Nocturnal Blood Pressure Dipping is Abolished in Old-Elderly Hospitalized Patients

Salvo, F.; Lonati, Chiara; Berardi, Michele; Errani, A.R.; Muzzulini, C.L.; Morganti, Alberto

doi:10.1007/s40292-017-0224-1

Cited by 4 publications

(2 citation statements)

References 19 publications

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“… 6 , 7 These categories have been observed from studies using ABPM, 8 , 9 home BP monitoring, 10 , 11 and a small-sample study in elderly hospitalized patients. 12 The riser or reverse dipping pattern has been found to be more common in older patients. 13–15 A systematic review by Taylor et al .…”

Section: Introductionmentioning

confidence: 99%

Circadian Blood Pressure Variations Computed From 1.7 Million Measurements in an Acute Hospital Setting

Mahdi

Watkinson

McManus

et al. 2019

American Journal of Hypertension

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BACKGROUND Knowledge of the circadian blood pressure (BP) variations in the acute hospital setting is very limited. METHODS This is a retrospective analysis of BP data for in-hospital patients stratified by age and sex. We used data collected with the help of a standardized electronic health record system between March 2014 and April 2018 on the adult general wards in 4 acute hospitals in Oxford, UK. RESULTS A total of 41,455 unique patient admissions with 1.7 million sets of vital-sign measurements have been included in the study. The typical 24-hour systolic BP profile (dipping pattern during sleep followed by a gradual increase during the day) was only seen in the younger age groups (up to 40–49 for men and 30–39 for women). For older age groups, there was a late nocturnal rise in systolic BP, the amplitude of which increased with age. The late nocturnal BP rise above the age of 50 was seen whether or not the patient was treated for or previously identified with hypertension. CONCLUSION Hospitalized patients’ circadian patterns of BP largely mirror those found in the community. High-quality hospital data may allow for the identification of patients at significant cardiovascular risk through either opportunistic screening or systematic screening.

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Section: Introductionmentioning

confidence: 99%

Circadian Blood Pressure Variations Computed From 1.7 Million Measurements in an Acute Hospital Setting

Mahdi

Watkinson

McManus

et al. 2019

American Journal of Hypertension

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“…However, these patterns seem to be compatible with the results of ABPM in the community studies. By a systematic review, dipping at night was evaluated as a lower risk of cardiovascular events, whereas rising BP during night time seems to be associated with elevated risk [12,[15][16][17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Improved Hypertension by Investigating Circadian Rhythm of Blood Pressure

Shimamura¹,

Bando²,

Saijo³

et al. 2021

EJBMR

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Case: The case is 86-year-old male hypertensive patient with anti-hypertensive drug for 5 years. He has been provided Amlodipine besilate 5mg at 0800h and doxazosin mesylate 2mg at 2300h for long. In June 2020, he noticed unstable fluctuation of Blood Pressure (BP) during morning, afternoon and night. Results: Then, he checked the circadian rhythm of BP, which showed higher BP in early morning, decreasing BP 0800-1000h, minimum BP during 1000-1400h, increasing BP during 1400-1800h and stable BP during 1800-2400h. Due to the result, he changed to take amlodipine at 2300h. Consequently, his BP gradually became stable during 24 hours after 2 weeks. Discussion: Some factors may exist for contributing improved BP fluctuation. They include a) pathophysiological characteristics of BP circadian rhythm, b) effective time for anti-hypertensive drug, c) accuracy of the obtained BP data and d) the social and psychological reliability of the patient. Regarding d) he was engaged in research and development work as a senior researcher at a chemical company. He has been also a member of New Elderly Association (NEA), which was established by Shigeaki Hinohara. He lives on the philosophy of Hinohara-ism for long, associated with stable mind and body.

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Determinants of reverse dipping blood pressure in normotensive, non-diabetic population with an office measurement below 130/85mmHg

Çoner

Akbay

Akıncı

et al. 2021

Clinical and Experimental Hypertension

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Nocturnal Blood Pressure Dipping is Abolished in Old-Elderly Hospitalized Patients

Abstract: In old-elderly hospitalized patients nocturnal BP fall is abolished. This enhancement of the age related reduction of nocturnal BP dipping may be due to the stress associated with hospital environment.

Cited by 4 publications

References 19 publications

Circadian Blood Pressure Variations Computed From 1.7 Million Measurements in an Acute Hospital Setting

Circadian Blood Pressure Variations Computed From 1.7 Million Measurements in an Acute Hospital Setting

Improved Hypertension by Investigating Circadian Rhythm of Blood Pressure

Determinants of reverse dipping blood pressure in normotensive, non-diabetic population with an office measurement below 130/85mmHg

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