ARTERIAL HYPERTENSION AND LEFT VENTRICULAR REMODELLING IN ELDERLY PATIENTS

ARTERIAL HYPERTENSION AND LEFT VENTRICULAR REMODELLING IN ELDERLY PATIENTS

In total, 104 elderly patients with arterial hypertension (AH) and 20 healthy controls were examined. Thirty-four individuals had essential AH (EAH), and 70 – isolated systolic AH (ISAH). Statistically significant increase in blood pressure (BP) variability, reduction in night-time diastolic BP (DBP...

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Bibliographic Details
Main Authors: I. A. Bakulina, E. G. Mutalova, L. N. Khusainova, Kh. M. Mustafin, R. I. Sadikova, L. N. Mingazetdinova, E. R. Smakaeva
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC  2009-06-01
Series:Российский кардиологический журнал
Subjects:
arterial hypertension
heart remodeling
cerebral perfusion
transitory myocardial ischemia
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1352
Description
Summary:In total, 104 elderly patients with arterial hypertension (AH) and 20 healthy controls were examined. Thirty-four individuals had essential AH (EAH), and 70 – isolated systolic AH (ISAH). Statistically significant increase in blood pressure (BP) variability, reduction in night-time diastolic BP (DBP) combined with high systolic BP (SBP) level, and an increase in temporal index and night-time BP drop were maximal in ISAH patients. Disturbed systolic and diastolic left ventricular function was associated with transitory myocardial ischemia (79,7%) and silent night-time ischemia (SNI). SNI was characterised by higher SBP levels, and ISAH – by decreased night-time DBP. In elderly AH patients, cerebral perfusion was reduced, and in ISAH, adaptive and compensatory potential of cerebral vessels was also decreased.
ISSN:1560-4071
2618-7620

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