Comparison of ambulatory and clinical blood pressures, and their correlation with organic heart damage, in the elderly

G. Torrisi, E. De Bernardis, S. Di Mauro, M. Marino, N. Cosentino, C. Leotta, A. Distefano

Research output: Contribution to journalArticle

Abstract

Casual blood pressure (BP) measurements may sometimes indicate the presence of cardiovascular morbidity and mortality, but the correlations between BP values and the subsequent occurrence of such complications are low. This may depend on the known inability of casual BP measurements to reflect accurately the 24-hour mean and overall profile of the BP. In this study, electrocardiography (ECG) of left ventricular muscle mass was related to various measures of BP during circadian ambulatory BP monitoring in 156 hypertensive and non-hypertensive elderly patients. Multiple regression analysis performed to establish the presence of left ventricular hypertophy (LVH) revealed that the product of ambulatory systolic BP × diastolic BP (p = 0.027) and ambulatory diastolic BP were significant variables. Clinical pressure variables were not significant. Multiple linear regression analysis to establish the degree of LVH in function of the pressure variables generated a model where the variables included are the product of ambulatory systolic BP × diastolic BP (p = 2.7 × 10-8), ambulatory systolic BP (p = 7.8 × 10-6) and ambulatory diastolic BP (p = 2.4 × 10-6). Results obtained agree with the literature and revealed that LVH evaluated using ECG-Romhilt-Estes score was correlated in terms of presence/absence of organ damage and in terms of score to ambulatory monitoring values.

Original languageEnglish
Pages (from-to)131-138
Number of pages8
JournalArchives of Gerontology and Geriatrics
Volume22
Issue numberSUPPL.1
Publication statusPublished - 1996

Keywords

  • Ambulatory blood pressure monitoring
  • Blood pressure
  • Blood pressure variability
  • Cardiovascular morbidity
  • Cardiovascular risk
  • Hypertension

ASJC Scopus subject areas

  • Ageing
  • Medicine(all)

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    Torrisi, G., De Bernardis, E., Di Mauro, S., Marino, M., Cosentino, N., Leotta, C., & Distefano, A. (1996). Comparison of ambulatory and clinical blood pressures, and their correlation with organic heart damage, in the elderly. Archives of Gerontology and Geriatrics, 22(SUPPL.1), 131-138.