Key result
Non-indigenous geriatric patients with coronary heart disease living in the far north had significantly higher systolic blood pressure (166.3 vs 162.0 mmHg) compared to indigenous Yakut patients.
Cross-Sectional (n=354)
In geriatric patients with coronary heart disease in the far north, isolated systolic hypertension is highly prevalent, with ethnic differences in blood pressure and sex differences in the optimal ECG criteria for detecting left ventricular hypertrophy.
Ethnic SBP differences in far-north geriatric CHD patients warrant caution in management; leaves open prospective validation of ethnic thresholds.
As a result of research, high prevalence of arterial hypertension has been identified in the group of patients with coronary heart disease aged 60 and older. Most often, occurring form of arterial hypertension among geriatric patients is isolated systolic arterial hypertension (ISAH). The comparison of two ethnic groups of the population has showed higher levels of systolic and diastolic blood pressure (SBP and DBP) in the group of patients of non-indigenous nationality, rather than Yakut patients. Correlation was recorded in the group of non-indigenous patients as they age. Significant increase in the level of SBP was identified in the group of senile and long-livers than in the elderly. Detection of ECG signs of LVH showed the lowest specificity of Cornell voltage criterion comparing to Sokolow-Lyon criterion with its more often occurrence. ECG-signs of left ventricle hypertrophy are significantly more often established by Sokolow-Lyon criterion for men, Cornell voltage—for women. Correlation has been found between the presence of LVH and combination of Cornell voltage criterion with both Gubner-Ungerleider and Sokolow-Lyon criteria.
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Arkhipova et al. (2013) conducted a cross-sectional in Coronary heart disease and arterial hypertension (n=354). Non-indigenous ethnicity vs. Indigenous (Yakut) ethnicity was evaluated on Mean systolic blood pressure (mmHg) (p=0.039). Non-indigenous geriatric patients with coronary heart disease living in the far north had significantly higher systolic blood pressure (166.3 vs 162.0 mmHg) compared to indigenous Yakut patients.
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