Key result
Ambulatory blood pressure monitoring is highly suitable for elderly hypertensive patients to detect specific age-related characteristics such as white coat hypertension and altered circadian patterns.
Why the study?
Hypertension prevalence is rising in the elderly and out-of-office blood pressure monitoring improves management, but there are very few or no specific recommendations for this population.
Does ambulatory blood pressure monitoring improve the diagnosis and management of hypertension in elderly patients?
Does ambulatory blood pressure monitoring improve the diagnosis and management of hypertension in elderly patients?
Ambulatory blood pressure monitoring is a crucial tool in elderly hypertensive patients for detecting specific age-related blood pressure phenotypes like white coat hypertension, orthostatic hypotension, and abnormal circadian patterns.
Answers are grounded in this paper and cite their sources.
ABPM warrants consideration for elderly hypertension phenotyping; leaves open whether routine use improves outcomes in prospective trials.
BACKGROUND: Arterial hypertension is facing some changes in the last years. Its prevalence is increasing in elderly subjects. This growing prevalence is due to longer survival of the population worldwide, among other factors. On the other hand, recent guidelines have insisted in the relevance of out of office blood pressure measurements, to improve diagnostic and management of hypertension. Therefore, elderly subjects with hypertension could benefit from out of office blood pressure measurements, like ambulatory blood pressure measurements; nevertheless, there are very few or no specific recommendations regarding this. AIM: In this review, we will gather the most important information about this subject. RESULTS: As hypertension in the elderly has some specific characteristics related to aging of the cardiovascular system, the most important aspect could be that these characteristics make ambulatory blood pressure measurement suitable for its use in elderly. Among those a higher prevalence of white coat hypertension, white coat phenomenon, and a higher nocturnal blood pressure and higher prevalence of nondipper and riser pattern, represent aspects that should be considered for better diagnostic and an improved management. CONCLUSION: As the prevalence of hypertension will grow in the next years, more studies specifically directed to this subject are needed.
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Camafort et al. (2022) conducted a review in Hypertension in the elderly. Ambulatory blood pressure monitoring (ABPM) vs. Office blood pressure measurement (OBPM) was evaluated. Ambulatory blood pressure monitoring is highly suitable for elderly hypertensive patients to detect specific age-related characteristics such as white coat hypertension and altered circadian patterns.
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