Arterial Hypertension in Old Age

L.M. Yena, N.G. Akhaladze

Abstract


The survey provides data on the age-dependent dynamics of blood pressure (BP) and the prevalence of arterial hypertension (AH). Attention is focused on the role of BP as the most significant risk factor in old age, to a large extent determines the pandemic increase in the incidence of heart failure, atrial fibrillation, dementia of vascular and Alzheimer’s type. Along with isolated systolic hypertension, specific weight of which in the structure of AH increases progressively with age and affects about 2/3 of patients older than 60 years, and 75 % — over 75 years, discusses such typical for geriatric contingent specific forms of AH, as pseudohypertension, orthostatic one, office, masked. Along with hypertensive in old age in terms of comorbidity the incidence of hypotensive states — postprandial and postural hypotension, associated with additional risk of morbidity and mortality, increases.


Keywords


hypertension; old age

References


Баранова І.О., Семесько Т.М., Єна Л.М. та ін. Епідеміологія артеріальної гіпертензії та чинників ризику її розвитку в російсько-українській та кримсько-татарській популяціях сільськогосподарських районів АР Крим // Пробл. стар. и долголет. — 2006. — Т. 15, № 1. — С. 76-82.

Горбась І.М. Контроль факторів ризику сердечно-судинних захворювань у осіб похилого віку // Medix Аnti-Аging. — 2012. — № 5. — С. 13-15.

Ена Л.М. Изолированная систолическая гипертензия в пожилом и старческом возрасте // Мистецтво лікування. — 2007. — Т. 40, № 4. — С. 81-87.

Ена Л.М., Купраш Л.П., Купраш Е.В. Коморбидность и полипрагмазия у больных пожилого и старческого возраста // Журнал практичного лікаря. — 2006. — № 3. — С. 29-33.

Корнацкий В.М. Проблеми здоров’я суспільства та продовження життя. — К.: Ферзь-ТФ, 2006. — 136 с.

Лечение артериальной гипертензии в особых клинических ситуациях / Под ред. В.Н. Коваленко, Е.П. Свищенко. — Каменец-Подольский. — ЧП Мошака П.И., 2005. — 504 с.

Рекомендації Українського товариства кардіологів з профілактики та лікування артеріальної гіпертензії // Посібник до Національної програми профілактики і лікування артеріальної гіпертензії. — К., 2004. — 86 с.

Токарь А.В., Ена Л.М. Артериальная гипертенния в пожилом и старческом возрасте. — К.: Здоровье, 1985. — 248 с.

Amado P., Vasconcelos N., Santos I., Almeida L., Nazar J., Carmona J. Arterial hypertension difficult to control in the elderly patient. The significance of the «white coat effect» // Rev. Port. Cardiol. — 1999. — Vol. 18, № 10. — P. 897-906.

Aronow W.S., Fleg J.L., Pepine C.J., Artinian N.T., Bakris G., Brown A.S., Ferdinand K.C., Ann Forciea M., Frishman W.H., Jaigobin C. et al. ACCF/AHA 2011 expert consensus document on hypertension in the elderly: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus documents developed in collaboration with the American Academy of Neurology, American Geriatrics Society, American Society for Preventive Cardiology, American Society of Hypertension, American Society of Nephrology, Association of Black Cardiologists, and European Society of Hypertension // J. Am. Coll Cardiol. — 2011. — 57. — Р. 2037-2114.

Beckett N.S., Connor M., Sadler J.D. et al. Orthostatic fall in blood pressure in the very elderly hypertensive: results from the Hypertension in the Very Elderly Trial (HYVET) — pilot // J. Hum. Hypertens. — 1999. — Vol. 13. — P. 839-840.

Bendjamin E.L., Levy D., Vaziri S.M. et al. Independent Risk factors for atrial fibrillation in a population-based cohort: the Framingham Heart Study // JAMA. — 1994. — Vol. 271. — P. 840-841.

Boshuizen H.C., Izaks G.J., van Buuren S. et al. Blood pressure and mortality in elderly people aged 85 and older: community based study // BMJ. — 1998. — Vol. 316. — P. 1780-1784.

Boutouyrie P., Tropeano A.I., Asmar R., Gautier I., Benetos A., Lacolley P., Laurent S. Aortic stiffness is an independent predictor of primary coronary events in hypertensive patients: a longitudinal study // Hypertension. — 2002. — Vol. 39. — P. 10-15.

Chobanian A.V., Bakris G.L., Black H.R., Cushman W.C., Green L.A., Izzo J.L., Jones D.W., Materson B.J., Oparil S., Wright J.T. et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report // JAMA. — 2003. — 289. — P. 2560-2572.

Di Mauro S., Spallina G., Scalia G., Insolia G., Borzi S., Distefano A., Torrisi G. Urinary albumin excretion in elderly patients with white coat hypertension // Arch. Gerontol. Geriatr. — 1999. — Vol. 28, № 1. — P. 23-29.

Ejaz A.A., Kazory A., Heinig M.E. 24-hour blood pressure monitoring in the evaluation of supine hypertension and orthostatic hypotension // J. Clin. Hypertens. (Greenwich.). — 2007. — Vol. 9, № 12. — P. 952-955.

Fagard R.H., Staessen J.A., Thijs L. et al. Response to antihypertensive therapy in older patients with sustained and nonsustained systolic hypertension // Circulation. — 2000. — Vol. 102, № 10. — Р. 1139-1144.

Forette F., Seux M.L., Staessen J.A., Thijs L., Birkenhger W.H., Babarskiene M.R., Babeanu S., Bossini A., Gil-Extremera B., Girerd X. et al. Prevention of dementia in randomised double-blind placebo-controlled Systolic Hypertension in Europe (Syst-Eur) trial // Lancet. — 1998. — 352. — Р. 1347-135.

Franklin S.S. Ageing and hypertension: the assessment of blood pressure indices in predicting coronary heart disease // J. Hypertens. — 1999. — Vol. 17 (Suppl. 5). — P. 29-36.

Franklin S.S., Larson M.G., Khan S.A., Wong N.D., Leip E.P., Kannel W.B., Levy D. Does the relation of blood pressure to coronary heart disease risk change with aging? The Framingham Heart Study // Circulation. — 2001. — 103. — Р. 1245-1249.

Gentilcore D., Jones K.L., O’Donovan D.G., Horowitz M. Postprandial hypotension — novel insights into pathophysiology and therapeutic implications // Curr. Vasc. Pharmacol. — 2006. — Vol. 4, № 2. — P. 161-171.

Grodzicki T., Rajzer M., Fagard R. et al. Ambulatory blood pressure monitoring and postprandial hypotension in elderly patients with isolated systolic hypertension // J. Hum. Hypertens. — 1998. — Vol. 12. — P. 161-165.

Guidelines for the Management of Arterial Hypertension 2007 // Journal of Hypertension. — 2007. — 25. — Р. 1105-1187.

Gupta V., Lipsitz L.A. Orthostatic hypotension in the elderly: diagnosis and treatment // Am. J. Med. — 2007. — Vol. 120, № 10. — P. 841-847.

Gustavsen P.H., Hшegholm A., Bang L.E. et al. White coat hypertension is a cardiovascular risk factor: a 10-year follow-up study // J. Hum. Hypertens. — 2003. — Vol. 17, № 12. — P. 811-817.

Hajjar I. Postural blood pressure changes and orthostatic hypotension in the elderly patient: impact of antihypertensive medications // Drugs Aging. — 2005. — Vol. 22, № 1. — P. 55-68.

Hakala S.M., Tilvis R.S., Strandberg T.E. Blood pressure and mortality in an older population. A 5-year follow-up of the Helsinki Ageing Study // Eur. Heart J. — 1997. — Vol. 18, № 6. — Р. 1019-1023.

Hallan S.I., Coresh J., Astor B.C., Asberg A., Powe N.R., Romundstad S., Hallan H.A., Lydersen, Holmen J. International comparison of the relationship of chronic kidney disease prevalence and ESRD risk // J. Am. Soc. Nephrol. — 2006. — 17. — Р. 2275-2284.

Holt-Lunstad J., Jones B.Q., Birmingham W. The influence of close relationships on nocturnal blood pressure dipping // Int. J. Psychophysiol. — 2009. — 71. — Р. 211-217.

Jumabay M., Ozawa Y., Kawamura H. et al. White coat hypertension in centenarians // Am. J. Hypertens. — 2005. — Vol. 18, № 8. — Р. 1040-1045.

Kannel W.B. Incidence and epidemiology of heart failure // Heart Fail Rev. — 2000. — 5. — Р. 167-173.

Kario K., Eguchi K., Hoshide S. et al. U-curve relationship between orthostatic blood pressure change and silent cerebrovascular disease in elderly hypertensives: orthostatic hypertension as a new cardiovascular risk factor // J. Am. Coll Cardiol. — 2002. — Vol. 40, № 1. — P. 133.

Kikuya M., Hozawa A., Ohokubo T. et al. Prognostic significance of blood pressure and heart rate variabilities // Hypertension. — 2000. — Vol. 36. — P. 901-909.

Kuwajima I., Hoh E., Suzuki Y., Matsushita S., Kuramoto K. Pseudohypertension in the elderly // J. Hypertens. — 1990. — Vol. 8, № 5. — Р. 429-432.

Levy D., Larson M.G., Vasan R.S., Kannel W.B., Ho K.K. The progression from hypertension to congestive heart failure // JAMA. — 1996. — 275. — Р. 1557-1562.

Lewis R.R., Evans P.J., McNabb W.R., Padayachee T.S. Comparison of indirect and direct blood pressure measurements with Osler’s manoeuvre in elderly hypertensive patients // J. Hum. Hypertens. — 1994. — Vol. 8, № 12. — P. 879-885.

Lionakis N. Mendrinos D., Sanidas E., Favatas G., Georgopoulou M. Hypertension in the elderly // World J. Cardiol. — 2012. — 4(5). — Р. 135-147.

Lloyd-Jones D.M., Evans J.C., Levy D. Hypertension in adults across the age spectrum: current outcomes and control in the community // JAMA. — 2005. — 294. — Р. 466-472.

Lloyd-Jones D., Adams R., Carnethon M., De Simone G., Ferguson T.B., Flegal K., Ford E., Furie K., Go A., Greenlund K. et al. Heart disease and stroke statistics-2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee // Circulation. — 2009. — 119. — Р. 21-181.

Luukinen H., Koski K., Laippala P., Kivelд S.L. Prognosis of diastolic and systolic orthostatic hypotension in older persons // Arch. Intern. Med. — 1999. — Vol. 159, № 3. — P. 273-280.

Маncia G., Facchetti R., Bombelli M., Grassi G., Sega R. Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure // Hypertension. — 2006. — Vol. 47. — P. 846-853.

Mathias C.J. Postprandial hypotension. Pathophysiological mechanisms and clinical implications in different disorders // Hypertension. — 1991. — Vol. 18. — P. 694-698.

Moretti R., Torre P., Antonello R.M. et al. Risk factors for vascular dementia: hypotension // Vasc. Health Risk Manag. — 2008. — Vol. 4, № 2. — P. 395-402.

National Center for Health Statistics (US) Health, United States, 2007: With Chartbook on Trends in the Health of Americans // Hyattsville, MD: National Center for Health Statistics (US). — 2007.

Neaton J.D., Wentworth D. Serum cholesterol, blood pressure, cigarette smoking, and death from coronary heart disease. Overall findings and differences by age for 316,099 white men. Multiple Risk Factor Intervention Trial Research Group // Arch. Intern. Med. — 1992. — Vol. 152. — P. 56-64.

Lionakis N., Mendrinos D., Sanidas Е., Favatas G., Georgopoulou М. Hypertension in the elderly // World J. Cardiol. — 2012. — 4(5). — Р. 135-147.

O’Brien E., Coats A., Owens P., Petrie J., Padfield P.L., Littler W.A., de Swiet M., Mee F. Use and interpretation of ambulatory blood pressure monitoring: recommendations of the British hypertension society // BMJ. — 2000. — 320. — Р. 1128-1134.

Omura M., Saito J., Yamaguchi K., Kakuta Y., Nishikawa T. Prospective study on the prevalence of secondary hypertension among hypertensive patients visiting a general outpatient clinic in Japan // Hypertens. Res. — 2004. — Vol. 27, № 3. — P. 193-202.

Ong K.L., Cheung D., Man J.B. Prevalence, awareness, treatment, and control of hypertension amoog United States adults 1999–2004 // Hypertension. — 2007. — Vol. 49. — P. 69-75.

Ong K.L., Tso A.W., Lam K.S., Cheung B.M. Gender difference in blood pressure control and cardiovascular risk factors in Americans with diagnosed hypertension // Hypertension. — 2008. — 51. — Р. 1142-1148.

Pimenta E. Hypertension in women // Hypertens Res. — 2012. — 35. — Р. 148-152.

Pinto E. Blood pressure and ageing // Postgrad. Med. J. — 2007. — Vol. 83. — P. 109-114.

Pringle Е., Phillips C., Thijs L. et al. Systolic blood pressure variability as a risk factor for stroke and cardiovascular mortality in the elderly hypertensive population // J. Hypertens. — 2003. — 21(12). — P. 2251-2257.

Peters R., Beckett N., Forette F., Tuomilehto J., Clarke R., Ritchie C., Waldman A., Walton I., Poulter R., Ma S. et al. Incident dementia and blood pressure lowering in the Hypertension in the Very Elderly Trial cognitive function assessment (HYVET-COG): a double-blind, placebo controlled trial // Lancet Neurol. — 2008. — 7. — Р. 683-689.

Pinto E. Blood pressure and ageing // Postgrad. Med. J. — 2007. — Vol. 83. — Р. 109-114.

PROGRESS Collaborative Group. Randomised trial of a perindopril-based blood-pressure-lowering regimen among 6,105 individuals with previous stroke or transient ischaemic attack // Lancet. — 2001. — 358. — Р. 1033-1041.

Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies // Lancet. — 2002. — Vol. 360. — P. 1903-1913.

Puisieux F., Bulckaen H., Fauchais A.L. et al. Ambulatory blood pressure monitoring and postprandial hypotension in elderly persons with falls or syncopes // J. Gerontol. A. Biol. Sci. Med. Sci. — 2000. — Vol. 55, № 9. — P. 535-540.

Rosendorff C., Beeri M.S., Silverman J.M. Cardiovascular risk factors for Alzheimer’s disease // Am. J. Geriatr. Cardiol. — 2007. — 16. — Р. 143-149.

Rutan G.H., Hermanson B., Bild D.E. et al. Orthostatic hypotension in older adults. The Cardiovascular Health Study. CHS Collaborative Research Group // Hypertension. — 1992. — Vol. 19, № 6. — P. 508-519.

Saxby B.K., Harrington F., Wesnes K.A., McKeith I.G., Ford G.A. Candesartan and cognitive decline in older patients with hypertension: a substudy of the SCOPE trial // Neurology. — 2008. — 70. — Р. 1858-1866.

Saul F., Aristidou Y., Klaus D., Niemeyer A., Lesse B. Comparison of invasive blood pressure measurement in the aorta with indirect oscillometric blood pressure measurement at the wrist and forearm // Z. Kardiol. — 1995. — Vol. 84, № 9. — P. 675-685.

Simon G. Pathogenesis of structural vascular changes in hypertension // J. Hypertens. — 2004. — Vol. 22. — P. 3-10.

Stamler J., Rose G., Stamler R. et al. INTERSALT study findings. Public health and medical care implications // Hypertension. — 1989. — Vol. 14. — P. 570-577.

Stamler J., Stamler R., Neaton J.D. Blood pressure, systolic and diastolic, and cardiovascular risks. US population data // Arch. Intern. Med. — 1993. — Vol. 153. — P. 598-615.

Stott D.J., Bowman A. Blood pressure and aging // J. Hum. Hypertens. — 2000. — Vol. 14. — P. 771-772.

Turnheim K. When drug therapy gets old: pharmacokinetics and pharmacodynamics in the elderly // Exp. Gerontol. — 2003. — Vol. 38. — P. 843-853.

Vinyoles E., De la Figuera M., Gonzalez-Segura D. Cognitive function and blood pressure control in hypertensive patients over 60 years of age: COGNIPRES study // Curr. Med. Res. Opin. — 2008. — 24. — Р. 3331-3339.

Vlachopoulos C., Aznaouridis R., Stefanadis C. Clinical appraisal of arterial stiffness: the Argonauts in front of the Golden Fleece // Heart. — 2006. — Vol. 92. — P. 1544-1550.

Voko Z., Bots M.L., Hofman A. et al. J-shaped relation between blood pressure and stroke in treated hypertensives // Hypertension. — 1999. — Vol. 34. — P. 1181-1185.

Wright J.C., Looney S.W. Prevalence of positive Osler’s manoeuver in 3387 persons screened for the Systolic Hypertension in the Elderly Program (SHEP) // J. Hum. Hypertens. — 1997. — Vol. 11, № 5. — Р. 285-289.

Young J.H., Klag M.J., Muntner P., Whyte J.L., Pahor M., Coresh J. Blood pressure and decline in kidney function: findings from the Systolic Hypertension in the Elderly Program (SHEP) // J. Am. Soc. Nephrol. — 2002. — 13. — Р. 2776-2782.

Young W.F. Primary aldosteronism: renaissance of a syndrome // Clin. Endocrinol. (Oxf.). — 2007. — Vol. 66, № 5. — Р. 607-618.




DOI: https://doi.org/10.22141/2224-1485.3.29.2013.86499

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