for overall CVD mortality were 1.08 (0.92–1.28), 1.14 (0.97–1.34) and 1.34 (1.14–1.58) for SBP values of 120–129 mm Hg, 130–139 mm Hg and 140–149 mm Hg, respectively, compared with SBP <120 mm Hg. For total stroke mortality, the corresponding HRs were 1.29 (1.02–1.64), 1.37 (1.09–1.72) and 1.52 (1.20–1.93), while for IHD mortality, the corresponding HRs were 0.90 (0.64–1.26), 0.86 (0.62–1.19) and 1.29 (0.93–1.78), respectively. Non-linear associations were significant for IHD.ConclusionsIn the elderly Korean population, SBPs of 130–139 mm Hg elevated total stroke mortality, but not IHD mortality, compared with normal blood pressure, and a linear association was not observed for IHD mortality in the range <140 mm Hg.

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