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Reproducibility of postural changes of blood pressure in hypertensive elderly patients in primary care
Abstract
OBJECTIVE: To determine the reproducibility of postural changes of blood pressure among hypertensive elderly patients in a primary care setting. METHODS: Measurements of blood pressure were carried out in 60 community-dwelling hypertensive patients aged 65 years or more, in a sitting position and after 1-min and 3-min standing, and were repeated not more than 10 days later. RESULTS: A significant (P<0.05) fall in systolic and diastolic sitting blood pressure was observed between the first visit (151.1+/-20.8/79.7+/-10.1 mmHg) and the second visit (143.5+/-20.6/76.8+/-10.9 mmHg). The intraclass correlation coefficients of the repeated measurements were 0.46 (CI: 0.23-0.65) and 0.42 (CI: 0.17-0.61) for the changes in systolic blood pressure after 1- and 3-min standing, and 0.55 (CI: 0.34-0.71) and 0.40 (CI: 0.16-0.60) for diastolic blood pressure after 1- and 3-min standing, respectively. The repeatability coefficients were greater for the orthostatic changes of blood pressure (54-65%), which indicates lower reproducibility, than for the blood pressure levels on both visits (31-44%). CONCLUSIONS: The reproducibility of the postural changes of blood pressure found in hypertensive elderly patients in primary care is poor. This should be taken into account when making diagnoses of orthostatic hypotension in this type of patient.
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“Preliminary evidence suggests that nocturnal HBPM can be used as an alternative to ABPM in the investigation of nocturnal BP in patients with sleep apnoea [230,231].”
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Cites
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Cited by
Parati, G., Stergiou, G. S., Bilo, G., Kollias, A., Pengo, M., Ochoa, J. E., Agarwal, R., Asayama, K., Asmar, R., Burnier, M., et al. (2021) · Journal of Hypertension · doi:10.1097/hjh.0000000000002922 · Cited by 178
Metadata
- Authors
- Vara-Gonza´lez, L., Alonso, S. A., Gonza´lez Ferna´ndez, R. M., Vecilla, M. M.-G., Mar´n, N. V., & Cacho, P. M.
- Venue
- Blood Pressure Monitoring
- Published
- 2006-02
- Volume
- 11
- Issue
- 1
- Pages
- 17-20
- ISSN
- 1359-5237 (ISSN-L)
- OpenAlex
- W2054766671
- Cited by
- 14
- References
- 1
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 2 · 2013: 1
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Blood Pressure Monitoring (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- orthostatic hypotension, hypertension, elderly patients, reproducibility, orthostatic tolerance, blood pressure measurement variability, primary care
- MeSH terms
- Aged, Aged, 80 and over, Blood Pressure, Diastole, Female, Humans, Hypertension, Male, Posture, Systole, Reproducibility of Results
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- The paper
- Vara-Gonza´lez, L., Alonso, S. A., Gonza´lez Ferna´ndez, R. M., Vecilla, M. M.-G., Mar´n, N. V., & Cacho, P. M. (2006). Reproducibility of postural changes of blood pressure in hypertensive elderly patients in primary care. Blood Pressure Monitoring. https://doi.org/10.1097/01.mbp.0000189786.59994.fb
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.