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. 2014 Jul;16(7):511-7.
doi: 10.1111/jch.12333. Epub 2014 Apr 29.

Blood pressure variability and morning blood pressure surge in elderly Chinese hypertensive patients

Xiaobo Qin  1 , Qin Zhang, Suping Yang, Zhongbo Sun, Xiaojie Chen, Huiling Huang
Affiliations

Blood pressure variability and morning blood pressure surge in elderly Chinese hypertensive patients

Xiaobo Qin et al. J Clin Hypertens (Greenwich). 2014 Jul.

Abstract

This retrospective study aimed to investigate blood pressure variability (BPV), morning systolic blood pressure surge (MBPS), and the associated factors in 513 elderly (65 years and older) and 188 younger (younger than 65 years) hypertensive Chinese patients who had ambulatory blood pressure monitoring (ABPM) at our hospital from January 1, 2002, to December 31, 2010. The MBPS was lower in the younger patients compared with the elderly patients, and it was highest in the 75 years and older and younger than 80 group (29.0±13.4 mm Hg). Compared with other groups, the 80 years and older group had a significant increase in BPV (P<.05). Multiple linear regression analysis showed that body mass index (BMI; P<.01), up to 50 years of smoking (P≤.03), and circadian blood pressure variation (P<.01) were factors associated with MPBS. In summary, systolic BPV and MBPS were increased in elderly Chinese hypertensive patients, and the MBPS was associated with BMI, years of smoking, and circadian blood pressure variation.

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References

    1. Mancia G, Fagard R, Narkiewicz K, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013;31:1281–1357. - PubMed
    1. Gao Y, Chen G, Tian H, et al. Prevalence of hypertension in China: a cross‐sectional study. PLoS ONE. 2013;8:e65938. - PMC - PubMed
    1. Bjǒrklund K, Lind L, Zethelius B, et al. Prognostic significance of 24‐h ambulatory blood pressure characteristics for cardiovascular morbidity in a population of elderly men. J Hypertens. 2004;22:1691–1697. - PubMed
    1. Li Y, Thijs L, Hansen TW, et al. Prognostic value of the morning blood pressure surge in 5645 subjects from 8 populations. Hypertension. 2010;55:1040–1048. - PubMed
    1. Kario K, Pickering TG, Umeda Y, et al. Morning surge in blood pressure as a predictor of silent and clinical cerebrovascular disease in elderly hypertensives: a prospective study. Circulation. 2003;107:1401–1406. - PubMed