Charakterystyka kliniczna populacji chorych powyżej 80. roku życia z nadciśnieniem tętniczym na podstawie analizy danych z jednego ośrodka
2014
Introduction. Arterial hypertension is one of the most common cardiovascular diseases in octogenarians. The aim of the study was clinical characteristics of patients with arterial hypertension over 80 years-old. Material and methods. The study group consisted of 2512 hypertensive patients in mean age of 68.28 ± 11.15 years- -old, including group 1: 2148 patients in age up to 80 years-old (85.51%) and group 2: 364 patients over 80 years-old (14.49%). Clinical data was analysed including comorbidities, laboratory results and echocardiographic indices. Results. Persistent atrial fibrillation was more frequent in group 1 (10.3% vs. 2.5%), while in group 2 permanent atrial fibrillation was observed (59.2% vs. 41.3%, p 2, p 2, p 2, p 2, p = 0.0003), glycemia (group 1 > 2, p = 0.0142), urea (group 1 2, p 2, p = 0.0482) but not left ventricle ejection fraction in comparison to group 2. Conclusions. Atrial fibrillation, heart failure and stroke were more frequent in hypertensive octogenarians compared to younger patients. Heart failure in hypertensives was classified as diastolic irrespectively of age. Renal dysfunction was not dependent on age however it was more pronounced in octogenarians compared to younger patients.
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