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Comparison between Central and Brachial Blood Pressure in Hypertensive Elderly Women and Men

Bruno Bordin Pelazza1, Sebastião Rodrigues Ferreira Filho1

  • 1Postgraduate Program in Health Sciences, The Federal University of Uberlândia, Uberlândia, MG, Brazil.

International Journal of Hypertension
|November 1, 2017
PubMed

Insights

Elderly women with hypertension show higher central and brachial blood pressure readings than men. This study highlights sex-based differences in blood pressure measurements among older adults.

Area of Science:

  • Cardiology
  • Gerontology
  • Hypertension Research

Background:

  • Systemic arterial hypertension is a prevalent condition in the elderly population.
  • Accurate blood pressure measurement is crucial for managing hypertension and preventing cardiovascular events.
  • Differences in blood pressure readings between central and brachial arteries may exist, particularly in older adults.

Purpose of the Study:

  • To compare central and brachial systemic blood pressure (SBP) values in women and men over 60 years of age diagnosed with systemic arterial hypertension.
  • To investigate potential sex-based differences in blood pressure measurements within this demographic.

Main Methods:

  • A quantitative, descriptive, cross-sectional study was conducted with 69 elderly hypertensive patients in Uberlândia, Minas Gerais, Brazil.
  • Central and brachial SBP were measured using a Sphygmocor® XCEL device.
  • Data were collected between March 2013 and March 2014.

Main Results:

  • Significant differences were observed between central and brachial systolic blood pressure (140(21) vs. 153(23) mmHg) and pulse pressure (55(18) vs. 70(18) mmHg) in the overall population.
  • Elderly women exhibited higher blood pressure levels than elderly men, including central SP (144(23) vs. 134(16) mmHg), brachial SP (161(26) vs. 148(18) mmHg), central PP (62(17) vs. 45(14) mmHg), and brachial PP (80(21) vs. 63(15) mmHg).

Conclusions:

  • Elderly women with systemic arterial hypertension demonstrated higher blood pressure values compared to elderly hypertensive men.
  • These findings underscore the importance of considering sex as a factor in blood pressure assessment and management in older hypertensive individuals.
Abstract

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