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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Main Authors: Miguel Camafort, Wook-Jin Chung, Jin-Ho Shin
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Clinical Hypertension
Subjects:
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.
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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
work_keys_str_mv AT miguelcamafort roleofambulatorybloodpressuremonitoringinelderlyhypertensivepatients
AT wookjinchung roleofambulatorybloodpressuremonitoringinelderlyhypertensivepatients
AT jinhoshin roleofambulatorybloodpressuremonitoringinelderlyhypertensivepatients