Torriani S, Waeber B, Petrillo A, Di Stefano R, Mooser V, Scherrer U, Nussberger J, Hofstetter J R, Brunner H R
Department of Hypertension, Universitaire Vaudois, Lausanne, Switzerland.
J Hypertens Suppl. 1988 Nov;6(1):S25-7.
In this retrospective analysis, we assessed the usefulness of ambulatory blood pressure monitoring in the evaluation of elderly hypertensive patients. Thirty-eight untreated and 31 treated hypertensives aged 70 years or more had a systolic blood pressure greater than or equal to 160 mmHg and/or a diastolic blood pressure greater than or equal to 95 mmHg in the clinic. All 69 patients underwent blood pressure monitoring during their customary daily activities using a portable semi-automatic blood pressure recorder (Remier M2000). The mean of all blood pressures obtained with this device was taken as the ambulatory recorded blood pressure. Recorded blood pressures were greater than or equal to 160 mmHg systolic and greater than or equal to 90 mmHg diastolic in 17 untreated and 17 treated patients. In these patients, the introduction of antihypertensive therapy, or its modification, markedly reduced blood pressure during a 4-8 month follow-up. A further 21 untreated and 14 treated patients had recorded blood pressures of less than 160/90 mmHg. The treatment status of these patients was left unchanged for 4-8 months of follow-up. Nevertheless, office blood pressure in these groups, with no change in treatment, decreased significantly during the observation period. At the last visit to the outpatient clinic, there was no significant difference in blood pressure between the four subgroups of patients. Thus, ambulatory blood pressure monitoring appears to be useful in the elderly hypertensive patient in detecting those patients whose blood pressure is elevated only in the clinic. Blood pressure profiles obtained outside the clinic may therefore be useful in making therapeutic decisions in the aged hypertensive.
在这项回顾性分析中，我们评估了动态血压监测在老年高血压患者评估中的作用。38例未经治疗和31例接受治疗的70岁及以上高血压患者在诊所的收缩压大于或等于160 mmHg和/或舒张压大于或等于95 mmHg。所有69例患者使用便携式半自动血压记录仪（Remier M2000）在日常活动期间进行血压监测。用该设备测得的所有血压的平均值作为动态记录血压。17例未经治疗和17例接受治疗的患者的记录血压收缩压大于或等于160 mmHg且舒张压大于或等于90 mmHg。在这些患者中，引入抗高血压治疗或对其进行调整后，在4 - 8个月的随访期间血压显著降低。另外21例未经治疗和14例接受治疗的患者记录血压低于160/90 mmHg。这些患者的治疗状态在4 - 8个月的随访期间保持不变。然而，在观察期内，这些组中未改变治疗的患者的诊室血压显著下降。在最后一次门诊就诊时，四组患者之间的血压无显著差异。因此，动态血压监测似乎有助于老年高血压患者检测出仅在诊所血压升高的患者。因此，诊所外获得的血压数据可能有助于老年高血压患者的治疗决策。
