Comparison of ambulatory and clinical blood pressures, and their correlation with organic heart damage, in the elderly

Casual blood pressure (BP) measurements may sometimes indicate the presence of cardiovascular morbidity and mortality, but the correlations between BP values and the subsequent occurrence of such complications are low. This may depend on the known inability of casual BP measurements to reflect accurately the 24-hour mean and overall profile of the BP. In this study, electrocardiography (ECG) of left ventricular muscle mass was related to various measures of BP during circadian ambulatory BP monitoring in 156 hypertensive and non-hypertensive elderly patients. Multiple regression analysis performed to establish the presence of left ventricular hypertrophy (LVH) revealed that the product of ambulatory systolic BP x diastolic BP (p = 0.027) and ambulatory diastolic BP were significant variables. Clinical pressure variables were not significant. Multiple linear regression analysis to establish the degree of LVH in function of the pressure variables generated a model where the variables included are the product of ambulatory systolic BP x diastolic BP (p = 2.7 x 10(-8)), ambulatory systolic BP (p = 7.8 x 10(-6)) and ambulatory diastolic BP (p = 2.4 x 10(-6)). Results obtained agree with the literature and revealed that LVH evaluated using ECG-Romhilt-Estes score was correlated in terms of presence/absence of organ damage and in terms of score to ambulatory monitoring values.

Medienart:

Artikel

Erscheinungsjahr:

1996

Erschienen:

1996

Enthalten in:

Zur Gesamtaufnahme - volume:22 Suppl 1

Enthalten in:

Archives of gerontology and geriatrics - 22 Suppl 1(1996) vom: 29., Seite 131-8

Sprache:

Englisch

Beteiligte Personen:

Torrisi, G [VerfasserIn]
De Bernardis, E [VerfasserIn]
Di Mauro, S [VerfasserIn]
Marino, M [VerfasserIn]
Cosentino, N [VerfasserIn]
Leotta, C [VerfasserIn]
Distefano, A [VerfasserIn]

Themen:

Journal Article

Anmerkungen:

Date Completed 14.12.2009

Date Revised 25.07.2008

published: Print

Citation Status PubMed-not-MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM181148501