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Postural hypertension in elderly men--the Honolulu Heart Program
K Alagiakrishnan1, K Masaki, I Schatz
1John A. Burns School of Medicine, University of Hawaii, Honolulu 96817, USA. kannayir@hawaii.edu
Insights
Postural hypertension, a condition where blood pressure rises upon standing, was prevalent in 39% of elderly Japanese-American men. However, this high prevalence did not correlate with increased illness or mortality in the study.
Area of Science:
- Gerontology
- Cardiovascular Health
- Epidemiology
Background:
- Postural hypertension involves abnormal blood pressure increases when standing.
- Understanding its prevalence and clinical impact is crucial for elderly populations.
Purpose of the Study:
- To determine the prevalence of postural hypertension.
- To investigate associations between postural hypertension, morbidity, and mortality.
Main Methods:
- Analysis of the Honolulu Heart Program longitudinal cohort.
- Examination of 3741 Japanese-American men aged 71-93 years.
- Data collected during the fourth examination (1991-1993).
Main Results:
- The prevalence of postural hypertension was 39% in this cohort.
- No significant correlations were found between postural hypertension and morbidity.
- No significant correlations were found between postural hypertension and subsequent mortality.
Conclusions:
- Postural hypertension is common in elderly Japanese-American men.
- The clinical significance of postural hypertension in this population appears questionable.
- Further research may be needed to clarify the long-term implications.
Abstract:
Postural hypertension is a condition in which the blood pressure rises abnormally during standing. The aim of this study is to determine the prevalence of postural hypertension and its association with morbidity and subsequent mortality. At the fourth examination (1991-1993) of the Honolulu Heart Program longitudinal cohort, 3741 Japanese-American men aged 71-93 were examined. Prevalence of postural hypertension in this cohort was 39%. Although there was a high prevalence of postural hypertension in this cohort, its clinical significance is questionable as there were no significant correlations with morbidity and subsequent mortality.
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