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[Differences between office and ambulatory control of hypertension in very elderly patients. The CARDIORISC -

José L Llisterri1, Francisco J Alonso, Manuel Gorostidi

  • 1Centro de Salud Joaquín Benlloch, Valencia, España. jllisterric@medynet.com

Medicina Clinica
|October 13, 2009
PubMed

Insights

In elderly patients with hypertension, clinic blood pressure (BP) control was only 21.5%, while ambulatory BP monitoring (ABPM) showed 42.1% control. This highlights the need for ABPM to accurately assess hypertension management in older adults.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Hypertension Management

Background:

  • Hypertension is a common condition in the very elderly population.
  • Effective blood pressure (BP) control is crucial for reducing cardiovascular risk in this demographic.

Purpose of the Study:

  • To evaluate hypertension control rates in treated hypertensive patients aged 80 years and older.
  • To compare BP control based on clinic measurements versus ambulatory BP monitoring (ABPM).

Main Methods:

  • Utilized data from the Spanish Society of Hypertension ABPM Registry (CARDIORISC - MAPAPRES project).
  • Included a large database of 33,829 patients, with 2,311 aged 80 years or older.
  • Defined hypertension control as clinic BP <140/90mmHg and 24-hour ABPM <130/80mmHg.

Main Results:

  • Clinic BP control was achieved in 21.5% of elderly hypertensives.
  • Ambulatory BP monitoring revealed a higher control rate of 42.1%.
  • Prevalence of masked hypertension was 7.0%, and white coat hypertension was 27.6%.

Conclusions:

  • Clinic BP measurements may overestimate hypertension control in the very elderly.
  • Ambulatory BP monitoring provides a more accurate assessment of BP control in this age group.
  • Increased utilization of ABPM is recommended for managing hypertension in elderly patients.
Abstract

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