Blood Pressure in White People Over 65 Years of Age

Article1 February 1958BLOOD PRESSURE IN WHITE PEOPLE OVER 65 YEARS OF AGEARTHUR M. MASTER, F.A.C.P., RICHARD P. LASSER, HARRY L. JAFFEARTHUR M. MASTER, F.A.C.P., RICHARD P. LASSER, HARRY L. JAFFEAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-2-284 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLittle has hitherto been known concerning the range of the blood pressure in "healthy" older people. Analysis of the studies previously made1 has revealed that the conclusions had been based neither on an adequate number nor on a representative sampling of subjects. The findings frequently were not subdivided according to detailed age groups. The presence or absence of cardiovascular disease had often not been considered. Nor had any systematic effort formerly been made to determine the blood pressure in those who were 90 years of age or older.Recent statistics have emphasized the importance of investigating the medical problems which...Bibliography1. Wildt H(a) : Über Blutdruck im Greisenalter, Zentralbl. f. Herzkrankh. u. Gefässkr. (Wien u. Leipzig) 4:41-72 (Feb.) 1912. (b) Janeway, T. C.: A clinical study of hypertensive cardiovascular disease, Arch. Int. Med. 12: 755-798 (Dec.) 1913. (c) Bowes, L. M.: Blood pressure in the aged: a study of 150 cases from 65 to 95 years of age, J. Lab. and Clin. Med. 2: 256-259 (Jan.) 1917. (d) Thompson, R. J. C., and Todd, R. E.: Old age and blood pressure problems, Lancet 2: 503-505 (Sept. 2) 1922. (e) Symonds, B.: The blood pressure of healthy men and women, J. A. M. A. 80: 232-236 (Jan. 27) 1923. (f) Richter, A.: Über Blutdruck im Höheren Lebensalter: Zugleich ein Beitrag zur Klinik des Hochdrucks, Deutsches Arch. f. klin. Med. 148: 111-120 (Dec. 10) 1925. (g) Saller, K.: Über die Altersveränderungen des Blutdrucks, Ztschr. f. d. ges. exper. Med. 58: 683-709 (Jan. 9) 1928. (h) Alvarez, W. C., and Stanley, L. L.: Blood pressure in six thousand prisoners and four hundred prison guards: a statistical analysis, Arch. Int. Med. 46: 17-39 (July) 1930. (i) Willius, F. A.: The heart in old age: a study of 700 patients seventy-five years of age and older, Am. J. M. Sc. 182: 1-12 (July) 1931. (j) Wetherby, M.: A comparison of blood pressure in men and women: a statistical study of 5,540 individuals, Ann. Int. Med. 6: 754-770 (Dec.) 1932. (k) Lewis, W. H., Jr.: Changes with age in the blood pressures in adult men, Am. J. Physiol. 122: 491-505 (May) 1938. (l) Robinson, S. C., and Brucer, M.: Range of normal blood pressure: a statistical and clinical study of 11,383 persons, Arch. Int. Med. 64: 409-444 (Sept.) 1939. (m) Miller, I.: Blood pressure studies in the aged, New York State J. Med. 41: 1631-1635 (Aug. 15) 1941. (n) Russek, H. I., and Zohman, B. L.: Normal blood pressure in senescence: a study of 3691 white male subjects between the ages of 50 and 95 years, Geriatrics 1: 113-120 (Mar.-Apr.) 1946. (o) Gover, M.: Physical impairments of members of low-income farm families—11,490 persons in 2,477 rural families examined by the Farm Security Administration, 1940. VII. Variation of blood pressure and heart disease with age; and the correlation of blood pressure with height and weight, Pub. Health Rep. 63: 1083-1110 (Aug. 20) 1948. (p) Monroe, R. T.: Diseases in old age: a clinical and pathological study of 7941 individuals over 61 years of age, 1951, Harvard University Press, Cambridge. (q) Hamilton, M., Pickering, G. W., Fraser Roberts, J. A., and Sowry, G. S. C.: The aetiology of essential hypertension. 1. The arterial pressure in the general population, Clin. Sc. 13: 11-35 (Feb.) 1954. Google Scholar2. Revised projections of the population of the United States by age and sex, U. S. Bureau of the Census Current Population Reports, Series P-25, No. 123 (Oct. 20) 1955, pp. 1-10. Google Scholar3. The chances of living to and beyond age 65, Statistical Bulletin of the Metropolitan Life Insurance Co. 34: 1-3 (Nov.) 1953. Google Scholar4. MasterDublinMarks AMLIHH(a) : The normal blood pressure range and its clinical implications, J. A. M. A. 143: 1464-1470 (Aug. 26) 1950. (b) Master, A. M., Garfield, C. I., and Walters, M. B.: Normal blood pressure and hypertension, 1952, Lea and Febiger, Philadelphia, pp. 95-98. (c) Master, A. M., Lasser, R. P., and Jaffe, H. L.: Blood pressure in apparently healthy aged—65 to 106 years, Proc. Soc. Exper. Biol. and Med. 94: 463-467 (Mar.) 1957. CrossrefMedlineGoogle Scholar5. Our elders move westward, Statistical Bulletin of the Metropolitan Life Insurance Co. 32: 5-7 (June) 1951. Google Scholar6. What our older people do, Statistical Bulletin of the Metropolitan Life Insurance Co. 35: 1-4 (Feb.) 1954. Google Scholar7. BordleyConnorHamiltonKerrWiggers JCAWFWJCJ: Recommendations for human blood pressure determinations by sphygmomanometers, Circulation 4: 503-509 (Oct.) 1951. CrossrefMedlineGoogle Scholar8. Bassford HR: Blood pressure mortality in the light of reported diastolic readings, Proceedings of the Associated Life Insurance Medical Directors of America 19: 77-88, 1932. Google Scholar9. Wiggers CJ: Physiology in health and disease, 5th Ed., 1949, Lea and Febiger, Philadelphia, pp. 588-589. Google Scholar10. LandowneBrandfonbrenerShock MMNW: The relation of age to certain measures of performance of the heart and the circulation, Circulation 12: 567-576 (Oct.) 1955. CrossrefMedlineGoogle Scholar11. (a) The Association Life Insurance Medical Directors and Actuarial Society of America: blood pressure study, 1939, New York, 1940. (b) Personal communication from Mr. Edward A. Lew, Actuary and Statistician, Metropolitan Life Insurance Company, New York. Google Scholar12. ChopeBreslow HDL: Nutritional status of the aging, Am. J. Pub. Health 46: 61-67 (Jan.) 1956. CrossrefGoogle Scholar13. Lew EA: Insurance mortality investigations of physical impairments, Am. J. Pub. Health 44: 641-654 (May) 1954. CrossrefGoogle Scholar14. BechgaardKoppNielsen PHJ: One thousand hypertensive patients followed from 16-22 years, Acta med. Scandinav. Suppl. 310-312: 175-189, 1955-1956. MedlineGoogle Scholar15. AckermanDryEdwards RFTJJE: Relationship of various factors to the degree of coronary atherosclerosis in women, Circulation 1: 1345-1354 (June) 1950. CrossrefMedlineGoogle Scholar16. GertlerOppenheimer MMBS: The interrelationships of serum lipids in men and women past sixty-five years of age and their bearings on atherosclerosis, Circulation 7: 533-544 (Apr.) 1953. CrossrefMedlineGoogle Scholar17. Master AM: Hypertension and coronary occlusion, Circulation 8: 170-177 (Aug.) 1953. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication June 12, 1957.From the Department of Medicine, The Mount Sinai Hospital, New York, N. Y.Requests for reprints should be addressed to Arthur M. Master, M.D., 125 East Seventy-second Street, New York 21, N. Y. 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A Clinico-Pathological Study of 263 Cases with Special Reference to Cardiovascular Diseases and Cerebral AtherosclerosisHypertonieHypertonie 1 February 1958Volume 48, Issue 2Page: 284-299KeywordsAge groupsAntihypertensive drug therapyBlood pressureCardiovascular diseasesCaucasian peopleHeartHospital medicineThoraxVeteran care ePublished: 1 December 2008 Issue Published: 1 February 1958 PDF downloadLoading ...