Prevalence and persistency of orthostatic blood pressure fall in older patients with isolated systolic hypertension

Journal of Human Hypertension

Volumn 10, Issue 9, 1996, Pages 607-612

  Vanhanen, H ^a   Thijs, L ^b   Birkenhager W ^b   Bulpitt, C ^c   Tilvis, R ^a   Sarti, C ^d   Tuomilehto, J ^d   Staessen, J A ^b  

^a UNIVERSITY OF HELSINKI   (Finland)

^b UNIVERSITY HOSPITALS LEUVEN   (Belgium)

^c HAMMERSMITH HOSPITAL   (United Kingdom)

^d NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

Author keywords

Isolated systolic hypertension; Old age; Orthostatic blood pressure fall

Indexed keywords

ANTIHYPERTENSIVE AGENT;

ADULT; AGED; ARTICLE; BLOOD PRESSURE; CONTROLLED STUDY; DIASTOLIC BLOOD PRESSURE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; ORTHOSTATIC HYPOTENSION; REPRODUCIBILITY; SITTING; STANDING; SUPINE POSITION; SYNCOPE; SYSTOLIC HYPERTENSION; VERTIGO;

AGED; AGED, 80 AND OVER; BLOOD PRESSURE; FEMALE; HUMANS; HYPERTENSION; MALE; MIDDLE AGED; POSTURE; REPRODUCIBILITY OF RESULTS; SINGLE-BLIND METHOD;

EID: 0029850742     PISSN: 09509240     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (24)

1. Mader SL. Aging and postural hypotension. An update. J Am Geriatr Soc 1989; 37: 129-137.
2. Mader SL. Orthostatic hypotension. Med Clin North Am 1989; 73: 1337-1349.
3. Bradshaw MJ, Edwards RTM. Postural hypotensionpathophysiology and management. Q J Med 1986; 60: 643-657.
4. Mader SL, Palmer M, Rubestein LZ. Effect of timing and number of baseline blood pressure determinations on postural blood pressure response. J Am Geriatr Soc 1989; 37: 444-446.
5. Lipsitz LA, Nyqvist RP, Wei JY, Rowe JW. Postprandial reduction in blood pressure in the elderly. N Engl J Med 1983; 309: 81-83.
6. Lipsitz LA. Orthostatic hypotension in the elderly. N Engl J Med 1989; 321: 952-957.
7. Myers MG, Kearns PM, Kennedy DS, Fisher RH. Postural hypotension and diuretic therapy in the elderly. Can Med Assoc J 1978; 119: 581-584.
8. Mader SL, Josephson KR, Rubenstein LZ. Low prevalence of postural hypotension among communitydwelling elderly. JAMA 1987; 258: 1511-1514.
9. Caird FI, Andrews GR, Kennedy RD. Effect of posture on blood pressure in the elderly. Br Heart J 1973; 35: 527-530.
10. MacLennan WJ, Hall MR, Timothy JL. Postural hypotension in old age: is it a disorder of the nervous system or of blood vessels? Age Ageing 1980; 12: 25-32.
11. Amery A et al. Syst-Eur. A multicentre trial on the treatment of isolated systolic hypertension in the elderly: objectives, protocol and organization. Aging 1991; 3: 287-302.
12. Thijs L et al. Antihypertensive therapy in elderly patients with isolated systolic hypertension: third progress report of the Syst-Eur trial. Clin Exper Hypertens 1993; 15: 953-966.
13. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1: 307-310.
14. Staessen J, Amery A, Fagard R. Editorial review. Isolated systolic hypertension in the elderly. J Hypertens 1990; 8: 393-405.
15. Myers MG, Kearns PM, Kennedy DS, Fischer MH. Postural hypotension and diuretic therapy in the elderly. Can Med J 1978; 23: 581-585.
16. Harris T, Lipsitz LA, Kleinman JC, Cornoni-Huntley J. Postural change in blood pressure associated with age and systolic blood pressure. The National Health and Nutrition Examination Survey II. J Gerontol 1991; 46: 159-163.
17. Macrae AD, Bulpitt CJ. Assessment of postural hypotension in elderly patients. Age Ageing 1989; 18: 110-112.
18. Staessen JA et al. Ambulatory blood pressure and blood pressure measured at home: progress report on the population study. J Cardiovasc Pharmacol 1994; 23: S5-S11.
19. Robinson BJ, Johnson RH, Lanibie DG, Palmer KT. Do elderly patients with an excessive fall in blood pressure on standing have evidence of autonomic failure? Clin Sci 1983; 64: 587-591.
20. Appenzeller O, Gross SE. Glucose and baroreceptor function effects of oral administration of glucose on baroreceptor function in cerebrovascular disease and in other disorders with baroreceptor reflex block. Arch Neurol 1978; 23: 137-146.
21. Page MM, Watkins PJ. Provocation of postural hypotension by insulin in diabetic autonomic neuropathy. Diabetes 1976; 25: 90-95.
22. Tinetti ME, Williams TF, Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med 1986; 80: 429-434.
23. Lipsitz LA, Pluchino FC, Wei JY, Rowe JW. Syncope in institutionalized elderly: the impact of multiple pathological conditions and situational stress. J Chron Dis 1986; 39: 619-630.
24. Davis BR et al. The association of postural changes in systolic blood pressure and mortality in persons with hypertension: The Hypertension Detection and Follow-up Program Experience. Circulation 1987; 75: 340-346.