Role of ambulatory blood pressure monitoring in elderly hypertensive patients
Abstract Background Arterial hypertension is facing some changes in the last years. Its prevalence is increasing in elderly subjects. This growing prevalence is due to longer survival of the population worldwide, among other factors. On the other hand, recent guidelines have insisted in the relevanc...
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Format: | Article |
Language: | English |
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BMC
2022-07-01
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Series: | Clinical Hypertension |
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Online Access: | https://doi.org/10.1186/s40885-022-00205-6 |
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author | Miguel Camafort Wook-Jin Chung Jin-Ho Shin |
author_facet | Miguel Camafort Wook-Jin Chung Jin-Ho Shin |
author_sort | Miguel Camafort |
collection | DOAJ |
description | Abstract Background Arterial hypertension is facing some changes in the last years. Its prevalence is increasing in elderly subjects. This growing prevalence is due to longer survival of the population worldwide, among other factors. On the other hand, recent guidelines have insisted in the relevance of out of office blood pressure measurements, to improve diagnostic and management of hypertension. Therefore, elderly subjects with hypertension could benefit from out of office blood pressure measurements, like ambulatory blood pressure measurements; nevertheless, there are very few or no specific recommendations regarding this. Aim In this review, we will gather the most important information about this subject. Results As hypertension in the elderly has some specific characteristics related to aging of the cardiovascular system, the most important aspect could be that these characteristics make ambulatory blood pressure measurement suitable for its use in elderly. Among those a higher prevalence of white coat hypertension, white coat phenomenon, and a higher nocturnal blood pressure and higher prevalence of nondipper and riser pattern, represent aspects that should be considered for better diagnostic and an improved management. Conclusion As the prevalence of hypertension will grow in the next years, more studies specifically directed to this subject are needed. |
first_indexed | 2024-12-10T16:50:17Z |
format | Article |
id | doaj.art-681e365ec35d497982e942eaceb7250b |
institution | Directory Open Access Journal |
issn | 2056-5909 |
language | English |
last_indexed | 2024-12-10T16:50:17Z |
publishDate | 2022-07-01 |
publisher | BMC |
record_format | Article |
series | Clinical Hypertension |
spelling | doaj.art-681e365ec35d497982e942eaceb7250b2022-12-22T01:40:55ZengBMCClinical Hypertension2056-59092022-07-012811610.1186/s40885-022-00205-6Role of ambulatory blood pressure monitoring in elderly hypertensive patientsMiguel Camafort0Wook-Jin Chung1Jin-Ho Shin2ESH Excellence Hypertension Center, Department of Internal Medicine, Geriatrics Section, Hospital Clinic, University of BarcelonaDepartment of Cardiovascular Medicine, Gachon University Gil Medical CenterDivision of Cardiology, Department of Internal Medicine, Hanyang University College of MedicineAbstract Background Arterial hypertension is facing some changes in the last years. Its prevalence is increasing in elderly subjects. This growing prevalence is due to longer survival of the population worldwide, among other factors. On the other hand, recent guidelines have insisted in the relevance of out of office blood pressure measurements, to improve diagnostic and management of hypertension. Therefore, elderly subjects with hypertension could benefit from out of office blood pressure measurements, like ambulatory blood pressure measurements; nevertheless, there are very few or no specific recommendations regarding this. Aim In this review, we will gather the most important information about this subject. Results As hypertension in the elderly has some specific characteristics related to aging of the cardiovascular system, the most important aspect could be that these characteristics make ambulatory blood pressure measurement suitable for its use in elderly. Among those a higher prevalence of white coat hypertension, white coat phenomenon, and a higher nocturnal blood pressure and higher prevalence of nondipper and riser pattern, represent aspects that should be considered for better diagnostic and an improved management. Conclusion As the prevalence of hypertension will grow in the next years, more studies specifically directed to this subject are needed.https://doi.org/10.1186/s40885-022-00205-6Arterial hypertensionAgingElderlyOut of office blood pressure measurementsAmbulatory blood pressure monitoringWhite coat hypertension |
spellingShingle | Miguel Camafort Wook-Jin Chung Jin-Ho Shin Role of ambulatory blood pressure monitoring in elderly hypertensive patients Clinical Hypertension Arterial hypertension Aging Elderly Out of office blood pressure measurements Ambulatory blood pressure monitoring White coat hypertension |
title | Role of ambulatory blood pressure monitoring in elderly hypertensive patients |
title_full | Role of ambulatory blood pressure monitoring in elderly hypertensive patients |
title_fullStr | Role of ambulatory blood pressure monitoring in elderly hypertensive patients |
title_full_unstemmed | Role of ambulatory blood pressure monitoring in elderly hypertensive patients |
title_short | Role of ambulatory blood pressure monitoring in elderly hypertensive patients |
title_sort | role of ambulatory blood pressure monitoring in elderly hypertensive patients |
topic | Arterial hypertension Aging Elderly Out of office blood pressure measurements Ambulatory blood pressure monitoring White coat hypertension |
url | https://doi.org/10.1186/s40885-022-00205-6 |
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